关键词: Earthquakes PTSD TEPT Terremotos adultos adults ancianos children elderly factores de riesgo niños risk factors

Mesh : Humans Earthquakes Family / psychology Risk Factors Stress Disorders, Post-Traumatic Survivors / psychology statistics & numerical data

来  源:   DOI:10.1080/20008066.2024.2365477   PDF(Pubmed)

Abstract:
Background: Exposure to earthquakes can cause adverse effects on the mental health of survivors, including an increased risk of PTSD.Objective: This systematic review aims to analyse the previous secondary studies to identify the risk factors for PTSD from children to elderly earthquake survivors. In addition, it aims to consider the complexity of the joint effects of the individual, relational, and contextual risk factors, to also detect the most at-risk families.Method: After reviewing and screening studies from the literature search through PubMed, Web of Science, Scopus, and EBSCO under the guidance of PRISMA guidelines, ten eligible secondary studies were identified that examine the risk factors for PTSD in individuals (from children to elderly) affected by worldwide earthquakes.Results: The analysis of the included studies allowed the identification of a series of socio-demographic, pre-traumatic, peri-traumatic, and post-traumatic PTSD risk factors in children, adolescents, youth, adults, and elderly survivors. The results represent the complexity of the joint effects of these risk factors at individual, relational, and contextual levels.Conclusions: The consideration of the PTSD risk factors highlights the importance of individual characteristics and the type of experiences and exposure in the period before, during, and after the earthquake. This knowledge could allow the early identification of at-risk individuals of different ages and families and the implementation of intervention programmes.
This is the first systematic review to identify PTSD risk factors from children to elderly earthquake survivors using secondary studies.Considering the complexity of the joint effects at individual, relational, and contextual levels, several socio-demographic, pre-traumatic, peri-traumatic, and post-traumatic risk factors for PTSD were identified in the age groups considered. Moreover, the consideration of these factors could help the identification of at-risk families.The identification of risk factors for PTSD across the lifespan could provide helpful knowledge for prevention and intervention programmes.
摘要:
背景:暴露于地震会对幸存者的心理健康造成不利影响,包括创伤后应激障碍的风险增加。目的:本系统评价旨在分析先前的次要研究,以确定从儿童到老年地震幸存者的PTSD危险因素。此外,它旨在考虑个体共同影响的复杂性,关系,和上下文风险因素,也检测到最危险的家庭。方法:在通过PubMed进行文献检索和筛选研究后,WebofScience,Scopus,和EBSCO在PRISMA指南的指导下,确定了10项符合条件的次要研究,这些研究检查了受全球地震影响的个体(从儿童到老年人)的PTSD危险因素。结果:对纳入研究的分析允许识别一系列社会人口统计学,创伤前,周围创伤,以及儿童创伤后创伤后应激障碍的危险因素,青少年,青春,成年人,老年幸存者。结果代表了这些风险因素对个体的联合影响的复杂性,关系,和上下文级别。结论:对PTSD危险因素的考虑突出了个体特征以及经历类型和暴露在之前时期的重要性,during,在地震之后。这些知识可以帮助早期识别不同年龄和家庭的高危个人,并实施干预方案。
这是首次使用二级研究确定从儿童到老年地震幸存者的PTSD危险因素的系统评价。考虑到个体联合效应的复杂性,关系,和上下文级别,几个社会人口,创伤前,周围创伤,并在所考虑的年龄组中确定了创伤后创伤后应激障碍的危险因素.此外,这些因素的考虑有助于确定高危家庭.确定整个生命周期中PTSD的危险因素可以为预防和干预计划提供有用的知识。
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