Trajectories of mental health symptoms predict long-term quality of life among Wenchuan adolescent survivors:A 10-year follow-up study  

作　　者：Zi-Juan Ma Xiao-Yan Chen Tong Wang Shu-Ling Xu Min Jiang Fang Fan 

机构地区：[1]School of Psychology,Center for Studies of Psychological Application,and Guangdong Key Laboratory of Mental Health and Cognitive Science,South China Normal University,Guangzhou,510631,China [2]Key Laboratory of Brain,Cognition and Education Sciences,Ministry of Education,China

出　　处：《Chinese Journal of Traumatology》2021年第4期214-220,共7页中华创伤杂志（英文版）

基　　金：National Natural Science Foundation of China(Grant No.31871129,31671165,31271096);Research on the Processes and Repair of Psychological Trauma in Youth,Project of Key Institute of Humanities and Social Sciences,MOE(Grant NO.16JJD190001);Guangdong Province Universities and Colleges Pearl River Scholar Funded Scheme,GDUPS(2016);China Postdoctoral Science Foundation(Grant No.2016 M590793,2017 T100638);Science and technology projects of Guangdong Province(2017kz010101).

摘　　要：Purpose:Previous studies usually examine the associations between psychological distresses and quality of life(QOL)with a variable-centred approach,while little is known about the effect of the individual variance in time-varying changes of psychological distresses on QOL.Therefore,this study aimed to examine whether individual variance in psychological distresses during the early phases post-earthquake would develop different QOL’s levels among adolescent survivors 10-year after the Wenchuan earthquake.Methods:Data were extracted from the Wenchuan Earthquake Adolescent Health Cohort Study.The current study included 744 adolescent survivors who effectively completed surveys at 6 months,24 months,and 10 years after the earthquake.Self-report questionnaires were administered to collect information on socio-demographic characteristics,earthquake exposure,life events,anxiety symptoms,depressive symptoms,posttraumatic stress symptoms(PTSS),and QOL.Data were analysed using hierarchical multiple regression.Results:Trajectories of psychological distresses were classified as follow:resistance(anxiety 40.73%;depression 54.70%;PTSS 74.46%),recovery(anxiety 17.20%;depression 9.27%;PTSS 10.35%),delayed dysfunction(anxiety 10.35%;depression 18.15%;PTSS 6.18%),and chronicity(anxiety 31.72%;depression 17.88%;PTSS 9.01%).After controlling covariates,hierarchical multiple regression only revealed that the anxiety trajectory with delayed dysfunction remained significantly predictive for four domains of QOL(physical health,psychological health,social relationships,and environment).Conclusion:The current study highlights the importance of focusing on the variations in trajectories of anxiety symptoms among disaster survivors and providing individualized mental health services to improve survivors’QOL.

关 键 词：ANXIETY Depression POSTTRAUMATIC stress SYMPTOMS Quality of life WENCHUAN earthquake Longitudinal study 

分 类 号：R395.6[哲学宗教—心理学]