PTSD Symptoms in Elementary School Children After Typhoon Rusa

  • Lee, In-Sook (Community Health Nursing, College of Nursing, Seoul National University) ;
  • Ha, Yang-Sook (Mental Health Nursing, College of Nursing, Seoul National University) ;
  • Kim, Yoon-A (Community Health Nursing, Seoul National University) ;
  • Kwon, Yong-Hee (Mental Health Nursing, Seoul National University)
  • Published : 2004.06.01

Abstract

Purpose. A natural disaster negatively affects children's emotional and behavioral adjustment. The purpose of this paper was to examine the prevalence, symptoms, and correlates of PTSD after the occurrence of Typhoon Rusa. Method. 261 elementary school children living in Kimcheon, which was a devastated rural area in South Korea by Typhoon Rusa, were selected. Data were collected 4 months after the disaster using the PTSD Reaction Index categories recommended by Frederick, severity of PTSD. Results. 12.3% of the children had either moderate or severe PTSD symptoms; 22.7% reported mild symptoms; and the remaining 65% had sub-clinical symptoms of PTSD. The most frequent symptom was recurrenct fear(67.0%). 13% to 17.2% of children exhibited difficulty in concentration, sleep disturbance, and guilt feeling. The regression model of severity of PTSD was composed of the level of exposure to traumatic experiences, grade in school, gender, negative coping style, and social support, and explained 34.3% for PTSD symptoms. Exposure to traumatic experiences was the strongest factor of all predictors. Conclusion. Emotional support from friends and coping style were correlated with PTSD severity. School-based interventions that emphasizes coping with disaster related problems and problem-solving may prove to be useful, and may aid in building close and supportive ties with teachers, classmates, and friends.

Keywords

References

  1. American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.). Washington, DC: Author
  2. American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: Author
  3. Bahrick, L. E., Parker, J. F., Fivush, R. & Levitt, M. (1998). The effects of stress on young children' s memory for a natural disaster, Journal of Experimental Psychology: Applied, 4(4), 308-331 https://doi.org/10.1037/1076-898X.4.4.308
  4. Chemtob, C. M., Nakashima, J. P. & Hamada, R. S. (2002). Psychosocial intervention for post disaster trauma symptoms in elementary school children: A controlled community field study, Archives of Pediatrics and Adolescent Medicine, 156(3), 211-216
  5. Galante, R. & Foa, D. (1986). An epidemiological study of psychic trauma and treatment effectiveness for children after a natural disaster, Journal of the American Academy of Child and Adolescent Psychiatry, 25(3), 357-363
  6. Garrison, C. Z., Bryant, E. S., Addy, C. L., Spurrier, P. G., Freedy, J. R. & Kilpatrick, D. G. (1995). Post-traumatic stress disorder in adolescents after Hurricane Andrew, Journal of the American Academy of Child and Adolescent Psychiatry, 34(9), 1193-1201
  7. Goenjian, A. K., Molina, L., Steinberg, A. M., Fairbanks, L. A., Alvarez, M. L., Goenjian, H. A. & Pynoos, R. S. (2001). Post-traumatic stress and depressive reactions among Nicaraguan adolescents after Hurricane Mitch, The American Journal of Psychiatry, 158(5), 788-794 https://doi.org/10.1176/appi.ajp.158.5.788
  8. Green, B. L., Korol, M., Grace, M. G.,Vary, M. G., Leonard, A. C., Gieser, G. C.,& Smitson-Cohen, S. (1991). Children and disaster: Age, gender, and parental effects on PTSD symptoms. Journal of American Academy of Child and Adolescent Psychiatry, 30(6), 945-951
  9. Green, B. L., Grace, M. C.,Vary, M. G., Kramer, T. L., Gieser, G. C.,& Leonard, A. C. (1994). Children of disaster in the second decade: A 17-year follow-up of Buffalo Creek survivors. Journal of American Academy of Child and Adolescent Psychiatry, 33(1), 71-79
  10. Handford, H. A., Mayes S. D., Mattison R. E., Humphrey F. J., Bagnato, S., Bixler, E. O. & Kales, J. D. (1986). Child and parent reaction to the three mile island nuclear accident, Journal of the American Academy of Child Psychiatry, 25(3), 346-356
  11. Kinzie, J. D., Sack W. H., Angell, R. H., Manson, S. & Rath, B. (1986). The psychiatric effects of massive trauma on Cambodian children: 1. Children, Journal of the American Academy of Child Psychiatry, 25(3), 370-376
  12. Kinzie, J. D., Sack W. H., Angell, R. H., Clarke, G. & Rath B. (1989). A three-year follow-up of Cambodian young people traumatized as children, Journal of the American Academy of Child and Adolescent Psychiatry, 28(4), 501-504 https://doi.org/10.1097/00004583-198907000-00006
  13. Lonigan, C. J., Shannon, M. P., Finch, A. J., Daugherty, T. K., & Taylor, C. M. (1991). Children's reactions to a natural disaster: Symptom severity and degree of exposure. Advances in Behavioral Research and Therapy, 13, 135-154 https://doi.org/10.1016/0146-6402(91)90002-R
  14. Malmquist, C. P. (1986). Children who witness parental murder: Post-traumatic aspects, Journal of the American Academy of Child Psychiatry, 25(3), 320-325
  15. McFarlane A. C. (1987). Post traumatic phenomena in a longitudinal study of children following a natural disaster, Journal of the American Academy of Child and Adolescent Psychiatry, 26(5), 764-769
  16. Park, K. (1993). Study on the Correlation between Stressful Life Events, Coping Methods and Social Support in Childen. Master's Thesis. Chosun University
  17. Pynoos, R. S. & Eth, S. (1986). Witness to violence: The child interview, Journal of the American Academy of Child Psychiatry, 25(3), 306-319
  18. Pynoos, R. S., Frederick, C., Nader, K., Arroyo, W., Steinberg, A., Eth, A., Nunez, F. & Fairbanks, L. (1987). Life threat and post-traumatic stress in school-age children, Arch Gen Psychiatry, 44, 1057-1063
  19. Pynoos, R. S. & Nader, K. (1988). Psychological first aid and treatment approach to children exposed to community violence: Research implications. Journal of Traumatic Stress, 1, 445-473 https://doi.org/10.1002/jts.2490010406
  20. Rigamer, E. F. (1986). Psychological management of children in a national crisis, Journal of the American Academy of Child and Adolescent Psychiatry, 25(3), 364-369
  21. Sack, W. H., Angell, R. H., Kinzie, D. & Rath, B. (1986). The psychiatric effects of massive trauma on Cambodian children: 2. The family, the home, and the school, Journal of the American Academy of Child Psychiatry, 25(3), 377-383
  22. Shannon, M. P., Lonigan, C. J., Finch, A. J. & Taylor, C. M. (1994). Children exposed to disaster: I. Epidemiology of post-traumatic symptoms and symptom profiles, Journal of the American Academy of Child Psychiatry, 33, 80-93
  23. Spirito, A., Stark, L. J. & Williams, C. (1988). Development of a brief coping checklist for use with pediatric populations. Journal of Pediatric Psychology, 13, 555-574 https://doi.org/10.1093/jpepsy/13.4.555
  24. Vemberg, E. M. & Vogel, J. (1993). Interventions with children after disasters, Journal of Clinical Child Psychology, 22, 485-497
  25. Yi, S. M., Kim, D. I. (2000). A study of chronic post-traumatic stress disorder in physically injured patients by motor vehicle accidents: A prospective study on incidence, pattern of symptom changes and predictors. Journal of Korean Neuropsychiaric Association, 39(5), 797-808
  26. Choi, Y., Lee, M., Lee, J. & Shin, D. (1997). The relationship of coping style and psychological distress in the survivors of Sampoong accident. Journal of Korean Neuropsychiaric Association, 36, 612-619