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Symptoms of Post-Traumatic Stress Disorder Among Young Children 2 Years After the Great East Japan Earthquake

Published online by Cambridge University Press:  01 July 2016

Takeo Fujiwara ,
Junko Yagi ,
Hiroaki Homma ,
Hirofumi Mashiko ,
Keizo Nagao ,
Makiko Okuyama  and
the Great East Japan Earthquake Follow up for Children Study Team
Takeo Fujiwara*
Affiliation:
Department of Social Medicine, National Research Institute for Child Health and Development, and Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan
Junko Yagi
Affiliation:
Department of Psychiatry, Iwate Medical University, Iwate, Japan
Hiroaki Homma
Affiliation:
Miyagi Prefectural Comprehensive Children’s Center, Miyagi, Japan
Hirofumi Mashiko
Affiliation:
Fukushima Rehabilitation Center for Children, Fukushima, Japan
Keizo Nagao
Affiliation:
Nagao Mental Clinic, Mie, Japan
Makiko Okuyama
Affiliation:
Department of Psychosocial Medicine, National Center for Child Health and Development, Tokyo, Japan.
*
Correspondence and reprint requests to Dr Takeo Fujiwara, Department of Global Health Promotion, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8519, Japan (e-mail: fujiwara.hlth@tmd.ac.jp).
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Abstract

Objective

The aim of this study was to investigate the prevalence of post-traumatic stress disorder (PTSD) and its association with each traumatic experience among 5- to 8-year-old children 2 years after the Great East Japan Earthquake.

Method

Children ages 5-8 years who were in selected preschool classes on March 11, 2011, in 3 prefectures affected by the earthquake and 1 prefecture that was unaffected, participated in the study (N=280). PTSD symptoms were assessed through questionnaires completed by caregivers and interviews by psychiatrists or psychologists conducted between September 2012 and May 2013 (ie, 1.5-2 years after the earthquake).

Results

Among children who experienced the earthquake, 33.8% exhibited PTSD symptoms. Of the different traumatic experiences, experiencing the earthquake and the loss of distant relatives or friends were independently associated with PTSD symptoms; prevalence ratios: 6.88 (95% confidence interval [CI]: 2.06-23.0) and 2.48 (95% CI: 1.21-5.08), respectively.

Conclusion

Approximately 1 in 3 young children in the affected communities exhibited PTSD symptoms, even 2 years after the Great East Japan Earthquake. These data may be useful for preventing PTSD symptoms after natural disasters and suggest the importance of providing appropriate mental health services for children. (Disaster Med Public Health Preparedness. 2017;11:207–215)

Keywords

disasterpost-traumatic stress disorderearthquaketsunamichild mental healthpreschool children
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 11 , Issue 2 , April 2017 , pp. 207 - 215
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2016 

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References

1. Fire and Disaster Management Agency. Higai-hou. 2015. http://www.fdma.go.jp/bn/higaihou/pdf/jishin/151.pdf. Accessed June 15, 2015.Google Scholar
2. Japan Child and Family Research Institute. Almanac of Data on Japanese Children 2013. Tokyo: KTC Chuoh Publishing; 2013.Google Scholar
3. Goenjian, AK, Walling, D, Steinberg, AM, et al. A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. Am J Psychiatry. 2005;162(12):2302-2308.CrossRefGoogle ScholarPubMed
4. Roussos, A, Goenjian, AK, Steinberg, AM, et al. Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece. Am J Psychiatry. 2005;162(3):530-537.CrossRefGoogle ScholarPubMed
5. Wu, CH, Chen, SH, Weng, LJ, et al. Social relations and PTSD symptoms: a prospective study on earthquake-impacted adolescents in Taiwan. J Trauma Stress. 2009;22(5):451-459.CrossRefGoogle ScholarPubMed
6. Liu, ZY, Yang, YF, Ye, YL, et al. One-year follow-up study of post-traumatic stress disorder among adolescents following the Wen-Chuan earthquake in China. Biosci Trends. 2010;4(3):96-102.Google ScholarPubMed
7. Fan, F, Long, K, Zhou, Y, et al. Longitudinal trajectories of post-traumatic stress disorder symptoms among adolescents after the Wenchuan earthquake in China. Psychol Med. 2015;45(13):2885-2896.CrossRefGoogle ScholarPubMed
8. Scheeringa, MS, Zeanah, CH. Reconsideration of harm's way: onsets and comorbidity patterns of disorders in preschool children and their caregivers following Hurricane Katrina. J Clin Child Adolesc Psychol. 2008;37(3):508-518.CrossRefGoogle ScholarPubMed
9. Scheeringa, MS, Zeanah, CH, Drell, MJ, et al. Two approaches to the diagnosis of posttraumatic stress disorder in infancy and early childhood. J Am Acad Child Adolesc Psychiatry. 1995;34(2):191-200.CrossRefGoogle Scholar
10. Scheeringa, MS, Peebles, CD, Cook, CA, et al. Toward establishing procedural, criterion, and discriminant validity for PTSD in early childhood. J Am Acad Child Adolesc Psychiatry. 2001;40(1):52-60.CrossRefGoogle ScholarPubMed
11. Scheeringa, MS, Zeanah, CH, Myers, L, et al. New findings on alternative criteria for PTSD in preschool children. J Am Acad Child Adolesc Psychiatry. 2003;42(5):561-570.CrossRefGoogle ScholarPubMed
12. Scheeringa, MS, Myers, L, Putnam, FW, et al. Diagnosing PTSD in early childhood: an empirical assessment of four approaches. J Trauma Stress. 2012;25(4):359-367.CrossRefGoogle ScholarPubMed
13. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.Google Scholar
14. Yule, W. Posttraumatic stress disorder in the general population and in children. J Clin Psychiatry. 2001;62(suppl 17):23-28.Google ScholarPubMed
15. Thienkrua, W, Cardozo, BL, Chakkraband, ML, et al. Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. JAMA. 2006;296(5):549-559.CrossRefGoogle ScholarPubMed
16. Ma, X, Liu, X, Hu, X, et al. Risk indicators for post-traumatic stress disorder in adolescents exposed to the 5.12 Wenchuan earthquake in China. Psychiatry Res. 2011;189(3):385-391.CrossRefGoogle Scholar
17. Fujiwara, T, Yagi, J, Homma, H, et al. Clinically significant behavior problems among young children 2 years after the Great East Japan Earthquake. PLoS One. 2014;9(10):e109342.CrossRefGoogle ScholarPubMed
18. Fletcher, K. Psychometric review of the Parent Report of Child's Reaction to Stress. In: Stamm BH, ed. Measurement of Stress, Trauma, and Adaptation . Lutherville, MD: Sidran Press; 1996:225-227.Google Scholar
19. Zhang, J, Yu, KF. What's the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. JAMA. 1998;280(19):1690-1691.CrossRefGoogle ScholarPubMed
20. Barros, AJ, Hirakata, VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3:21.CrossRefGoogle ScholarPubMed
21. Salcioglu, E, Basoglu, M. Psychological effects of earthquakes in children: prospects for brief behavioral treatment. World J Pediatr. 2008;4(3):165-172.CrossRefGoogle ScholarPubMed
22. La Greca, A, Silverman, WK, Vernberg, EM, et al. Symptoms of posttraumatic stress in children after Hurricane Andrew: a prospective study. J Consult Clin Psychol. 1996;64(4):712-723.CrossRefGoogle ScholarPubMed
23. Davis, L, Siegel, LJ. Posttraumatic stress disorder in children and adolescents: a review and analysis. Clin Child Fam Psychol Rev. 2000;3(3):135-154.CrossRefGoogle Scholar
24. Ohmi, H, Kojima, S, Awai, Y, et al. Post-traumatic stress disorder in pre-school aged children after a gas explosion. Eur J Pediatr. 2002;161(12):643-648.CrossRefGoogle ScholarPubMed
25. Takada, S. Post-traumatic stress disorders and mental health care (lessons learned from the Hanshin-Awaji Earthquake, Kobe, 1995). Brain Dev. 2013;35(3):214-219.CrossRefGoogle ScholarPubMed
26. Finkelhor, D, Ormrod, RK, Turner, HA. Poly-victimization: a neglected component in child victimization. Child Abuse Negl. 2007;31(1):7-26.CrossRefGoogle ScholarPubMed