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

作者机构：School of PsychologyCenter for Studies of Psychological Applicationand Guangdong Key Laboratory of Mental Health and Cognitive ScienceSouth China Normal UniversityGuangzhou510631China Key Laboratory of BrainCognition and Education SciencesMinistry of EducationChina 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2021年第24卷第4期

页      面：214-220页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

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). 

主　　题：Anxiety Depression Posttraumatic stress symptoms Quality of life Wenchuan earthquake Longitudinal study 

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.