Cargando…

Daily stressors and mental health following disaster: A school‐based assessment of adolescent disaster survivors in China and Nepal

Postdisaster daily stressors, the economic and social challenges caused or exacerbated by disasters, have significant consequences for mental health but are rarely investigated in child and adolescent populations. We assessed posttraumatic stress symptoms (PTSS), depression, and anxiety among adoles...

Descripción completa

Detalles Bibliográficos
Autores principales: Newnham, Elizabeth A., Gao, Xue, Guragain, Bhushan, Jiao, Feng, Nathan, Elizabeth, Boyes, Mark, Leaning, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10087694/
https://www.ncbi.nlm.nih.gov/pubmed/36067255
http://dx.doi.org/10.1002/jts.22876
_version_ 1785022407858192384
author Newnham, Elizabeth A.
Gao, Xue
Guragain, Bhushan
Jiao, Feng
Nathan, Elizabeth
Boyes, Mark
Leaning, Jennifer
author_facet Newnham, Elizabeth A.
Gao, Xue
Guragain, Bhushan
Jiao, Feng
Nathan, Elizabeth
Boyes, Mark
Leaning, Jennifer
author_sort Newnham, Elizabeth A.
collection PubMed
description Postdisaster daily stressors, the economic and social challenges caused or exacerbated by disasters, have significant consequences for mental health but are rarely investigated in child and adolescent populations. We assessed posttraumatic stress symptoms (PTSS), depression, and anxiety among adolescents affected by disasters in China and Nepal and examined the specific contributions of disaster‐related trauma exposure and daily stressors across mental health outcomes. A school‐based, cross‐sectional study was conducted with a stratified random sampling design. Adolescents living in disaster‐affected areas of southern China and Nepal (N = 4,215, 52.7% female, age range: 15–19 years) completed translated, validated measures. Mixed effects logistic regression analyses were conducted using a priori risk factors. PTSS were reported by 22.7% of participants and were higher among Nepali adolescents but did not differ between genders. Depressive symptoms were reported by 45.2% of the sample and were higher among Nepali adolescents and girls in both countries. Across all settings, disaster‐related trauma exposure was a significant risk factor for PTSS, depressive, and anxiety symptoms, China: odds ratios (ORs) = 1.44–2.06, Nepal, ORs = 1.21–2.53. High levels of household and interpersonal daily stressors further improved the models and contributed significantly to all mental health difficulties, China: ORs = 1.77–1.98, Nepal: ORs = 1.49–1.90. Postdisaster economic insecurity and interpersonal stressors are thus, likely to worsen adolescent mental health outcomes. Programs that identify and address structural inequalities for adolescents in disaster‐affected settings will have cascading effects for mental health.
format Online
Article
Text
id pubmed-10087694
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-100876942023-04-12 Daily stressors and mental health following disaster: A school‐based assessment of adolescent disaster survivors in China and Nepal Newnham, Elizabeth A. Gao, Xue Guragain, Bhushan Jiao, Feng Nathan, Elizabeth Boyes, Mark Leaning, Jennifer J Trauma Stress Research Articles Postdisaster daily stressors, the economic and social challenges caused or exacerbated by disasters, have significant consequences for mental health but are rarely investigated in child and adolescent populations. We assessed posttraumatic stress symptoms (PTSS), depression, and anxiety among adolescents affected by disasters in China and Nepal and examined the specific contributions of disaster‐related trauma exposure and daily stressors across mental health outcomes. A school‐based, cross‐sectional study was conducted with a stratified random sampling design. Adolescents living in disaster‐affected areas of southern China and Nepal (N = 4,215, 52.7% female, age range: 15–19 years) completed translated, validated measures. Mixed effects logistic regression analyses were conducted using a priori risk factors. PTSS were reported by 22.7% of participants and were higher among Nepali adolescents but did not differ between genders. Depressive symptoms were reported by 45.2% of the sample and were higher among Nepali adolescents and girls in both countries. Across all settings, disaster‐related trauma exposure was a significant risk factor for PTSS, depressive, and anxiety symptoms, China: odds ratios (ORs) = 1.44–2.06, Nepal, ORs = 1.21–2.53. High levels of household and interpersonal daily stressors further improved the models and contributed significantly to all mental health difficulties, China: ORs = 1.77–1.98, Nepal: ORs = 1.49–1.90. Postdisaster economic insecurity and interpersonal stressors are thus, likely to worsen adolescent mental health outcomes. Programs that identify and address structural inequalities for adolescents in disaster‐affected settings will have cascading effects for mental health. John Wiley and Sons Inc. 2022-09-06 2022-12 /pmc/articles/PMC10087694/ /pubmed/36067255 http://dx.doi.org/10.1002/jts.22876 Text en © 2022 The Authors. Journal of Traumatic Stress published by Wiley Periodicals LLC on behalf of International Society for Traumatic Stress Studies. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
Newnham, Elizabeth A.
Gao, Xue
Guragain, Bhushan
Jiao, Feng
Nathan, Elizabeth
Boyes, Mark
Leaning, Jennifer
Daily stressors and mental health following disaster: A school‐based assessment of adolescent disaster survivors in China and Nepal
title Daily stressors and mental health following disaster: A school‐based assessment of adolescent disaster survivors in China and Nepal
title_full Daily stressors and mental health following disaster: A school‐based assessment of adolescent disaster survivors in China and Nepal
title_fullStr Daily stressors and mental health following disaster: A school‐based assessment of adolescent disaster survivors in China and Nepal
title_full_unstemmed Daily stressors and mental health following disaster: A school‐based assessment of adolescent disaster survivors in China and Nepal
title_short Daily stressors and mental health following disaster: A school‐based assessment of adolescent disaster survivors in China and Nepal
title_sort daily stressors and mental health following disaster: a school‐based assessment of adolescent disaster survivors in china and nepal
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10087694/
https://www.ncbi.nlm.nih.gov/pubmed/36067255
http://dx.doi.org/10.1002/jts.22876
work_keys_str_mv AT newnhamelizabetha dailystressorsandmentalhealthfollowingdisasteraschoolbasedassessmentofadolescentdisastersurvivorsinchinaandnepal
AT gaoxue dailystressorsandmentalhealthfollowingdisasteraschoolbasedassessmentofadolescentdisastersurvivorsinchinaandnepal
AT guragainbhushan dailystressorsandmentalhealthfollowingdisasteraschoolbasedassessmentofadolescentdisastersurvivorsinchinaandnepal
AT jiaofeng dailystressorsandmentalhealthfollowingdisasteraschoolbasedassessmentofadolescentdisastersurvivorsinchinaandnepal
AT nathanelizabeth dailystressorsandmentalhealthfollowingdisasteraschoolbasedassessmentofadolescentdisastersurvivorsinchinaandnepal
AT boyesmark dailystressorsandmentalhealthfollowingdisasteraschoolbasedassessmentofadolescentdisastersurvivorsinchinaandnepal
AT leaningjennifer dailystressorsandmentalhealthfollowingdisasteraschoolbasedassessmentofadolescentdisastersurvivorsinchinaandnepal