Abstract
Of the 2008 Sichuan Earthquake survivors, there was a special group known as Shidu parents, who lost their only child in the disaster. The objective of this study was to estimate the posttraumatic stress disorder (PTSD) prevalence in the Shidu parents from different counties and explore the related risk factors. Across-sectional sample survey was conducted to collect data in 10 heavily damaged counties (n = 176) and 12 moderately damaged counties (n = 148). Probable PTSD prevalence in Shidu parents from the heavily damaged counties (83.5 %) was found to be higher than that in the moderately damaged counties (72.3 %). Many associated PTSD risk factors were identified in the cross-sectional study, such as being of Han ethnicity, losing a young child (18–27), losing a male child, living in the countryside, receiving low social support over the previous 6 years, and having high resilience were significant in the heavily damaged areas, and being of Han ethnicity, having a low monthly income, having a high education level, losing a young child (18–27), losing a male child, and having high resilience in the moderately damaged areas.
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Başoglu, M., Kılıç, C., Şalcıoglu, E., & Livanou, M. (2004). Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: an epidemiological study. Journal of Traumatic Stress, 17(2), 133–141.
Cai, F., Giles, J., O’Keefe, P., & Wang, D. (2012). The elderly and old age support in rural China. Washington, DC: World Bank Publications.
Chan, C. L., Wang, C. W., Ho, A. H., Qu, Z. Y., Wang, X. Y., Ran, M. S., & Zhang, X. L. (2012). Symptoms of posttraumatic stress disorder and depression among bereaved and non-bereaved survivors following the 2008 Sichuan earthquake. Journal of Anxiety Disorders, 26(6), 673–679.
Fletcher, P. N. (2002). Experiences in family bereavement. Family & Community Health, 25(1), 57–70.
Friborg, O., Hjemdal, O., Rosenvinge, J. H., Martinussen, M., Aslaksen, P. M., & Flaten, M. A. (2006). Resilience as a moderator of pain and stress. Journal of Psychosomatic Research, 61(2), 213–219.
Galea, S., Nandi, A., & Vlahov, D. (2005). The epidemiology of post-traumatic stress disorder after disasters. Epidemiologic Reviews, 27(1), 78–91.
Hafstad, G. S., Haavind, H., & Jensen, T. K. (2012). Parenting after a natural disaster: A qualitative study of Norwegian families surviving the 2004 Tsunami in Southeast Asia. Journal of Child and Family Studies, 21(2), 293–302.
Ho, D. Y. (1989). Continuity and variation in Chinese patterns of socialization. Journal of Marriage and the Family, 51(1), 149–163.
Jowkar, B., Friborg, O., & Hjemdal, O. (2010). Cross-cultural validation of the Resilience Scale for Adults (RSA) in Iran. Scandinavian Journal of Psychology, 51(5), 418–425.
Kun, P., Tong, X., Liu, Y., Pei, X., & Luo, H. (2013). What are the determinants of post-traumatic stress disorder: age, gender, ethnicity or other? Evidence from 2008 Wenchuan earthquake. Public Health, 127(7), 644–652.
Lee, Y. J., & Xiao, Z. (1998). Children’s support for elderly parents in urban and rural China: Results from a national survey. Journal of Cross-cultural Gerontology, 13(1), 39–62.
Li, M., Xu, J., He, Y., & Wu, Z. (2012). The analysis of the resilience of adults one year after the 2008 Wenchuan earthquake. Journal of Community Psychology, 40(7), 860–870.
Liu, Y. E., While, A., Li, S. J., & Ye, W. Q. (2015). Job satisfaction and work related variables in Chinese cardiac critical care nurses. Journal of Nursing Management, 23(4), 487–497.
Lu, Y., & Xu, J. (2014). The progress of emergency response and rescue in China: a comparative analysis of Wenchuan and Lushan earthquakes. Natural Hazards, 74(2), 421–444.
Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56(3), 227.
Murphy, S. A., Braun, T., Tillery, L., Cain, K. C., Johnson, L. C., & Beaton, R. D. (1999). PTSD among bereaved parents following the violent deaths of their 12- to 28-year-old children: A longitudinal prospective analysis. Journal of Traumatic Stress, 12(2), 273–291.
Neria, Y., Nandi, A., & Galea, S. (2008). Post-traumatic stress disorder following disasters: A systematic review. Psychological Medicine, 38(4), 467–480.
Short, S. E., Fengying, Z., Siyuan, X., & Mingliang, Y. (2001). China’s one-child policy and the care of children: An analysis of qualitative and quantitative data. Social Forces, 79(3), 913–943.
Siah, P. C. (2010). A survey of adolescents’ perception of parents with a son preference. The Social Science Journal, 47(4), 762–772.
Song, Y. (2014). Losing an only child: the one-child policy and elderly care in China. Reproductive Health Matters, 22(43), 113–124.
Wang, B., Ni, C., Chen, J., Liu, X., Wang, A., Shao, Z., & Yan, Y. (2011). Posttraumatic stress disorder 1 month after 2008 earthquake in China: Wenchuan earthquake survey. Psychiatry Research, 187(3), 392–396.
Wu, Z., Xu, J., & He, L. (2014). Psychological consequences and associated risk factors among adult survivors of the 2008 Wenchuan earthquake. BMC Psychiatry, 14(1), 126.
Xie, R. H., He, G., Koszycki, D., Walker, M., & Wen, S. W. (2009). Prenatal social support, postnatal social support, and postpartum depression. Annals of Epidemiology, 19(9), 637–643.
Xu, Y., Herrman, H., Bentley, R., Tsutsumi, A., & Fisher, J. (2014). Effect of having a subsequent child on the mental health of women who lost a child in the 2008 Sichuan earthquake: A cross-sectional study. Bulletin of the World Health Organization, 92(5), 348–355.
Xu, Y., Herrman, H., Tsutsumi, A., & Fisher, J. (2013). Psychological and social consequences of losing a child in a natural or human-made disaster: A review of the evidence. Asia-Pacific Psychiatry, 5(4), 237–248.
Xu, J., & Ou, L. (2014). Resilience and quality of life among Wenchuan earthquake survivors: The mediating role of social support. Public Health, 128(5), 430–437.
Xu, J., & Song, X. (2011). Posttraumatic stress disorder among survivors of the Wenchuan earthquake 1 year after: Prevalence and risk factors. Comprehensive Psychiatry, 52(4), 431–437.
Zhao, C., Wu, Z., & Xu, J. (2013). The association between post-traumatic stress disorder symptoms and the quality of life among Wenchuan earthquake survivors: The role of social support as a moderator. Quality of Life Research, 22(4), 733–743.
Zhou, X., Kang, L., Sun, X., Song, H., Mao, W., Huang, X., & Li, J. (2013). Prevalence and risk factors of post-traumatic stress disorder among adult survivors six months after the Wenchuan earthquake. Comprehensive Psychiatry, 54(5), 493–499.
Acknowledgments
This research was supported by the Major Bidding Program of the National Social Science Foundation of China (Grant No. 12&ZD217), and the Major Program of the Social Science Foundation of Sichuan (Grant No. SC13ZD06). We appreciate this organization for its support in both finance and spirit. Further, we would like to thank all of the interviewees who showed great patience in answering the questionnaires.
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Jiuping Xu and Ziqi Wang declares that they have no conflict of interest.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Wang, Z., Xu, J. A Cross-Sectional Study on Risk Factors of Posttraumatic Stress Disorder in Shidu Parents of the Sichuan Earthquake. J Child Fam Stud 25, 2915–2923 (2016). https://doi.org/10.1007/s10826-016-0454-1
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DOI: https://doi.org/10.1007/s10826-016-0454-1