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Abstract Post-traumatic Stress Disorder in Children and Adolescent by cls19351

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                                                                                                             Thai Pediatric Journal
                                                                                                        Vo1.13 NO.3 Sep.-Dec. 2006


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                                                                                                                 Original Article




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    Abstract:             Post-traumatic Stress Disorder in Children and Adolescent after
                          Tsunami Disaster
                          Vinadda Piyasil MD.*, Panom Ketuman MD.**, Ratanotai Prubrukarn                                    MD.*,
                          Vajiraporn Jotipanut*, Somsong Tanprasert*, Sumitra Aowjinda *,
                          Somchit Thaeramanophab
                          * Queen Sirikit National Institute of Child Health
                          **Depannent of Psychiatry. Faculty of Medicine. Siriraj Hospital. Mahidol University


    Introduction The 26 December 2004 Tsunami disaster destroyed a lot of families, communities and people's
    residences. It resulted in tremendous                 psychological effects on children and adolescents,      particularly   Post-
    traumatic     stress disorder (PTSD),              which has never been reported       in Thailand.
    Objectives The researchers studied psychiatric problems which resulted from the Tsunami disaster in 1,364
    students from two schools in Takuapa district, Phanga province. The study period started from 6 weeks to
    2 years after the disaster. Psychiatric problems were systematically identified and regular managements were
    done.
    Material         &   Methods        The affected students were screened using Pediatric symptoms checklist, Childhood
    depressive intervention            (CDI) and Revised child impact of events scales (CRIES).              Psychiatric evaluations
    were done by child and adolescent psychiatrists. Post traumatic stress disorder (PTSD) was diagnosed using
    criteria from Diagnostic and Statistical manual of mental disorders,                     4th   edition (DSM IV).
    Results The prevalence of PTSD in the affected students were 57.3, 46.1, 40.6,10.4 and 7.6 percent at 6
    week, 6 months, 1 year, 1 1/2 years and 2 years respectively. The male:                        female was 1 : 1.7. The peak age
    was 9-10 years old. Threatened                  situations were studied. Forty-eight   students or 27.3 percent of the students
    who risked their lives in the waves suffered from PTSD. Meanwhile, 42 students or 3.1 percent of the students
    who were not involved by the waves but were among affected friends and relatives suffered from PTSD. The
    prevalence of PTSD in those in the waves were significantly more than those who were not RR                         =   5.16 (4.04-
    6.6)
    Conclusion The prevalence of PTSD in children and adolescent who suffered from the Tsunami disaster
                                                                                       Thai Pediatric Journal
    ~~ 13    ~tT\J~   3   n.lI.-ii.f1.   2549           226                       Vo1.13 No.3 Sep.-Dec.2006
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    was 57.3 percent at 6 weeks after the incident. Those who suffered received integrated   welfare, financial,
    educational and psychological aids, however, the prevalence of PTSD was still at 7.6 percent 2 years after
    the incident. They still need continue aids to prevent long term outcomes.

								
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