Depression in adolescents exposed to war trauma Risk factors for development of depression in adolescents exposed to war trauma: does PTSD matter?
, oraz | 09 lip 2020
O artykule
Data publikacji: 09 lip 2020
Zakres stron: -
Otrzymano: 26 lut 2020
Przyjęty: 16 cze 2020
DOI: https://doi.org/10.2478/gp-2020-0018
Słowa kluczowe
© 2020 Dmytro Martsenkovskyi et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
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Description of mental health care provided in the community to adolescents with PTSD involved in the study
| Received TF-CBT | 32,9% |
| Received Fluoxetine | 20,25% |
| Being hospitalized | 6,3% |
| Received regular care | 46,8% |
Risk and protective factors for development of depression in adolescents with war-related PTSD
| Female gender | .382 | .744 | .263 | 1.46 | .34–6.3 |
| Secondary trauma | 1.895 | .718 | 6.963 | 6.65 | 1.62–27.1 |
| School non-attending | 2.485 | .708 | 12.329 | 12.0 | 2.99–48.0 |
| TF-CBT | − 2.856 | 1.034 | 7.625 | .058 | .008–.437 |
| Fluoxetine | .714 | .859 | .691 | 2.04 | .37–10.98 |
Socio-demographic data and characteristics of traumatic exposure of adolescents enrolled in the study
| Age (years) | 15.87 (0.77) | 15.86 (0.76) | > .05 |
| Female gender | 38 (48.1%) | 29 (41.4%) | > .05 |
| Time since trauma, months | 8.0 (6.0–9.0) | 8.0 (6.0–9.0) | > .05 |
| Number of traumatic events exposed | 3.0 (2.0–4.0) | 2.0 (1.0–3.0) | > .05 |
| Characteristics of war-exposure: | |||
| - bombardments | 27 (34.1%) | 20 (28.5%) | > .05 |
| - rifle fire | 30 (37.9%) | 24 (30.3%) | > .05 |
| - injured | 7 (8.8%) | 5 (7.1%) | > .05 |
| - parents injured | 17 (21.5%) | 12 (17.1%) | > .05 |
| - saw dead bodies | 48 (60.7%) | 36 (51.4%) | > .05 |
| - living in shelters | 52 (65.8%) | 45 (64.2%) | > .05 |
| - house damaged | 30 (37.9%) | 25 (35.7%) | > .05 |
Characteristics of post-displacement traumatic exposure of adolescents at study endpoint (T2)
| Number of post-displacement traumatic events exposed | 0.0 (0.0–1.0) | 0.0 (0.0–1.0) | > .05 |
| Characteristics of post-displacement: | |||
| - bullying | 15 (18.9%) | 10 (14.2%) | > .05 |
| - loss of financial/social status | 18 (22.7%) | 13 (18.5%) | > .05 |
| - parents divorced | 7 (8.8%) | 4 (5.7%) | > .05 |
| - parent lost job | 11 (13.9%) | 8 (11.4%) | > .05 |
| - grandparent died | 1 (1.2%) | 1 (1.4%) | > .05 |
Results of logistic regression predicting onset of depression in children exposed to war-related traumatic events
| Female gender | 1.049 | .501 | 4.378 | 2.85 | 1.06–7.62 |
| PTSD | 1.466 | .547 | 7.182 | 4.33 | 1.48–12.64 |
| Secondary trauma | .548 | .499 | 1.208 | 1.73 | .65–4.6 |
| School non-attending | 2.334 | .515 | 20.557 | 10.3 | 3.76–28.2 |