Zi-Juan Ma,Xiao-Yan Chen,Tong Wang,Shu-Ling Xu,Min Jiang,Fang Fan.[J].Chin J Traumatol,2021,24(4):214-220. [doi]
Trajectories of mental health symptoms predict long-term quality of life among Wenchuan adolescent survivors: A 10-year follow-up study
  
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KeyWord: AnxietyDepressionPosttraumatic stress symptomsQuality of lifeWenchuan earthquakeLongitudinal study
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Author NameAffiliation
Zi-Juan Ma School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, 510631, China
Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China 
Xiao-Yan Chen School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, 510631, China
Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China 
Tong Wang School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, 510631, China
Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China 
Shu-Ling Xu School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, 510631, China
Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China 
Min Jiang School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, 510631, China
Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China 
Fang Fan School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, 510631, China
Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China 
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Abstract:
      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 postearthquake 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.
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