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Factors associated with the resilience of Tibetan adolescent survivors five years after the 2010 Yushu earthquake.

ABSTRACT: Resilience contributes to the recovery of disaster victims. The resilience of Tibetan adolescents after the Yushu earthquake has not been properly studied. This study aimed to examine the current resilience and associated factors in Tibetan adolescent survivors in the hardest-hit area 5 years after the Yushu earthquake. This cross-sectional survey was conducted in the area hit the hardest by the Yushu earthquake. Data were collected from 4681 respondents in October and November 2015. Measurements included the participant characteristics, traumatic earthquake experience, the Connor-Davidson resilience scale (CD-RISC), and the social support appraisals (SS-A) scale. The individual datasets were randomized as 80% for the training set and 20% for the validation set. The mean resilience score of the Tibetan adolescent survivors was 55.0±12.3. Thirteen variables were entered into the regression equation. The three dimensions of social support (from family, from friends, from others than family/friends) were positively associated with resilience (all P<0.05), among which support from others than family/friends was the strongest (r = 0.388, P<0.001). Academic performance, activeness of participation in school activities, harmonious relationship with teachers/classmates, health over the last year, and regular physical exercise were positively associated with resilience (all P<0.05). Being female and being extremely worried about their own lives were negatively associated with resilience (both P<0.05). In conclusion, among Tibetan adolescent survivors to the Yushu earthquake of 2010, support from others than family/friends was the strongest positive factor associated with resilience, while being female and extreme worry about their own lives were negative factors. These results expand our knowledge regarding resilience in Tibetan adolescent disaster survivors.

SUBMITTER: Lu Y

PROVIDER: S-EPMC7179896 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Factors associated with the resilience of Tibetan adolescent survivors five years after the 2010 Yushu earthquake.

Lu Ying Y Yang Dongliang D Niu Ying Y Zhang Huaguo H Du Bingli B Jiang Xiaolian X

PloS one 20200423 4

Resilience contributes to the recovery of disaster victims. The resilience of Tibetan adolescents after the Yushu earthquake has not been properly studied. This study aimed to examine the current resilience and associated factors in Tibetan adolescent survivors in the hardest-hit area 5 years after the Yushu earthquake. This cross-sectional survey was conducted in the area hit the hardest by the Yushu earthquake. Data were collected from 4681 respondents in October and November 2015. Measurement ...[more]

PMID: 32324755

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Project description:BackgroundThis study aimed to determine the prevalence and predictive factors of prolonged grief disorder (PGD) among those bereaved by the Wenchuan earthquake in Southwestern China seven years after the event.MethodsA cross-sectional survey based on census tracts was conducted on the bereaved earthquake survivors. Responses to the questionnaire regarding PGD and its potential associated factors were obtained either through face-to-face or telephone interview. PGD was screened by a validated Chinese version of the PGD questionnaire-13 (PG-13). Bivariate and multivariate regression analyses were used to determine the prevalence and associated risk factors of PGD.ResultsA total of 1464 bereaved earthquake survivors, with a response rate of 97.6%, were included in the study. Of the 1464 respondents studied, 124 (8.47%) were diagnosed with PGD. Multivariate regression analysis demonstrated that PGD in the bereaved earthquake individuals was significantly associated with several factors, including age, economic burden, close kinship with the deceased, and living with the deceased before the loss. Wenchuan earthquake bereaved aged 41-60 years were more likely to develop PGD compared to those aged younger than 40 or older than 60 (OR = 2.075, 95%CI = 1.297-3.319). Those who had a close kinship with the deceased had a higher tendency to develop PGD (OR = 5.144, 95%CI = 2.716-9.740). The odds of PGD among the earthquake bereaved with economic burdens were higher relative to those who did not experience an economic burden (OR = 8.123, 95%CI = 2.657-24.831). Those who living with the deceased before loss also had a higher tendency to develop PGD (OR = 0.179, 95%CI = 0.053-0.602).ConclusionsThis study revealed that a significantly high proportion (8.47%) of the Wenchuan earthquake-bereaved remain grieving seven years after the event. Those diagnosed with PGD should receive appropriate interventions from clinical psychologists. The risk factors identified in this study are crucial for the early screening and prevention of PGD in future nursing and psycho-clinical practices.

Project description:ImportanceAdolescents and young adults (AYAs) with cancer have a high risk of poor psychosocial outcomes. The Promoting Resilience in Stress Management (PRISM) intervention is one of few psychosocial interventions targeting younger people with cancer that has demonstrated efficacy in a randomized clinical trial.ObjectiveTo explore 2-year trajectories of patient-reported well-being among AYA cancer survivors. The hypothesis was that AYAs who initially responded to PRISM would report sustained positive changes.Design, setting, and participantsThis secondary analysis of data from a single-center, parallel, phase 2 randomized clinical trial was conducted from January 2015 to October 2016. Eligible participants were English-speaking AYAs between ages 13 and 25 years with cancer treated at a single, quaternary children's hospital in the US. Participants were randomly assigned (1:1) to PRISM or usual care. Data were analyzed between March 2021 and June 2021.InterventionPRISM is a brief, skills-based coaching program targeting 4 resilience resources (stress management, goal setting, cognitive reframing, and meaning making).Main outcomes and measuresPatient-reported cancer-related quality of life (QoL) (PedsQL scale), hope (Hope scale), resilience (Connor-Davidson Resilience scale), and psychological distress (Kessler-6 scale) were collected at baseline, 6, 12, and 24 months. Data from AYAs who remained alive at 24 months were analyzed. Improvement was defined as a positive change in instrument scores between baseline and 6 months (ie, the end of the PRISM program) and used linear mixed effects regression to assess changes over time.ResultsA total of 57 AYAs were included in analysis at 24 months (62% of 92 randomized). Twenty-six participants (46%) were female; 36 (63%) were between ages 13 and 17 years; and 20 (35%) identified as part of a racial or ethnic minority group (4 [7%] Asian, 11 [19%] Hispanic or Latino, 16 [28%] mixed race or other). PRISM was associated with improved QoL, hope, resilience, and distress between baseline and 6 months, and these associations were sustained for QoL over 12 months (β = 7.4; 95% CI, 0.8 to 14; P = .03) and hope throughout the study period (12 months: β = 6.2; 95% CI, 2.7 to 9.6; P < .001; 24 months: β = 4.6; 95% CI, 1 to 8.3; P = .01). Of those whose scores improved between baseline and 6 months, PRISM participants more commonly reported sustained improvements in QoL (16 of 21 participants [76%] vs 8 of 17 [47%]), hope (14 of 24 participants [58%] vs 6 of 14 [43%]), resilience (9 of 18 participants [50%] vs 4 of 14 [29%]), and distress (14 of 19 participants [74%] vs 6 of 19 [32%]) at 24 months compared with usual care.Conclusions and relevanceThese results suggest that PRISM was associated with sustained improvements in psychosocial outcomes as reported by adolescents and young adults. Those who responded to PRISM in the first 6 months reported continued well-being 2 years later.Trial registrationClinicalTrials.gov Identifier: NCT02340884.

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Factors associated with the resilience of Tibetan adolescent survivors five years after the 2010 Yushu earthquake.

Publications

Factors associated with the resilience of Tibetan adolescent survivors five years after the 2010 Yushu earthquake.

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