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Patterns of Posttraumatic Stress Disorder and Depression Among Adolescents Following an Earthquake: a Latent Profile Analysis

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  • Rui Zhen

    (Hangzhou Normal University)

  • Xiao Zhou

    (Zhejiang University)

  • Xinchun Wu

    (Beijing Normal University)

Abstract

Posttraumatic stress disorder (PTSD) had been found to be comorbid with depression in victims following trauma. However, few studies have used latent profile analysis (LPA) to examine the comorbidity of PTSD and depression in adolescents exposed to natural disasters. Here, we used LPA to examine the comorbidity of PTSD and depression in 2059 adolescents who completed self-reported questionnaires 1.5 years after the Wenchuan earthquake in Sichuan Province, China. We found that the data were best fit by a four-class solution, including a depressive symptoms group (39.2%), a non-symptoms group (34.7%), a mild comorbidity symptoms group (20.7%), and a serious comorbidity symptoms group (5.4%). Compared with individuals in the non-symptoms group, those in the comorbidity symptoms groups were more likely to report lower levels of parental trust, a greater degree of parental communication, and greater alienation. Compared with individuals in the depressive symptoms group, those in the comorbidity symptoms groups were more likely to report parental alienation. These results indicate that PTSD and depression reflect independent posttraumatic responses rather than a single disorder structure. Further, parental attachment may be an important predictor for differentiating the distinct comorbid patterns of PTSD and depression.

Suggested Citation

  • Rui Zhen & Xiao Zhou & Xinchun Wu, 2019. "Patterns of Posttraumatic Stress Disorder and Depression Among Adolescents Following an Earthquake: a Latent Profile Analysis," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 12(6), pages 2173-2187, December.
    • Handle: RePEc:spr:chinre:v:12:y:2019:i:6:d:10.1007_s12187-019-09634-6
    DOI: 10.1007/s12187-019-09634-6
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    References listed on IDEAS

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    1. Seal, K.H. & Metzler, T.J. & Gima, K.S. & Bertenthal, D. & Maguen, S. & Marmar, C.R., 2009. "Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using department of Veterans Affairs Health Care, 2002-2008," American Journal of Public Health, American Public Health Association, vol. 99(9), pages 1651-1658.
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    Cited by:

    1. Mirna Fawaz & Ali Samaha, 2020. "The psychosocial effects of being quarantined following exposure to COVID-19: A qualitative study of Lebanese health care workers," International Journal of Social Psychiatry, , vol. 66(6), pages 560-565, September.

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