Post-traumatic stress and joint hypermobility in children and adolescents of Nepal after exposure to an earthquake.

A substantial body of literature has traditionally addressed the connection between the exposure to catastrophic events and the development of Post-Traumatic Stress disorder (PTSD), especially in the vulnerable stratum of children and adolescents. However, little is known about their biological pred...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 4; pp. 1353 - 1364
Autores principales: Llach, Cristian-Daniel, Pailhez, Guillem, Conejo-Gonzalez, Carla, Singh, Pradip Man, Bulbena, Antoni
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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      pub: Springer Nature
      place: New York, New York
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        atl: Post-traumatic stress and joint hypermobility in children and adolescents of Nepal after exposure to an earthquake.
      aug:
        au:
          Llach, Cristian-Daniel
          Pailhez, Guillem
          Conejo-Gonzalez, Carla
          Singh, Pradip Man
          Bulbena, Antoni
        affil: https://ror.org/042xt5161 Mood Disorders Psychopharmacology Unit, University Health Network, Toronto, ON, Canada
      sug:
        subj:
          Stress Disorders, Post-Traumatic Risk Factors
          Stress Disorders, Post-Traumatic Risk Factors
          Joint Instability Physiopathology
          Joint Instability Physiopathology
          Natural Disasters Psychosocial Factors
          Catastrophic Illness
          Risk Assessment
          Human
          Funding Source
          Male
          Female
          Child
          Adolescence
          Cross Sectional Studies
          Nepal
          Severity of Illness Indices
          Turkiye
          Syria
          Scales
          Questionnaires
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: A substantial body of literature has traditionally addressed the connection between the exposure to catastrophic events and the development of Post-Traumatic Stress disorder (PTSD), especially in the vulnerable stratum of children and adolescents. However, little is known about their biological predisposing factors, and further research is needed, especially in the context of the recent earthquakes in Turkey and Syria. The data of this study was collected 4 months after the 2015 earthquakes in Nepal, with the objective of providing new evidence to the field and documenting the role of a new potential predisposing factor: the Joint Hypermobility Syndrome (JHS). 941 subjects from three different regions of the country, aged 8–18 years, were assessed in a school-based cross-sectional investigation. PTSD, as the main response variable, was assessed using the Child PTSD Symptom Scale (CPSS) questionnaire and analysed considering three sub-dimensions: the severity of symptoms, the severity of impairment, and both taken together. JHS was assessed using the Screening Questionnaire to detect Hypermobility (SQ-CH) questionnaire. The severity of symptoms was strongly predicted by the distance to the epicentre. Females showed more severe symptomatology, but a lower perturbation in the daily functioning. Younger children reported a greater functional impairment. JHS group showed more severe PTSD than non-JHS group. We observed variability in the severity of PTSD according to previously known risk factors such as the distance to the epicentre, sex, and age. We also found an association between PTSD and JHS, which is discussed in reference to the neuroconnective endophenotype. It might be useful to consider the role of each variable when planning a mass intervention after a disaster.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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