@article{ref1,
title="Adolescent vulnerability to PTSD and effects of community-based intervention: Longitudinal study among adolescent survivors of the Ehime Maru sea accident",
journal="Psychiatry and the Clinical Neurosciences",
year="2009",
author="Maeda, Masaharu and Kato, H. and Maruoka, Takayuki",
volume="63",
number="6",
pages="747-753",
abstract="Aims: The aim of the present study was to examine the psychological impact on adolescent survivors of a maritime disaster that resulted in the deaths of nine people, including four high school students, and the effects of psychiatric intervention for the survivors. Methods: Long-term multidimensional intervention consisting of psychoeducation, hospital treatment, family support and day care, was provided for nine adolescent survivors. To evaluate these effects, the survivors were also assessed using self-rating scales (Impact of Event Scale, General Health Questionnaire and Self-rating Depression Scale) and psychiatric structured interviews (Clinician-Administered Post-Traumatic Stress Disorder PTSD. Scale) at 2, 8, 14, 26, and 38 months after the accident. Results: Prevalence of PTSD among adolescent survivors was much higher than in adult survivors at the 2-month examination (78% vs 12%, respectively). Although the observed prevalence remained high until the 14-month examination, remarkable improvement occurred thereafter and none was diagnosed with PTSD at the 38-month examination. Conclusion: Adolescents may have a specific vulnerability to PTSD and community-based intervention is effective for adolescents with serious symptoms of PTSD.<p /> <p>Language: en</p>",
language="en",
issn="1323-1316",
doi="10.1111/j.1440-1819.2009.02031.x",
url="http://dx.doi.org/10.1111/j.1440-1819.2009.02031.x"
}