Part 1: Children's Psychological Responses to Disasters

Reviews children's psychological responses to disasters and puts relevant work in historical perspective. Common responses include specific fears, separation difficulties, sleep problems, and symptoms associated with posttraumatic stress disorder (PTSD). After severe exposure, diagnosable PTSD, anxiety, and depression may occur. Factors influencing responses include disaster characteristics (exposure severity, extent of bereavement and other losses, separation from significant others), children's age and sex, and characteristics of family and community. Symptoms typically decrease rapidly, and recovery generally is complete by 18 months to 3 years except after severe life-threat or long-term family and community disruption.

[1]  S. Cohen,et al.  Stress responses after pediatric bone marrow transplantation: preliminary results of a prospective longitudinal study. , 1991, Journal of the American Academy of Child and Adolescent Psychiatry.

[2]  A preschooler in a disaster. , 1988, American journal of psychotherapy.

[3]  C. Ryan,et al.  Psychiatric sequelae after traumatic injury: the Pittsburgh Regatta accident. , 1990, Journal of the American Academy of Child and Adolescent Psychiatry.

[4]  N. Garmezy.  Children under Severe Stress: Critique and Commentary , 1986 .

[5]  C. Edelbrock,et al.  Empirically based assessment of the behavioral/emotional problems of 2- and 3- year-old children , 1987, Journal of abnormal child psychology.

[6]  N. Milgram,et al.  Situational exposure and personal loss in children's acute and chronic stress reactions to a school bus disaster , 1988 .

[7]  T. Achenbach.  Manual for the child behavior checklist/4-18 and 1991 profile , 1991 .

[8]  P. Steinglass,et al.  Natural Disasters and Post-traumatic Stress Disorder Short-Term versus Long-Term Recovery in Two Disaster-Affected Communities1 , 1990 .

[9]  M. Rutter.  A children's behaviour questionnaire for completion by teachers: preliminary findings. , 1967, Journal of child psychology and psychiatry, and allied disciplines.

[10]  A. McFarlane,et al.  A longitudinal study of the psychological morbidity in children due to a natural disaster , 1987, Psychological Medicine.

[11]  The measurement of children's sleep disturbances and somatic complaints following a disaster , 1986, Child psychiatry and human development.

[12]  T. Achenbach,et al.  Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. , 1987, Psychological bulletin.

[13]  C. Saylor,et al.  Hurricane Hugo blows down the broccoli: Preschoolers' post-disaster play and adjustment , 1992, Child psychiatry and human development.

[14]  C. J. Newman.  Children of Disaster: Clinical Observations at Buffalo Creek , 1976 .

[15]  S. Dollinger.  Lightning-strike disaster among children. , 1985, The British journal of medical psychology.

[16]  G. Lacey.  Observations on Aberfan. , 1972, Journal of psychosomatic research.

[17]  S Eth,et al.  Life threat and posttraumatic stress in school-age children. , 1987, Archives of general psychiatry.

[18]  L. Terr.  Chowchilla revisited: the effects of psychic trauma four years after a school-bus kidnapping. , 1983, The American journal of psychiatry.

[19]  B. Burns,et al.  Changes in children's behavior after a natural disaster. , 1982, The American journal of psychiatry.

[20]  L. Fairbanks,et al.  Children's PTSD reactions one year after a sniper attack at their school. , 1990, The American journal of psychiatry.

[21]  B. Green.  Evaluating the effects of disasters , 1991 .

[22]  E. Bixler,et al.  Child and Parent Reaction to the Three Mile Island Nuclear Accident , 1986 .

[23]  S. Eyberg,et al.  Assessment of child behavior problems: The validation of a new inventory , 1978 .

[24]  B. Burns,et al.  Emotional distress in fifth-grade children ten months after a natural disaster. , 1986, Journal of the American Academy of Child Psychiatry.

[25]  N. Richman,et al.  A behavioural screening questionnaire for use with three-year-old children. Preliminary findings. , 1971, Journal of child psychology and psychiatry, and allied disciplines.

[26]  A. McFarlane.  Acute reactions to stress , 1991 .

[27]  A. Leonard,et al.  Children and disaster: age, gender, and parental effects on PTSD symptoms. , 1991, Journal of the American Academy of Child and Adolescent Psychiatry.

[28]  R. Galante,et al.  An epidemiological study of psychic trauma and treatment effectiveness for children after a natural disaster. , 1986 .

[29]  Russell T. Jones,et al.  Child, Adolescent, and Adult Victims of Residential Fire , 1991, Behavior modification.

[30]  Maureen A. Sullivan,et al.  Post-hurricane adjustment of preschoolers and their families , 1991 .

[31]  W. Yule,et al.  Screening child survivors for post-traumatic stress disorders: experiences from the 'Jupiter' sinking. , 1991, The British journal of clinical psychology.

[32]  E. D. Schwarz,et al.  Posttraumatic stress disorder after a school shooting: effects of symptom threshold selection and diagnosis by DSM-III, DSM-III-R, or proposed DSM-IV. , 1991, The American journal of psychiatry.

[33]  L. Terr.  Childhood traumas: an outline and overview. , 1991, The American journal of psychiatry.

[34]  N. Milgram,et al.  Crisis intervention in a school community disaster: Principles and practices , 1988 .

[35]  Post‐traumatic stress reactions in children , 1990 .

[36]  A. McFarlane.  Posttraumatic phenomena in a longitudinal study of children following a natural disaster. , 1987, Journal of the American Academy of Child and Adolescent Psychiatry.

[37]  S. Dollinger,et al.  Lightning-strike disaster: effects on children's fears and worries , 1984 .

[38]  R. McNally.  Assessment of posttraumatic stress disorder in children , 1991 .

[39]  E. D. Schwarz,et al.  Malignant memories: PTSD in children and adults after a school shooting. , 1991, Journal of the American Academy of Child and Adolescent Psychiatry.

[40]  A. McFarlane.  Family Functioning and Overprotection following a Natural Disaster: The Longitudinal Effects of Post-Traumatic Morbidity , 1987, The Australian and New Zealand journal of psychiatry.

[41]  E. Bromet,et al.  Prevalence of behavior problems in three-year-old children living near Three Mile Island: a comparative analysis. , 1986, Journal of child psychology and psychiatry, and allied disciplines.

[42]  N. Milgram.  Children under Stress , 1989 .

[43]  R L Goldsteen,et al.  STRESS IN THE COMMUNITY: A REPORT TO THE PRESIDENT'S COMMISSION ON THE ACCIDENT AT THREE MILE ISLAND * , 1981, Annals of the New York Academy of Sciences.

[44]  W. Yule,et al.  The 'Jupiter' sinking: effects on children's fears, depression and anxiety. , 1990, Journal of child psychology and psychiatry, and allied disciplines.

[45]  P. Birleson.  The validity of depressive disorder in childhood and the development of a self-rating scale: a research report. , 1981, Journal of child psychology and psychiatry, and allied disciplines.

[46]  J. Connell,et al.  A new multidimensional measure of children's perceptions of control. , 1985, Child development.

[47]  R. Pynoos,et al.  Psychological first aid and treatment approach to children exposed to community violence: Research implications , 1988 .

[48]  H. Blaufarb,et al.  Crisis intervention in an earthquake , 1972 .

[49]  W. Yule.  Post-traumatic stress disorder in child survivors of shipping disasters: the sinking of the 'Jupiter'. , 1992, Psychotherapy and psychosomatics.

[50]  L. Linn,et al.  Some psychiatric notes on the Andrea Doria disaster. , 1957, The American journal of psychiatry.

[51]  D. G. Ollendick,et al.  Assessment of psychological reactions in disaster victims. , 1982, Journal of community psychology.

[52]  J. Bowlby.  Attachment and loss: retrospect and prospect. , 1969, The American journal of orthopsychiatry.