Abstract
The study examined the protectors of post-disaster adaption in indigenous adolescent survivors of a devastating typhoon in Taiwan. In total, 152 adolescent participants were recruited from two mountainous districts that were the most severely destroyed by Typhoon Morakot (August 7, 2009). A self-reported questionnaire with five major sections including: (1) sociodemographic information and previous traumatic experience; (2) the adolescent-family inventory of life events and changes; (3) the Family APGAR Index; (4) the Family Satisfaction Scale; and (5) the WHO Quality of Life Scale was administered to the adolescents. Multiple regression was performed to analyze the collected data. Gender, religion, and perceptions of overall life changes, family functioning, and satisfaction with family were found to significantly affected post-disaster life adaptation in indigenous adolescents. The findings suggest that clinicians should be more sensitive to gender differences, strengthen adolescents’ beliefs and family systems, and minimize transitional post-disaster experience in order to assist indigenous survivors with coping with disasters.
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References
Badri, S. A., Asgary, A., Eftekhari, A. R., & Levy, J. (2006). Post-disaster resettlement, development and change: A case study of the 1990 Manjil earthquake in Iran. Disasters, 30(4), 451–468.
Bhugra, D., & van Ommeren, M. (2006). Mental health, psychosocial support and the tsunami. International Review of Psychiatry, 18(3), 213–216. doi:10.1111/j.0361-3666.2006.00332.x.
Bokszczanin, A. (2007). PTSD symptoms in children and adolescents 28 months after a flood: Age and gender differences. Journal of Traumatic Stress, 20(3), 347–351.
Calhoun, L. G., & Tedeschi, R. G. (1999). Facilitating posttraumatic growth: A clinician’s guide. NJ: Mahwah Erlbaum.
Caruana, C. (2010). Picking up the pieces: Family functioning in the aftermath of natural disaster. Family Matters, 84, 79–88.
Chang, C. M., Connor, K. M., Lai, T. J., Lee, L. C., & Davidson, J. R. T. (2005). Predictors of posttraumatic outcomes following the 1999 Taiwan earthquake. The Journal of Nervous and Mental Disease, 193(1), 40–46.
Chau, T. T., Hsiao, T. M., Huang, C. T., & Liu, H. W. (1991). A preliminary study of family APGAR index in the Chinese Kaohsiung. Journal of Medical Sciences, 7(1), 27–31.
Chen, S. H., Hung, F. C., Lin, Y. S., & Tseng, H. M. (2002). Trauma and psychosocial aftermath among high- and low-exposure adults three months post the 921 Chi-Chi earthquake in Taiwan. Chinese Journal of Psychology, 44(2), 167–188.
Cohan, C. L., & Cole, S. W. (2002). Life course transitions and natural disaster: Marriage, birth, and divorce following Hurricane Hugo. Journal of Family Psychology, 16(1), 14–25.
Conger, R. D., Wallace, L. E., Sun, Y., Simons, R. L., McLoyd, V. C., & Brody, G. H. (2002). Economic pressure in African American Families: A replication and extension of the family stress model. Developmental Psychology, 38(2), 179–193.
Department of Statistics, Ministery of Interior. (2009). Information retrieved December 2009 from http://www.moi.gov.tw/stat/english/index.asp.
Evans, L., & Oehler-Stinnett, J. (2006). Children and natural disasters. School Psychology International, 27(1), 33–55.
Federal. (2005). Federal Emergency Management Agency [FEMA]. Information retrieved from http://www.fema.gov.
Fothergill, A., & Peek, L. (2006). Surviving catastrophe: A study of children in Hurricane Katrina. In N. H. Center (Ed.), Learning from Catastrophe: Quick response research in the wake of Hurricane Katrina. Boulder: Institute of Behavioral Science, University of Colorado at Boulder.
Fullerton, C. S., & Ursano, R. J. (2005). Psychological and psychopathological consequences of disasters. In J. J. López-Ibor, G. Christodoulou, M. Maj, N. Sartorius, & A. Okasha (Eds.), Disasters and mental health (pp. 13–36). West Sussex: Wiley.
Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Bucuvalas, M., Gold, J., et al. (2002). Psychological sequelae of the September 11 terrorist attacks in New York City. New England Journal of Medicine, 346(13), 982–987. doi:10.1056/NEJMsa013404.
Galea, S., Tracy, M., Norris, F., & Coffey, S. F. (2008). Financial and social circumstances and the incidence and course of PTSD in Mississippi during the first two years after Hurricane Katrina. Journal of Traumatic Stress, 21(4), 357–368.
Garmezy, N., Masten, A. S., & Tellegen, A. (1984). The study of stress and competence in children: A building block for developmental psychopathology. Child Development, 55(1), 97–111.
Gavranidou, M., & Rosner, R. (2003). The weaker sex? Gender and post-traumatic stress disorder. Depression and Anxiety, 17(3), 130–139. doi:10.1002/da.10103.
Hafstad, G. S., Gil-Rivas, V., Kilmer, R. P., & Raeder, S. (2010). Parental adjustment, family functioning, and posttraumatic growth among Norwegian children and adolescents following a natural disaster. American Journal of Orthopsychiatry, 80(2), 248–257. doi:10.1111/j.1939-0025.2010.01028.x.
Hagan, J. F. (2005). Psychosocial implications of disaster or terrorism on children: A guide for the pediatrician. Pediatrics, 116(3), 787–795. doi:10.1542/peds.2005-1498.
Joshi, P. T., & Lewin, S. M. (2004). Disaster terrorism: Addressing the effects of traumatic events on children and their families is critical to long-term recovery and resilience. Psychiatric Annals, 34(9), 710–716.
Kayser, K., Wind, L., & Shankar, R. A. (2008). Disaster relief within a collectivistic context—Supporting resilience after the Tsunami in South India. Journal of Social Service Research, 34(3), 87–98.
Kiliç, E. Z., Özgüven, H. D., & Sayil, I. (2003). The psychological effects of parental mental health on children experiencing disaster: The experience of Bolu earthquake in Turkey. Family Process, 42(4), 485–495.
Kilmer, R. P., & Gil-Rivas, V. (2010). Exploring posttraumatic growth in children impacted by Hurricane Katrina: Correlates of the phenomenon and developmental considerations. Child Development, 81(4), 1211–1227. doi:10.1111/j.1467-8624.2010.01463.x.
Ko, C. H., Yen, J. Y., Liu, S. C., Huang, C. F., & Yen, C. F. (2009). The associations between aggressive behaviors and internet addiction and online activities in adolescents. Journal of Adolescent Health, 44(6), 598–605. doi:10.1016/j.jadohealth.2008.11.011.
Lazarus, P. J., Jimerson, S. R., & Brock, S. E. (2002). Natural disasters. In S. E. Brock, P. J. Lazarus, & S. R. Jimerson (Eds.), Best practices in school crisis prevention and intervention (pp. 435–450). Bethesda, MD: NASP Publications.
Lee, I., Ha, Y. S., Kim, Y. A., & Kwon, Y. H. (2004). PTSD symptoms in elementary school children after Typhoon Rusa. Journal of Korean Academy of Nursing, 34(4), 636–645.
Lewis, M. L. (2000). The cultural context of infant mental health: The developmental niche of infant-caregiver relationships. In C. H. Zeanah Jr (Ed.), Handbook of infant mental health (2nd ed., pp. 91–108). New York: Guilford.
Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543–562. doi:10.1111/1467-8624.00164.
McCubbin, H. I., & Thompson, A. I. (Eds.). (1991). Family assessment inventories for research and practice. Madison, WI: University of Wisconsin.
McDermott, B. M., Lee, E. M., Judd, M., & Gibbon, P. (2005). Posttraumatic stress disorder and general psychopathology in children and adolescents following a wildfire disaster. Canadian Journal of Psychiatry, 50(3), 137–143.
McFarlane, A. C. (1987). Family functioning and overprotection following a natural disaster: The longitudinal effects of post-traumatic morbidity. Australian and New Zealand Journal of Psychiatry, 21(2), 210–218.
Norris, F. H. (2005). Psychosocial consequences of natural disasters in developing countries: What does past research tell us about the potential effects of the 2004 tsunami? A National Center for PTSD Fact Sheet. Retrieved from http://www.ncptsd.va.gov/facts/disasters/fs_tsunami_research.html.
Norris, F. H., Murphy, A. D., Baker, C. K., & Perilla, J. L. (2004). Postdisaster PTSD over four waves of a panel study of Mexico’s 1999 flood. Journal of Traumatic Stress, 17(4), 283–292. doi:10.1023/B:JOTS.0000038476.87634.9b.
Olson, D. H., Gorall, D. M., & Tiesel, J. W. (2006). FACE IV package. Minneapolis, MN: Life Innovations.
Olson, D. H., & Wilson, M. (1989). Family satisfaction. In D. H. Olson, et al. (Eds.), Families: What makes them work. Newbury Park, CA: Sage.
Osofsky, J. D. (2002). Helping young children and families cope with trauma in a new era. Zero to Three, 22(3), 18–20. Retrieved from http://www.zerotothree.org.
Peng, Y. C., Wu, C. I., Lin, C. F., Shiao, J. J., & Lyu, S. Y. (2006). Correlates of life satisfaction among aboriginal adolescents. Taipei City Medical Journal, 3(11), 1119–1129.
Proctor, L. J., Fauchier, A., Oliver, P. H., Ramos, M. C., Rios, M. A., & Margolin, G. (2007). Family context and young children’s responses to earthquake. Journal of Child Psychology and Psychiatry, 48(9), 941–949. doi:10.1111/j.1469-7610.2007.01771.x.
Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128(2), 330–366. doi:10.1037/0033-2909.128.2.330.
Riad, J. K., & Norris, F. H. (1996). The influence of relocation on the environmental, social, and psychological stress experienced by disaster victims. Environment and Behavior, 28(2), 163–182. doi:10.1177/0013916596282001.
Rowe, C. L., & Liddle, H. A. (2008). When the levee breaks: Treating adolescents and families in the aftermath of Hurricane Katrina. Journal of Marital and Family Therapy, 34(2), 132–148.
Salmon, K., & Bryant, R. A. (2002). Posttraumatic stress disorder in children: The influence of developmental factors. Clinical Psychology Review, 22(2), 163–188. doi:10.1016/s0272-7358(01)00086-1.
SAMHSA. (2005). Tips for talking to children in trauma: Interventions at home for preschool to adolescence. Retrieved from http://www.mentalhealth.samhsa.gov/publications/allpubs/NMH02-0138/default.
Smilkstein, G. (1978). The family APGAR: A proposal for a family function test and its use by physicians. Journal of Family Practice, 6(6), 1231–1239.
Smith, C., & Carlson, B. E. (1997). Stress, coping, and resilience in children and youth. Social Service Review, 71(2), 231–256.
Stevens, S. & Slone, L. (2005). The tsunami and mental health: What can we expect? A National Center for PTSD Fact Sheet. Retrieved from http://www.ncptsd.va.gov/facts/disasters/fs_tsunami_Mental_Health.html.
Thienkrua, W., Cardozo, B. L., Chakkraband, M. L. S., Guadamuz, T. E., Pengjuntr, W., Tantipiwatanaskul, P., et al. (2006). Symptoms of posttraumatic stress disorder and depression among children in Tsunami-affected areas in Southern Thailand. JAMA: The Journal of the American Medical Association, 296(5), 549–559.
Tuicomepee, A., & Romano, J. L. (2008). Thai adolescent survivors 1 year after the 2004 Tsunami: A mixed methods study. Journal of Counseling Psychology, 3(55), 308–320.
Uscher-Pines, L. (2009). Health effects of relocation following disaster: A systematic review of the literature. Disasters, 33(1), 1–22. doi:10.1111/j.1467-7717.2008.01059.x.
Vigil, J. M., & Geary, D. C. (2009). An exploratory analysis of family coping styles and psychobiological distress among adolescents affected by a large-scale disaster. Journal of Child & Adolescent Trauma, 2(2), 81–89. doi:10.1080/19361520902861905.
Walsh, F. (2007). Traumatic loss and major disasters: Strengthening family and community resilience. Family Process, 46(2), 207–227. doi:10.1111/j.1545-5300.2007.00205.x.
Wickrama, K. A. S., & Kaspar, V. (2007). Family context of mental health risk in Tsunami-exposed adolescents: Findings form a pilot study in Sri Lanka. Social Science and Medicine, 64(3), 713–723.
Yao, G., Chung, C. W., Yu, C. F., & Wang, J. D. (2002). Development and verification of validity and reliability of the WHOQOL–BREF Taiwan version. Formosa Journal of Mental Health, 101(5), 342–351.
Yeh, H. H. (2011). The study of the parent–child relationship, self-concept and academic achievement in aboriginal and non-aboriginal junior high school students in Taiwan. Department of Educational Psychology, Nation Taiwan Normal University, Master Dissertation.
Yule, W., Perrin, S., & Smith, P. (1999). Post-traumatic stress disorders in children and adolescents. In W. Yule (Ed.), Post-traumatic stress disorders: Concepts and therapy (pp. 25–50). London: Wiley.
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This study was sponsored by National Science Council, Taiwan, ROC (NSC99-2420-H-002-008).
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Wu, HC. Protectors of Indigenous Adolescents’ Post-disaster Adaptation in Taiwan. Clin Soc Work J 42, 357–365 (2014). https://doi.org/10.1007/s10615-013-0448-z
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DOI: https://doi.org/10.1007/s10615-013-0448-z