Psychiatry Investig.  2021 Jun;18(6):580-588. 10.30773/pi.2020.0330.

Patterns of Depression and Resilience in Children and Adolescents Exposed to an Earthquake: A Latent Profile Analysis

Affiliations
  • 1Mental Health Center of West China Hospital, Sichuan University, Chengdu Sichuan, P. R. China
  • 2Mentong Wan, Wuyuzhang Honors College, Sichuan University, Chengdu Sichuan, P. R. China
  • 3Mental Health Center of West China Hospital and Disaster Medicine Center, Sichuan University, Chengdu Sichuan, P. R. China

Abstract


Objective
Depression and resilience are different psychological outcomes caused by experiencing traumatic events. We aimed to 1) explore heterogeneity patterns of co-occurrence between depression symptoms and resilience among children and adolescents exposed to an earthquake and 2) assess covariates (trauma exposure, sex, age, ethnicity, and sleep quality) in identifying the best fitting solution.
Methods
Latent profile analysis (LPA) was used to examine patterns of self-reported depression and resilience in an epidemiological sample of 2,887 Chinese youth survivors 1 year after the Lushan earthquake.
Results
A suitable 3-class model were identified, which are mild depression/high resilience (65.0%), severe depression/high resilience (22.1%), and severe depression/low resilience (12.9%). Trauma exposure, demographic characteristics and sleep state can be used to identify the different latent classes.
Conclusion
Our results contribute to understanding the heterogeneous coexisting patterns of depression and resilience and provide suggestions for identifying high-risk youth survivors and offering effective interventions.

Keyword

Depression, Resilience, Latent profile analysis, Earthquake, Children and adolescents.
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