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Framework for Research on Children's Reactions to Disasters and Terrorist Events

Published online by Cambridge University Press:  04 October 2012

Betty Pfefferbaum ,
Mary A. Noffsinger ,
Kathleen Sherrieb  and
Fran H. Norris
Betty Pfefferbaum*
Affiliation:
Department of Psychiatry and Behavioral Sciences, College of Medicine, Terrorism and Disaster Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma USA
Mary A. Noffsinger
Affiliation:
Terrorism and Disaster Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA; and Courtroom Sciences, Inc., Irving, Texas USA
Kathleen Sherrieb
Affiliation:
Departments of Psychiatry and of Community and Family Medicine, Dartmouth Medical School, and National Center for Disaster Mental Health Research, Hanover, New Hampshire, and National Center for Posttraumatic Stress Disorder, White River Junction, Vermont USA
Fran H. Norris
Affiliation:
Departments of Psychiatry and of Community and Family Medicine, Dartmouth Medical School, and National Center for Disaster Mental Health Research, Hanover, New Hampshire, and National Center for Posttraumatic Stress Disorder, White River Junction, Vermont USA
*
Correspondence: Betty Pfefferbaum, MD, JD Department of Psychiatry and Behavioral Sciences College of Medicine University of Oklahoma Health Sciences Center PO Box 26901, WP 3470 Oklahoma City, Oklahoma 73126-0901 USA E-mail [email protected]
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Abstract

Clinical work and research relative to child mental health during and following disaster are especially challenging due to the complex child maturational processes and family and social contexts of children's lives. The effects of disasters and terrorist events on children and adolescents necessitate diligent and responsible preparation and implementation of research endeavors. Disasters present numerous practical and methodological barriers that may influence the selection of participants, timing of assessments, and constructs being investigated. This article describes an efficient approach to guide both novice and experienced researchers as they prepare to conduct disaster research involving children. The approach is based on five fundamental research questions: “Why?, Who?, When?, What?, and How?” Addressing each of the “four Ws” will assist researchers in determining “How” to construct and implement a study from start to finish. A simple diagram of the five questions guides the reader through the components involved in studying children's reactions to disasters. The use of this approach is illustrated with examples from disaster mental health studies in children, thus simultaneously providing a review of the literature.

PfefferbaumB, NoffsingerMA, SherriebK, FranH., NorrisFH.. Framework for Research on Children's Reactions to Disasters and Terrorist Events. Prehosp Disaster Med. 2012;27(6):1-10.

Keywords

assessmentchild trauma researchconducting researchdisasterdisaster mental healthinvestigationmeasurementposttraumatic stressresearchresearch assessmentresearch variablesstudy designterrorismtrauma
Type
Comprehensive Review
Information
Prehospital and Disaster Medicine , Volume 27 , Issue 6 , December 2012 , pp. 567 - 576
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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References

1.Litz, BT, Gibson, LE. Conducting research on mental health interventions. In: Ritchie EC, Watson PJ, Friedman MJ, eds. Interventions Following Mass Violence and Disasters: Strategies for Mental Health Practice. New York, NY: Guilford Press; 2006:387-403.Google Scholar
2.Pfefferbaum, B, North, CS. Research with children exposed to disasters. Int J Meth Psychiatr Res. 2008;17(2):S49-S56.CrossRefGoogle ScholarPubMed
3.North, CS, Norris, FH. Choosing research methods to match research goals in studies of disaster or terrorism. In: Norris FH, Galea S, Friedman MJ, Watson PJ, eds. Methods for Disaster Mental Health. New York, NY: Guilford Press; 2006:45-61.Google Scholar
4.Pynoos, RS, Schreiber, MD, Steinberg, AM, Pfefferbaum, BJ. Impact of terrorism on children. In: Sadock BL, Sadock VA, eds. Kaplan & Sadock's Comprehensive Textbook of Psychiatry. vol II, 8th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2005:3551-3563.Google Scholar
5.Bolton, D, Hill, J, O'Ryan, D, et al. Long-term effects of psychological trauma on psychosocial functioning. J Child Psychol Psychiatry. 2004;45(5):1007-1014.CrossRefGoogle ScholarPubMed
6.Goenjian, AK, Walling, D, Steinberg, AM, et al. A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. Am J Psychiatry. 2005;162(12):2302-2308.CrossRefGoogle ScholarPubMed
7.Hoven, CW, Duarte, CS, Lucas, CP, et al. Psychopathology among New York City public school children 6 months after September 11. Arch Gen Psychiatry. 2005;62(5):545-552.CrossRefGoogle ScholarPubMed
8.Brown, EJ, Goodman, RF. Childhood traumatic grief: an exploration of the construct in children bereaved on September 11. J Clin Child Adolesc Psychiatry. 2005;34(2):248-359.CrossRefGoogle ScholarPubMed
9.Gil-Rivas, V, Holman, EA, Silver, RC. Adolescent vulnerability following the September 11th terrorist attacks: A study of parents and their children. Applied Developmental Science. 2004;8(3):130-142.CrossRefGoogle Scholar
10.Koplewicz, HS, Vogel, JM, Solanto, MV, et al. Child and parent response to the 1993 World Trade Center bombing. J Trauma Stress. 2002;15(1):77-85.CrossRefGoogle Scholar
11.McFarlane, AC. The relationship between patterns of family interaction and psychiatric disorder in children. Aust N Z J Psychiatry. 1987;21(3):383-390.CrossRefGoogle ScholarPubMed
12.Proctor, LJ, Fauchier, A, Oliver, PH, et al. Family context and young children's responses to earthquake. J Child Psychol Psychiatry. 2007;48(9):941-949.CrossRefGoogle Scholar
13.Cardeña, E, Dennis, JM, Winkel, M, Skitka, LJ. A snapshot of terror: acute posttraumatic responses to the September 11 attack. J Trauma Dissoc. 2005;6(2):69-84.CrossRefGoogle Scholar
14.La Greca, AM, Silverman, WK, Vernberg, EM, Prinstein, MJ. Symptoms of posttraumatic stress in children after Hurricane Andrew: a prospective study. J Con Clin Psychology. 1996;64(4):712-723.CrossRefGoogle ScholarPubMed
15.Lack, CW, Sullivan, MA. Attributions, coping, and exposure as predictors of long-term posttraumatic distress in tornado-exposed children. J Loss Trauma. 2008;13:72-84.CrossRefGoogle Scholar
16.Russoniello, CV, Skalko, TK, O'Brien, KO, et al. Childhood posttraumatic stress disorder and efforts to cope after Hurricane Floyd. Behav Med. 2002;28(2):61-71.CrossRefGoogle ScholarPubMed
17.Vernberg, EM, La Greca, AM, Silverman, WK, Prinstein, MJ. Prediction of posttraumatic stress symptoms in children after hurricane Andrew. J Abnorm Psychol. 1996;105(2):237-248.CrossRefGoogle ScholarPubMed
18.Wadsworth, ME, Gudmundsen, GR, Raviv, T, et al. Coping with terrorism: age and gender differences in effortful and involuntary responses to September 11th. Applied Developmental Science. 2004;8(3):143-157.CrossRefGoogle Scholar
19.Calhoun, LG, Tedeschi, RG. Beyond recovery from trauma: implications for clinical practice and research. J Social Issue. 1998;54(2):357-371.CrossRefGoogle Scholar
20.Cryder, CH, Kilmer, RP, Tedeschi, RG, Calhoun, LG. An exploratory study of posttraumatic growth in children following a natural disaster. Am J Orthopsychiatry. 2006;76(1):65-69.CrossRefGoogle ScholarPubMed
21.Bannon, W, DeVoe, ER, Klein, TP, Miranda, C. Gender as a moderator of the relationship between child exposure to the World Trade Centre disaster and behavioural outcomes. Child Adolesc Ment Health. 2009;14(3):121-126.CrossRefGoogle Scholar
22.Chemtob, CM, Nomura, Y, Abramovitz, RA. Impact of conjoined exposure to the World Trade Center Attacks and to other traumatic events on the behavioral problems of preschool children. Arch Pediatr Adolesc Med. 2008;162(2):126-133.CrossRefGoogle Scholar
23.Scheeringa, MS, Zeanah, CH. Reconsideration of harm's way: onsets and comorbidity patterns of disorders in preschool children and their caregivers following Hurricane Katrina. J Clin Child Adolesc Psychol. 2008;37(3):508-518.CrossRefGoogle ScholarPubMed
24.Norris, FH. Disaster research methods: past progress and future directions. J Trauma Stress. 2006;19(2):173-184.CrossRefGoogle ScholarPubMed
25.Pynoos, RS, Frederick, C, Nader, K. Life threat and posttraumatic stress in school-age children. Arch Gen Psychiatry. 1987;44(12):1057-1063.CrossRefGoogle ScholarPubMed
26.Desivilya, HS, Gal, R, Ayalon, O. Extent of victimization, traumatic stress symptoms, and adjustment of terrorist assault survivors: a long-term follow-up. J Trauma Stress. 1996;9(4):881-889.Google ScholarPubMed
27.Vila, G, Porche, LM, Mouren-Simeoni, MC. An 18-month longitudinal study of posttraumatic disorders in children who were taken hostage in their school. Psychosom Med. 1999;61(6):746-754.CrossRefGoogle ScholarPubMed
28.Osofsky, HJ, Osofsky, JD, Kronenberg, M, et al. Posttraumatic stress symptoms in children after Hurricane Katrina: predicting the need for mental health services. Am J Orthopsychiatry. 2009;79(2):212-220.CrossRefGoogle ScholarPubMed
29.Shaw, JA, Applegate, B, Tanner, S. Psychological effects of Hurricane Andrew on an elementary school population. J Am Acad Child Adolesc Psychiatry. 1995;34(9):1185-1192.CrossRefGoogle Scholar
30.Shaw, JA, Applegate, B, Schorr, C. Twenty-one-month follow-up study of school-age children exposed to Hurricane Andrew. J Am Acad Child Adolesc Psychiatry. 1996;35(3):359-364.CrossRefGoogle ScholarPubMed
31.Hoven, CW, Duarte, CS, Mandell, DJ. Children's mental health after disasters: the impact of the World Trade Center attack. Curr Psychiatry Rep. 2003;5(2):101-107.CrossRefGoogle ScholarPubMed
32.Pfefferbaum, B, Call, JA, Sconzo, GM. Mental health services for children in the first two years after the 1995 Oklahoma City terrorist bombing. Psychiatric Services. 1999;50(7):956-958.CrossRefGoogle ScholarPubMed
33.Lindy, JD, Grace, MC, Green, BL. Survivors: outreach to a reluctant population. Am J Orthopsychiatry. 1981;51(3):468-478.CrossRefGoogle ScholarPubMed
34.Pfefferbaum, B, Tucker, P, North, CS. The Oklahoma City bombing. In: Neria Y, Galea S, Norris F, eds. Mental Health Consequences of Disasters. Cambridge, UK: Cambridge University Press; 2009:508-521.CrossRefGoogle Scholar
35.Steinberg, AM, Brymer, MJ, Steinberg, JR, Pfefferbaum, B. Conducting research on children and adolescents after disaster. In: Norris FH, Galea S, Friedman MJ, Watson PJ, eds. Methods for Disaster Mental Health Research. New York, NY: Guilford Press; 2006:243-253.Google Scholar
36.Yule, W, Bolton, D, Udwin, O, et al. The long-term psychological effects of a disaster experienced in adolescence: I: The incidence and course of PTSD. J Child Psychol Psychiatry. 2000;41(4):503-511.CrossRefGoogle ScholarPubMed
37.Pfefferbaum, B, Nixon, SJ, Krug, RS. Clinical needs assessment of middle and high school students following the 1995 Oklahoma City bombing. Am J Psychiatry. 1999;156(7):1069-1074.CrossRefGoogle ScholarPubMed
38.Silverman, WK, La Greca, AM. Children experiencing disasters: definitions, reactions, and predictors of outcomes. In: La Greca AM, Silverman WK, Vernberg EM, Roberts MC, eds. Helping Children Cope with Disasters and Terrorism. Washington, DC: American Psychological Association; 2002:11-33.CrossRefGoogle Scholar
39.Hoven, CW, Duarte, CS, Wu, P, et al. Exposure to trauma and separation anxiety in children after the WTC attack. Applied Developmental Science. 2004;8(4):172-183.CrossRefGoogle Scholar
40.Milgram, NA, Toubiana, YH, Klingman, A, et al. Situational exposure and personal loss in children's acute and chronic stress reactions to a school bus disaster. J Trauma Stress. 1988;1(3):339-353.CrossRefGoogle Scholar
41.Putnam, FW. Special methods for trauma research with children. In: Carlson EB, ed. Trauma Research Methodology. Lutherville, MD: Sidran Institute Press; 1996:153-173.Google Scholar
42.Balaban, V. Assessment of children. In: Foa EB, Keane TM, Friedman MJ, Cohen JA, eds. Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies, 2nd ed. New York, NY: Guilford Press; 2009:63-80.Google Scholar
43.Breton, JJ, Valla, JP, Lambert, J. Industrial disaster and mental health of children and their parents. J Am Acad Child Adolesc Psychiatry. 1993;32(2):438-445.CrossRefGoogle ScholarPubMed
44.Pfefferbaum, B, Stuber, J, Galea, S, Fairbrother, G. Panic reactions to terrorist attacks and probable posttraumatic stress disorder in adolescents. J Trauma Stress. 2006;19(2):217-228.CrossRefGoogle ScholarPubMed
45.McClellan, JM, Werry, JS. Introduction. Research psychiatric diagnostic interviews for children and adolescents. J Am Acad Child Adolesc Psychiatry. 2000;39(1):19-26.CrossRefGoogle ScholarPubMed
46.Friedman, MJ. Disaster mental health research: Challenges for the future. In: Norris FH, Galea S, Friedman MJ, Watson PJ, eds. Methods for Disaster Mental Health Research. New York: Guilford Press; 2006:288-300.Google Scholar
47.Norris, FH, Elrod, CL. Psychosocial consequences of disaster: A review of past research. In: Norris FH, Galea S, Friedman MJ, Watson PJ, eds. Methods for Disaster Mental Health. New York, NY: Guilford Press; 2006:20-42.Google Scholar
48.McLaughlin, KA, Fairbank, JA, Gruber, MJ, et al. Serious emotional disturbance among youths exposed to Hurricane Katrina 2 years postdisaster. J Am Acad Child Adolesc Psychiatry. 2009;48(11):1069-1078.CrossRefGoogle ScholarPubMed
49.Asarnow, J, Glynn, S, Pynoos, RS. When the earth stops shaking: earthquake sequelae among children diagnosed for pre-earthquake psychopathology. J Am Acad Child Adolesc Psychiatry. 1999;38(8):1016-1023.CrossRefGoogle ScholarPubMed
50.La Greca, AM, Silverman, WK, Wasserstein, SB. Children's predisaster functioning as a predictor of posttraumatic stress following Hurricane Andrew. J Con Clin Psychology. 1998;66(6):883-892.CrossRefGoogle ScholarPubMed
51.Stuber, J, Galea, S, Pfefferbaum, B, et al. Behavior problems in New York City's children after the September 11, 2001, terrorist attacks. Am J Orthopsychiatry. 2005;75(2):190-200.CrossRefGoogle ScholarPubMed
52.McFarlane, AC. Posttraumatic phenomena in a longitudinal study of children following a natural disaster. J Am Acad Child Adolesc Psychiatry. 1987;26(5):764-769.CrossRefGoogle Scholar
53.McLaughlin, KA, Fairbank, JA, Gruber, MJ. Trends in serious emotional disturbance among youths exposed to Hurricane Katrina. J Am Acad Child Adolesc Psychiatry. 2010;49(10):990-1000.CrossRefGoogle ScholarPubMed
54.Bolton, D, O'Ryan, D, Udwin, O, et al. The long-term psychological effects of a disaster experienced in adolescence: II: General psychopathology. J Child Psychol Psychiatry. 2000;41(4):513-523.CrossRefGoogle ScholarPubMed
55.Green, BL, Grace, MC, Vary, MG, et al. Children of disaster in the second decade: a 17-year follow-up of Buffalo Creek survivors. J Am Acad Child Adolesc Psychiatry. 1994;33(1):71-79.CrossRefGoogle ScholarPubMed
56.Terr, L. Chowchilla revisited: the effects of psychic trauma four years after a school-bus kidnapping. Am J Psychiatry. 1983;140(12):1543-1550.Google ScholarPubMed
57.Udwin, O, Boyle, S, Yule, W, et al. Risk factors for long-term psychological effects of a disaster experienced in adolescence: predictors of post traumatic stress disorder. J Child Psychol Psychiatry. 2000;41(8):969-979.CrossRefGoogle ScholarPubMed
58.Norris, FH, Friedman, MJ, Watson, PJ, et al. 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry. 2002;65(3):207-239.CrossRefGoogle Scholar
59.Pfefferbaum, B, Houston, JB, North, CS, Regens, JL. Youth's reactions to disasters and the factors that influence their response. The Prevention Researcher. 2008;15(3):3-6.Google ScholarPubMed
60.Balaban, V. Psychological assessment of children in disasters and emergencies. Disasters. 2006;30(2):178-198.CrossRefGoogle ScholarPubMed
61.Malchiodi, CA, Steele, W, Kuban, C. Resilience and posttraumatic growth in traumatized children. In: Malchiodi CA, ed. Creative Interventions with Traumatized Children. New York, NY: Guilford Press; 2008:285-301.Google Scholar
62.Bonanno, GA. Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol. 2004;59(1):20-28.CrossRefGoogle ScholarPubMed
63.Fairbrother, G, Stuber, J, Galea, S, et al. Posttraumatic stress reactions in New York City children after the September 11, 2001, terrorist attacks. Ambul Pediatr. 2003;3(6):304-311.2.0.CO;2>CrossRefGoogle ScholarPubMed
64.Kennedy, C, Charlesworth, A, Chen, JL. Disaster at a distance: impact of 9.11.01 televised news coverage on mothers’ and children's health. J Pediatr Nursing. 2004;19(5):329-339.CrossRefGoogle Scholar
65.Pfefferbaum, B, Nixon, SJ, Tivis, RD, et al. Television exposure in children after a terrorist incident. Psychiatry. 2001;64(3):202-211.CrossRefGoogle ScholarPubMed
66.Pfefferbaum, B, Seale, TW, Brandt, EN Jr, et al. Media exposure in children one hundred miles from a terrorist bombing. Ann Clin Psychiatry. 2003;15(1):1-8.CrossRefGoogle ScholarPubMed
67.Phillips, D, Prince, S, Schiebelhut, L. Elementary school children's responses 3 months after the September 11 terrorist attacks: a study in Washington, DC. Am J Orthopsychiatry. 2004;74(4):509-528.CrossRefGoogle ScholarPubMed
68.Schlenger, WE, Caddell, JM, Ebert, L, et al. Psychological reactions to terrorist attacks: findings from the national study of Americans’ reactions to September 11. JAMA. 2002;288(5):581-588.CrossRefGoogle ScholarPubMed
69.Schuster, MA, Stein, BD, Jaycox, LH, et al. A national survey of stress reactions after the September 11, 2001, terrorist attacks. N Engl J Med. 2001;345(20):1507-1512.CrossRefGoogle ScholarPubMed
70.La Greca, AM, Silverman, WK. Treating children and adolescents affected by disasters and terrorism. In: Kendall PC, ed. Child and Adolescent Therapy: Cognitive-Behavioral Procedures, 3rd ed. New York, NY: Guilford Press; 2006:356-382.Google Scholar
71.Lonigan, CJ, Shannon, MP, Taylor, CM, et al. Children exposed to disaster: II. Risk factors for the development of post-traumatic symptomatology. J Am Acad Child Adolesc Psychiatry. 1994;33(1):94-105.CrossRefGoogle ScholarPubMed
72.Shannon, MP, Lonigan, CJ, Finch, AJ, Taylor, CM. Children exposed to disaster: I. epidemiology of post-traumatic symptoms and symptom profiles. J Am Acad Child Adolesc Psychiatry. 1994;33(1):80-93.CrossRefGoogle ScholarPubMed
73.Weems, CF, Watts, SE, Marsee, MA, et al. The psychosocial impact of Hurricane Katrina: contextual differences in psychological symptoms, social support, and discrimination. Behav Res Ther. 2007;45(10):2295-2306.CrossRefGoogle ScholarPubMed
74.Lengua, LJ, Long, AC, Meltzoff, AN. Pre-attack stress-load, appraisals and coping in children's responses to the 9/11 terrorist attacks. J Child Psychol Psychiatry. 2006;47(12):1219-1227.CrossRefGoogle Scholar
75.Earls, F, Smith, E, Reich, W, Jung, KG. Investigating psychopathological consequences of a disaster in children: a pilot study incorporating a structured diagnostic interview. J Am Acad Child Adolesc Psychiatry. 1988;271(1):90-95.CrossRefGoogle Scholar
76.Garrison, CZ, Weinrich, MW, Hardin, SB, et al. Post-traumatic stress disorder in adolescents after a hurricane. Am J Epidemiol. 1993;138(7):522-530.CrossRefGoogle ScholarPubMed
77.Green, BL, Korol, M, Grace, MC, et al. Children and disaster: Age, gender, and parental effects on PTSD symptoms. J Am Acad Child Adolesc Psychiatry. 1991;30(6):945-951.CrossRefGoogle ScholarPubMed
78.Pfefferbaum, B, North, CS. Children and families in the context of disasters: implications for preparedness and response. The Family Psychologist. 2008;24(2):6-10.Google ScholarPubMed
79.Wolmer, L, Laor, N, Gershon, A, et al. The mother-child dyad facing trauma: a developmental outlook. J Nerv Men Dis. 2000;188(7):409-415.CrossRefGoogle ScholarPubMed
80.Laor, N, Wolmer, L, Mayes, LC, et al. Israeli preschoolers under Scud missile attacks. A developmental perspective on risk-modifying factors. Arch Gen Psychiatry. 1996;53(5):416-423.CrossRefGoogle ScholarPubMed
81.Laor, N, Wolmer, L, Cohen, DJ. Mothers’ functioning and children's symptoms 5 years after a SCUD missile attack. Am J Psychiatry. 2001;158(7):1020-1026.CrossRefGoogle ScholarPubMed
82.Wasserstein, SB, La Greca, AM. Hurricane Andrew: parent conflict as a moderator of children's adjustment. Hispanic J Behav Sci. 1998;20(2):212-224.CrossRefGoogle Scholar
83.Garrison, CZ, Bryant, ES, Addy, CL, et al. Posttraumatic stress disorder in adolescents after Hurricane Andrew. J Am Acad Child Adolesc Psychiatry. 1995;34(9):1193-1201.CrossRefGoogle ScholarPubMed
84.Norris, FH, Friedman, MJ, Watson, PJ. 60,000 disaster victims speak: Part II. Summary and implications of the disaster mental health research. Psychiatry. 2002;65(3):240-260.CrossRefGoogle Scholar
85.Raphael, B. The challenges of purpose in the face of chaos: commentary paper by Professor Beverley Raphael. Int J Methods Psychiatr Res. 2008;17(S2):S42-S48.CrossRefGoogle ScholarPubMed
86.Gil-Rivas, V, Silver, RC, Holman, EA, et al. Parental response and adolescent adjustment to the September 11, 2001 terrorist attacks. J Trauma Stress. 2007;20(6):1063-1068.CrossRefGoogle Scholar
87.Weissbecker, I, Sephton, SE, Martin, MB, Simpson, DM. Psychological and physiological correlates of stress in children exposed to disaster: current research and recommendations for intervention. Children, Youth and Environments. 2008;18(1):30-70.CrossRefGoogle Scholar