Abstract
Resilience contributes to the recovery of disaster victims. The resilience of Tibetan adolescents after the Yushu earthquake has not been properly studied. This study aimed to examine the current resilience and associated factors in Tibetan adolescent survivors in the hardest-hit area 5 years after the Yushu earthquake. This cross-sectional survey was conducted in the area hit the hardest by the Yushu earthquake. Data were collected from 4681 respondents in October and November 2015. Measurements included the participant characteristics, traumatic earthquake experience, the Connor-Davidson resilience scale (CD-RISC), and the social support appraisals (SS-A) scale. The individual datasets were randomized as 80% for the training set and 20% for the validation set. The mean resilience score of the Tibetan adolescent survivors was 55.0±12.3. Thirteen variables were entered into the regression equation. The three dimensions of social support (from family, from friends, from others than family/friends) were positively associated with resilience (all P<0.05), among which support from others than family/friends was the strongest (r = 0.388, P<0.001). Academic performance, activeness of participation in school activities, harmonious relationship with teachers/classmates, health over the last year, and regular physical exercise were positively associated with resilience (all P<0.05). Being female and being extremely worried about their own lives were negatively associated with resilience (both P<0.05). In conclusion, among Tibetan adolescent survivors to the Yushu earthquake of 2010, support from others than family/friends was the strongest positive factor associated with resilience, while being female and extreme worry about their own lives were negative factors. These results expand our knowledge regarding resilience in Tibetan adolescent disaster survivors.
Highlights
Studies have focused on negative sequelae such as posttraumatic stress disorder (PTSD) [3], but the role of resilience as a protective factor for an individual’s mental health and quality of life is being recognized [3,5]
The results suggest that among Tibetan adolescent survivors to the Yushu earthquake of 2010, support from others than family/friends was the strongest positive factor associated with resilience while being female and extreme worry about their own lives were negative factors
Tibetans enjoy good economic policies, so many adults work in their hometowns, and there are few left-behind children
Summary
From 2004 to 2018, 191 earthquakes occurred in China, of which 37 were above magnitude 6.0. Together they were responsible for 73,176 deaths and 486,231 injured [1]. At 7:49 am on April 14, 2010, a 7.1-magnitude earthquake struck Yushu, China, causing 2698 deaths and 12,135 injured. Studies have focused on negative sequelae such as posttraumatic stress disorder (PTSD) [3], but the role of resilience as a protective factor for an individual’s mental health and quality of life is being recognized [3,5]. We defined resilience as the personal ability to adapt to traumas, stressors, or adversity effectively
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