This study reveals that adolescents are the vulnerable group for suffering psychological stress responses to catastrophic events. Healthcare professionals, especially school nurses, should pay more attention to adolescents after trauma. Prompt and effective intervention should be carried out to mitigate the impact of initial exposure and reduce the occurrence of post-traumatic stress disorder symptoms.
Close attention to adolescents who use negative coping strategies and who tend to lack a sense of control is needed after major disaster events. Studies that examine long-term relationships between earthquake and other major disaster experiences and self-concept of adolescent survivors are needed.
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