Adolescents' reactions after a wildfire disaster in Greece

Papadatou, Danai; Giannopoulou, Ioanna; Bitsakou, Paraskevi; Bellali, Thalia; Talias, Μichael A.; Tselepi, Konstantina

doi:10.1002/jts.21656

Cited by 56 publications

(48 citation statements)

References 30 publications

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“…In a large adolescent sample reviewed 6 months after an earthquake in China, 24.5% reported clinically significant depressive symptoms and 40.5% reported clinically significant anxiety symptoms. Similar rates of depressive symptoms and anxiety symptoms have been reported after a wildfire in Greece (Papadatou et al, 2012), and somewhat lower rates, that is, 17.6 and 12%, respectively (consistent with data collection, 14 months post-disaster), have been reported following a cyclone in India (Kar & Bastia, 2006). Other posttraumatic presentations include elevated rates of substance abuse (Reijneveld, Crone, Verhulst, & Verloove-Vanhorick, 2003), somatic symptoms (Hensley & Varela, 2008), and aggression (Scheeringa & Zeanah, 2008).…”

Section: Burden Of Child and Youth Mental Health Care Following A Natsupporting

confidence: 77%

A stepped-care model of post-disaster child and adolescent mental health service provision

McDermott

Cobham

2014

European Journal of Psychotraumatology

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BackgroundFrom a global perspective, natural disasters are common events. Published research highlights that a significant minority of exposed children and adolescents develop disaster-related mental health syndromes and associated functional impairment. Consistent with the considerable unmet need of children and adolescents with regard to psychopathology, there is strong evidence that many children and adolescents with post-disaster mental health presentations are not receiving adequate interventions.ObjectiveTo critique existing child and adolescent mental health services (CAMHS) models of care and the capacity of such models to deal with any post-disaster surge in clinical demand. Further, to detail an innovative service response; a child and adolescent stepped-care service provision model.MethodA narrative review of traditional CAMHS is presented. Important elements of a disaster response – individual versus community recovery, public health approaches, capacity for promotion and prevention and service reach are discussed and compared with the CAMHS approach.ResultsDifficulties with traditional models of care are highlighted across all levels of intervention; from the ability to provide preventative initiatives to the capacity to provide intense specialised posttraumatic stress disorder interventions. In response, our over-arching stepped-care model is advocated. The general response is discussed and details of the three tiers of the model are provided: Tier 1 communication strategy, Tier 2 parent effectiveness and teacher training, and Tier 3 screening linked to trauma-focused cognitive behavioural therapy.ConclusionIn this paper, we argue that traditional CAMHS are not an appropriate model of care to meet the clinical needs of this group in the post-disaster setting. We conclude with suggestions how improved post-disaster child and adolescent mental health outcomes can be achieved by applying an innovative service approach.

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Section: Burden Of Child and Youth Mental Health Care Following A Natsupporting

confidence: 77%

A stepped-care model of post-disaster child and adolescent mental health service provision

McDermott

Cobham

2014

European Journal of Psychotraumatology

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“…Major depressive disorder is also a common psychiatric disorder which frequently manifests after natural disasters, such as severe earthquakes, hurricanes, and wildfires [14], [20], [39]–[41]. In this study, we used DSRSC, a common assessment scale of depression, and found that the prevalence rate of depression in our sample was 19.5%.…”

Section: Discussionmentioning

confidence: 83%

Prevalence of PTSD and Depression among Junior Middle School Students in a Rural Town Far from the Epicenter of the Wenchuan Earthquake in China

et al. 2012

PLoS ONE

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ContextOn May12th 2008, a devastating earthquake measuring 8.0 on the Richter scale, struck Wenchuan county and surrounding areas in China. The prevalence of mental illness among children and adolescents in a rural town far from the earthquake epicenter is unknown.ObjectiveTo assess the prevalence of posttraumatic stress disorder (PTSD) and depression among junior middle school students in a rural town Ningqiang county, 327 km from the earthquake epicenter.Design, Setting, and ParticipantsA population-based mental health survey was conducted in March, 2009.Main Outcome MeasureSurvey Self-designed General Condition Survey Scale, Children's Revised Impact of Event Scale (CRIES-13), and the Depression Self-rating Scale for Children (DSRSC) were used to sample 1,841 junior middle school students in Ningqiang county, ten months after the Wenchuan earthquake.ResultsThe prevalence rate of a high-risk for PTSD was 28.4%, with 32.7% among females, 23.8% among males (female vs. male, p<0.001), 38.6% in the severe exposure group and 24.3% in the mild exposure group (severe vs. mild exposure, p<0.001). For depressive symptoms, the overall prevalence was 19.5%, with 24.0% among females, 14.7% among males, 24.5% in the severe exposure group and 17.5% in the mild exposure group (female vs. male, p<0.001; severe vs. mild exposure, p<0.001, respectively). In multivariate analysis, factors such as “having felt despair”, or “danger” and “having own house destroyed or damaged” were significantly associated with PTSD symptoms. Female gender and delayed evacuation in females, and earthquake related experiences in males were significantly associated with depression.ConclusionTraumatic events experienced during the earthquake were significantly associated with symptoms of PTSD and depression in children and adolescents, ten months after the Wenchuan earthquake. These data highlight a need for mental health services for children and adolescents in rural areas, far from earthquake epicenters.

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“…These include indigenous concerns [33,70,71], examination of different fire management discourses [72-74, 75•, 76], and understanding the physical and mental health impacts of experiencing a wildfire event [54,[77][78][79][80][81][82]. In addition, a number of articles in the Australian literature have begun to explore the role of land use planning in mitigating fire risk [58,83,84] and how gender dynamics can influence preparedness and management dynamics [85,86].…”

Section: Experiencing and Recovering From A Wildfirementioning

confidence: 99%

Community Wildfire Preparedness: a Global State-of-the-Knowledge Summary of Social Science Research

McCaffrey

2015

Curr Forestry Rep

153

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This article builds on findings from a synthesis of fire social science research that was published from 2000 to 2010 to understand what has been learned more recently about public response to wildfires. Two notable changes were immediately noted in the fairly substantial number of articles published between 2011 and 2014. First, while over 90 % of the articles found in the initial synthesis were US-based studies, roughly half of the articles published since 2010 have been conducted outside the USA, the majority from Australia. Second, while the primary focus of earlier studies was on pre-fire mitigation efforts on both public and private lands, roughly half of the recent articles focused on dynamics during and after a fire. Overall, findings from the current review re-enforce key themes identified in the previous synthesis work and provide a deeper and more nuanced understanding of how certain variables, such as risk perception, may influence public response to wildfires. In addition, several important dynamics emerged across studies: the similarity of findings across countries, increased work across the temporal gradient, the importance of social interactions and of place attachment in shaping response, the need to take local knowledge and context into account, and the importance of financial support. These patterns suggest that while no single outreach approach or policy is likely to be effective everywhere or for everyone, efforts that facilitate development of relationships, within communities and between community members and fire personnel, can contribute to increased preparedness at the individual and community level by facilitating information exchange and helping to build a sense of community.

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Adolescents' reactions after a wildfire disaster in Greece

Cited by 56 publications

References 30 publications

A stepped-care model of post-disaster child and adolescent mental health service provision

A stepped-care model of post-disaster child and adolescent mental health service provision

Prevalence of PTSD and Depression among Junior Middle School Students in a Rural Town Far from the Epicenter of the Wenchuan Earthquake in China

Community Wildfire Preparedness: a Global State-of-the-Knowledge Summary of Social Science Research

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