Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake

Jia, Zhaobao; Tian, Weijun; He, Xuesong; Liu, Weizhi; Jin, Chunlin; Ding, Haiyang

doi:10.1007/s11136-010-9703-8

Cited by 83 publications

(66 citation statements)

References 38 publications

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“…These findings were generally consistent with those gained in previous reports (e.g., Ekşi et al, 2007;Fan et al, 2011;Liu et al, 2011), and suggest that youths who have experienced more traumatic events are more likely to develop PTSD. However, contrary to previous findings (e.g., Jia et al, 2010;Thienkrua et al, 2006;Trickey et al, 2012), no significant association was found between bereavement and PTSD in this study. According to Mercer, Ager, and Ruwanpura (2005) this discrepancy may be due to Tibetans' traditional beliefs, such as karma, which have a strong influence on everything in their lives including experiences of trauma.…”

Section: Discussioncontrasting

confidence: 99%

“…Each item is rated on a 5-point Likert scale ranging from 0 (none of the time) to 4 (most of the time), reflecting the frequency of occurrence of a particular symptom during the past month. The Chinese version of the UCLA PTSD Reaction Index was adapted using a back-translation procedure that has been validated and widely used in Chinese populations (e.g., Chen & Wu, 2006;Jia et al, 2010;Wu, Chen, Weng, & Wu, 2009). In the present study, participants were instructed to complete the index in relation to their experiences of the earthquake, and Cronbach's  was 0.88 for the PTSD symptom scale in the current study.…”

Section: Methodsmentioning

confidence: 99%

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Prevalence and Predictors of Posttraumatic Stress Disorder Among Chinese Youths After an Earthquake

Yue¹,

Wang²,

Wang³

et al. 2013

soc behav pers

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In the current study we investigated the prevalence and predictors of posttraumatic stress disorder (PTSD) among Chinese youths after an earthquake. A total of 753 middle school students participated in the survey and 99.5% of them were of Tibetan ethnicity. The University of California, Los Angeles PTSD Reaction Index was used to assess PTSD symptoms and a total of 101 participants were identified as probable PTSD cases. Independent predictors of PTSD included female sex, being injured, witnessing death, and derealization during the earthquake. Our results add to extant understanding of the impact of disasters on youth mental health, and carry implications for revising the current Criterion A2 of PTSD in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders.

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Section: Discussioncontrasting

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Prevalence and Predictors of Posttraumatic Stress Disorder Among Chinese Youths After an Earthquake

Yue¹,

Wang²,

Wang³

et al. 2013

soc behav pers

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“…PTS symptoms increased in the whole epicentre community likewise found elsewhere 15 months after an earthquake [16,17], but the rise was more pronounced in the children aged 6–10. In this group, prevalence of risk of psychiatric disorders (22.9%) reached levels predicted by the World Health Organization during the first year after disaster (23-24%) [49].…”

Section: Discussionmentioning

confidence: 83%

“…Focusing on data more relevant to the present study, between 12 and 18 months after natural disasters Wang et al [12] report that data from preschool children community samples are lacking, while for school age children and early adolescents self-reported prevalence of PTS and depression symptoms ranges from, respectively, 11.2% and 11.3% at 12 months [16], to 12.4% and 13.9% at 15 months [17], to 95% and 76% at 18 months after an earthquake [14]. Prevalence tend to be lower when data are collected through a psychiatric interview: according to DSM-IV criteria [18], PTSD prevalence is found 2.1%-4.7% 18 months after floods [19,20], while depression prevalence is found 5.4% 18–20 months after an earthquake [15].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of psychiatric symptoms in children and adolescents one year after the 2009 L'Aquila earthquake

et al. 2014

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BackgroundIn 2009, an earthquake devastated the Abruzzo region in Italy. Despite the occurrence of several disasters in this country, no study on mental health of Italian children has ever been conducted in complex emergencies. Objective of the study was to assess the prevalence of psychiatric symptoms among children in the affected area 12 to 17 months after the event.MethodsA community sample of 1839 3-14 years children was identified from the general population assigned to 37 paediatricians of the National Health System, including children living in the earthquake epicentre, the surrounding earthquake zone, and the adjacent non-affected areas. Psychiatric symptoms were assessed with the Child Behavior Checklist (CBCL) and the Youth Self Report (YSR), completed by 452 children aged 11–14 years. The association between symptoms and sociodemographic, health, family, and earthquake-related factors was examined.ResultsThe prevalence of CBCL-defined cases was 14.9% in the epicentre, 13.0% in the remainder earthquake zone, 13.9% in the unaffected area (p = .876). No differences among areas were found when comparing the YSR results. Prevalence of CBCL-defined post-traumatic stress (PTS) cases was 8.4% in the epicentre, 4.0% in the remainder earthquake zone, 2.2% in the unaffected area (p = .002). PTS and anxiety were significantly more frequent in the epicentre than in other areas only in the 6–10 year-old children group (respectively p = .009 and p = .014). In multivariate logistic analyses, factors associated with PTS were living in the epicentre (OR = 3.6) and child or maternal history of mental health care prior to the earthquake (respectively OR = 7.1 and OR = 4.5).ConclusionsChildren living in the epicentre, particularly those 6–10 years old, had the highest prevalence of CBCL-defined cases, and of PTS and anxiety symptoms one year after the earthquake. No signs of increased psychopathology were detected in younger (3–5 years) or older children (11–14 years). Family and health related factors showed stronger association with psychiatric outcomes than earthquake-related factors. The identification of populations at higher risk of developing psychiatric symptoms has implications for public health interventions in complex emergencies.

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“…A report from Sichuan, China in the aftermath of 2008 massive earthquake indicates that one in five child survivors were identified as having post traumatic stress disorder or depression and their health related quality of life were deeply compromised. 5 Plight of individuals specially children who have lost near and dear ones is understandable. However, treatment of physical injuries and physical rehabilitation almost completely over shadows the psychological stress people go through in situation like this.…”

mentioning

confidence: 99%

Approach to Earthquake Related Health Problems

2017

Kathmandu Univ. Med. J.

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A disastrous 7.8 Richter scale earthquake struck Nepal on April 25, 2015. Major Nepalese hospitals including Dhulikhel hospital did well to manage the initial thrust of patient load with grievous injuries in spite of damage to their own hospitals.1 More than 9,000 people lost their lives and many thousands are still missing. Similarly, more than 20,000 people were injured. More serious among them were brought to the hospitals situated in major cities and others were treated at health camps conducted for that purpose as most of the health care facilities situated in the earthquake affected areas were completely damaged.1 Hospital data from Dhulikhel Hospital two months after the major earthquake indicates that about six hundred patients required complex major surgery and 3,500 patients needed less serious and minor surgery. The immediate response is appropriately directed to save lives. How ever, majority of patients require long term physical and mental care even though they may not have grievous injuries. The deaths in earthquake may be instantaneous due to crush injuries, rapid due to asphyxia, hypovolemic shock etc. and delayed due to dehydration, wound infection, post-operative infection etc.2 Health of people put in temporary shelters is further made vulnerable due to poor sanitary conditions, lack of safe drinking water and malnutrition.

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Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake

Abstract: More than one in five child survivors were identified as having PTSD or depression; HRQoL of these identified children were deeply compromised. Utilization of mental health services may significantly reduce the risk of developing PTSD symptoms.

Cited by 83 publications

References 38 publications

Prevalence and Predictors of Posttraumatic Stress Disorder Among Chinese Youths After an Earthquake

Prevalence and Predictors of Posttraumatic Stress Disorder Among Chinese Youths After an Earthquake

Prevalence of psychiatric symptoms in children and adolescents one year after the 2009 L'Aquila earthquake

Approach to Earthquake Related Health Problems

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