Post-traumatic stress disorder in children and adolescents one year after a super-cyclone in Orissa, India: exploring cross-cultural validity and vulnerability factors

Kar, Nilamadhab; Mohapatra, Prasanta K.; Nayak, Kailash C; Pattanaik, Pratiti; Swain, Sarada Prasanna; Kar, Harish C

doi:10.1186/1471-244x-7-8

Cited by 134 publications

(109 citation statements)

References 32 publications

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“…Al igual que en otros desastres naturales, en este evento probablemente también se han desencadenado consecuencias directas e indirectas en la salud física y psicológica tanto a corto como a mediano y largo plazo, desafiando los recursos físicos y cognitivos de cualquier persona. Diversos estudios han demostrado que el impacto en la salud mental no es igual para todos, siendo consideradas como poblaciones de riesgo las mujeres (Tolin & Foa, 2006), los niños y adolescentes (Groome & Soureti, 2004), los ancianos (Ticehurst, Webster, Carr & Lewin, 1996) y las personas de escasos recursos (Kar, Mohapatra, Nayak, Pattanaik, Swain & Kar, 2007).…”

Section: Introductionunclassified

Síntomas de depresión, ansiedad y estrés post-traumático en adolescentes siete meses después del terremoto del 27 de febrero de 2010 en Chile

2012

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ResumenEl 27 de febrero de 2010, Chile vivió uno de los terremotos más fuertes registrados en la historia, provocando serias consecuencias en la salud mental de las personas. El objetivo del presente estudio fue dar una primera evaluación del impacto de dicho fenómeno en la salud mental de los adolescentes. Un total de 304 adolescentes fueron evaluados en depresión, ansiedad y trastorno de estrés post-traumático. Los resultados indican un aumento en la incidencia de todos los desórdenes, corroborando al género femenino como una población de riesgo al alcanzar puntajes significativamente mayores que los hombres en todas las escalas. Además, se demostró una estrecha relación de co-morbilidad entre los síntomas de los trastornos evaluados.Palabras clave: Depresión, ansiedad, TEPT, adolescentes, terremoto. AbstractOn February 27th of 2010, Chile experienced one of the strongest earthquakes in recorded history, causing serious consequences on people's mental health. The goal of the present study was to provide a preliminary assessment of the impact of this phenomenon in adolescent's mental health. A total of 304 adolescents were assessed on depression, anxiety and post-traumatic stress disorder. The results indicate an increase in the incidence of all the assessed disorders, confirming that females are a risk population who reached significantly higher scores than males on all scales. The study further demonstrated a close relationship of co-morbidity among the symptoms of the assessed disorders.

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Section: Introductionunclassified

Síntomas de depresión, ansiedad y estrés post-traumático en adolescentes siete meses después del terremoto del 27 de febrero de 2010 en Chile

2012

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“…Mould metabolites, such as microbial volatile organic compounds, have been involved in nonallergic asthma and chronic bronchitis, although rarely [33]. In addition, exposure to natural disasters, such as floods and cyclones, was reported to exacerbate the burden of depression, anxiety and stress that are risk factors for asthma [34,35]. High stress for adults after weather-related disasters can have serious implications for children, by impeding the adults' ability as caregivers and, in extreme circumstances, resulting in neglect [36].…”

Section: Pollen and Mould Allergymentioning

confidence: 99%

Climate change and respiratory diseases

D’Amato

Cecchi²,

D’Amato³

et al. 2014

European Respiratory Review

227

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@ERSpublications Climate change represents a threat to respiratory health by acting on respiratory diseases or their risk factors http://ow.ly/v6JElChanges in climate constitute a reality that, according to recent projections, is going to worsen in the coming years. Climate change represents a massive threat to respiratory health: 1) by directly promoting or aggravating respiratory diseases; or 2) by increasing exposure to risk factors for respiratory diseases. Climate change increases the amount of pollen and allergen produced by each plant, mould proliferation and the concentrations of outdoor ozone and particulate matter at ground level. The main diseases of concern are asthma, rhinosinusitis, chronic obstructive pulmonary disease (COPD) and respiratory tract infections. Groups at higher risk of climate change effects include individuals with pre-existing cardiopulmonary diseases or disadvantaged individuals. Adaptation and mitigation measures are strongly needed.It is now widely accepted that the earth's temperature is increasing, as confirmed by warming of the oceans, rising sea levels, glaciers melting, sea ice retreating in the Arctic and diminished snow cover in the Northern Hemisphere. Moreover, changes are also occurring in the amount, intensity, frequency and type of precipitation, as well as the increase of extreme weather events, such as heat waves, droughts, floods and hurricanes [1][2][3]. Most of the observed increase in globally averaged temperatures since the mid-20th century is probably due to the observed increase in anthropogenic greenhouse gas (namely carbon dioxide, methane and the nitrous oxides) concentrations [1]. Projections of future greenhouse gas emissions indicate a worsening of the situation with between a 1.1 and 6.4uC increase in the mean temperature by the end of the 21st century [1].Climate change represents a massive direct threat to respiratory health by promoting or aggravating respiratory diseases or indirectly by increasing exposure to risk factors for respiratory diseases [4]. Climate affects weather, air and water quality, local and national food supplies, economics and many other critical health determinants. Observational evidence indicates that regional changes in climate, particularly temperature increases, affect a diverse set of physical and biological systems in many parts of the world [1, 2], some of which are of concern for respiratory health. A rapid rise has been observed in the number of hot days, such as the 2003 heat wave where temperatures of o35uC were reached resulting in ,40 000 excess deaths across Europe, mostly for cardiopulmonary causes [5,6]. Sea levels have also started to rise as an effect of a regression of the polar ice packs. Both heat waves and melting ice have led to water deprivation in certain

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“…Sin embargo, no todo el impacto es explicado por estas cuatro variables incluidas en el modelo. La parte no explicada podría estar relacionada con: variables geográficas y económicas tales como el costo de la reconstrucción de los hogares, el grado de destrucción de la ciudad o barrio en donde la persona reside; variables psicosociales como el grado de vulnerabilidad de las personas que sufrieron la catástrofe; y también con la variable tiempo, es decir con el efecto distinto que pueden tener estas variables a medida que transcurre el tiempo después de una catástrofe (Groome y Soureti, 2004;Khan, Masood, Mukhtar, Sana y Chaudhry, 2010;Kar, 2009;Kar et al, 2007;Önder et al, 2006;Ticehurst, Webster, Carr y Lewin, 1996). A su vez, desde el punto de vista de la salud mental, tampoco se controló el número de síntomas de TEPT que presenta la población.…”

Section: Discussionunclassified

“…En el caso del TEPT el porcentaje de la población que presenta este trastorno después de un terremoto fluctúa entre un 10.3% y un 30% (Bland et al, 2005;Cairo, Dutta y Nawaz, 2010;Lai, Chang, Connor, Lee y Davidson, 2004;Sharan, Chaudhary, Kavathekar y Saxena, 1996;). Una tendencia similar ocurre con la depresión y la crisis de pánico (Harville, Xiong, Buekens, Elkind-Hirsch y Pridjian, 2009;Kar et al, 2007;Thienkrua et al, 2006). Cabe señalar que estos síntomas no siempre se presentan inmediatamente después de una catástrofe.…”

Section: Introductionunclassified

Creación de un indicador de impacto de terremotos a partir de datos recogidos en personas que vivieron el 27-F

Leiva-Bianchi

2010

Salud soc.

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RESUMENEl 27 de febrero de 2010 la zona central de Chile sufrió un terremoto como pocos en la historia mundial. Este estudio cuantifica el impacto de este evento mediante la creación de un indicador de impacto de terremotos en las personas (IITP). Para esto, se midieron en 264 participantes las siguientes variables: daño físico de la vivienda, coste de los enseres perdidos, distancia del domicilio al epicentro y cantidad de síntomas de pánico. Luego, se realizan dos análisis factoriales: exploratorio (AFE) para extraer un factor común (impacto) y cuantificarlo; y confirmatorio (AFC) para conocer el ajuste del modelo. Posteriormente, mediante un análisis de regresión lineal múltiple se obtienen los coeficientes que permiten definir el IITP. Los resultados evidencian el adecuado ajuste del modelo (CMIN=1.374, RMSEA=.038, NFI=.921 y CFI=.974) además del buen funcionamiento del IITP. Se confirma que el impacto fue mayor en las zonas costeras afectadas por el terremoto y el tsunami. Finalmente se expone la utilidad de esta nueva herramienta que permite cuantificar el impacto de un evento catastrófico como éste mediante 16 preguntas. PALABRAS CLAVE: Índice de impacto, Terremoto, Ataque de pánico, 27 de febrero de 2010. ABSTRACTOn February 27, 2010 central Chile suffered an earthquake as few in world history. This study tries to quantify the effect of this event by creating of one indicator of earthquake impact in people (IIEP). For this, the following variables were measured, in a sample of 264 people: physical damage of houses, cost of the lost belongings, home distance from the epicenter and number of symptoms of panic attack. Two factor analyses were performed: an exploratory (EFA) to extract a common factor (impact) and quantify it; and a confirmatory (CFA) to determine the fit of the model. Subsequently, by a multiple linear regression, the coefficients were used to define the IIEP. The results demonstrate the very adequate model fit (CMIN=1.374, RMSEA=.038, NFI=.921 and CFI=0.974) in addition to the adequate operation of the IIEP. In fact, it predicted that the impact was greater in coastal areas affected by the earthquake and tsunami. Finally we explain the usefulness of this new tool to quantify the impact of a catastrophic event like this, with 16 questions.

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Post-traumatic stress disorder in children and adolescents one year after a super-cyclone in Orissa, India: exploring cross-cultural validity and vulnerability factors

Cited by 134 publications

References 32 publications

Síntomas de depresión, ansiedad y estrés post-traumático en adolescentes siete meses después del terremoto del 27 de febrero de 2010 en Chile

Síntomas de depresión, ansiedad y estrés post-traumático en adolescentes siete meses después del terremoto del 27 de febrero de 2010 en Chile

Climate change and respiratory diseases

Creación de un indicador de impacto de terremotos a partir de datos recogidos en personas que vivieron el 27-F

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