Rate of psychiatric disorders and associations with quality of life among community members following the Kaohsiung gas explosion: an 18-month cross-sectional follow-up study

Shieh, Vincent; Huang, Joh-Jong; Wu, Tsyr-En Grace; Chiu, Ju-Yu; Chen, Yi‐Chen; Lin, Guijing; Su, Chien-Ling; Chou, Frank Huang-Chih

doi:10.1186/s12955-018-1076-7

Cited by 17 publications

(22 citation statements)

References 29 publications

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“…There were significant negative correlations between physical HRQOL scores and those of PCL-C. Higher scores of post-traumatic status in subjects were associated with greater odds of poor physical HRQOL after controlling for social demographic characteristics and earthquake-related losses. This finding was consistent with those in previous reports (21)(22)(23)(24). McMillan et al…”

Section: The Effects Of Pcl-c On Physical Healthsupporting

confidence: 94%

Influence of post-traumatic status on health-related quality of life among survivors 10 years after the Wenchuan earthquake in China

Zhang¹,

Wang²,

Huang³

et al. 2021

Ann Palliat Med

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Background: China is a country with frequent earthquakes. Beichuan was the epicenter of what was later called the Wenchuan earthquake, which caused nearly 80% of the houses in the area to collapse, with 8,605 people killed and 9,693 people missing. The aim of our study was to explore the prevalence of post-traumatic stress disorder (PTSD) and its influence on health-related quality of life (HRQOL) among the survivors 10 years after the 2008 Wenchuan earthquake in China.Methods: A total of 610 survivors from Leigu town in Beichuan County were investigated by a systematic sampling method. Post-traumatic status, HRQOL, and demographic sources were measured by the PTSD Checklist Civilian Version (PCL-C), 36-item Health Survey Short Form (SF-36), and self-questionnaire, respectively.Results: Ten years after the Wenchuan earthquake, the prevalence of PTSD for survivors was 1.6%. There were significant negative correlations between survivors' SF-36 scores and the scores of PCL-C. Higher scores in post-traumatic status were associated with a higher rate of poor physical HRQOL, which was lower than the mean score [adjusted odds ratio (OR) 1/4 0.96 per SD increase, P 1/4 0.001] and mental HRQOL (adjusted OR 1/4 0.93 per SD increase, P 1/4 0.001). The independent contribution of post-traumatic status to the risk for poor physical and mental HRQOL was 4.9% and 18.7% respectively. Conclusions:As time has elapsed, the incidence of PTSD has gradually declined after the Wenchuan earthquake. Post-traumatic status was found to influence the health related quality of life of survivors.

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Section: The Effects Of Pcl-c On Physical Healthsupporting

confidence: 94%

Influence of post-traumatic status on health-related quality of life among survivors 10 years after the Wenchuan earthquake in China

Zhang¹,

Wang²,

Huang³

et al. 2021

Ann Palliat Med

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“…To our knowledge, studies on QOL across psychiatric disorders after traumatic experiences are very scarce in South Asia and in the Nepalese context in particular. The only study from Asia we found was from Taiwan following a major gas explosion in 2014; the study reported an association between PTSD and depression and various aspects of QOL, although the study population was not a clinical sample [62]. We came across a few studies from Asia linking QOL with psychiatric disorders in specific populations rather than trauma victims.…”

Section: Discussionmentioning

confidence: 99%

Quality of life and its association with psychiatric disorders in outpatients with trauma history in a tertiary hospital in Kathmandu, Nepal: a cross-sectional study

et al. 2021

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Background Quality of life is an important indicator of health and has multiple dimensions. It is adversely affected in patients with trauma history, and psychiatric disorders play an important role therein. Studies in trauma-affected populations focus mainly on the development of psychiatric disorders. Our study explored various aspects of quality of life in trauma patients in a clinical setting, mainly focusing on the association of psychiatric disorders on various domains of quality of life. Methods One hundred patients seeking help at the psychiatry outpatient of a tertiary hospital in Kathmandu, Nepal, and with history of trauma were interviewed using the World Health Organization Composite International Diagnostic Interview version 2.1 for trauma categorization. Post-traumatic stress disorder symptoms were assessed using the Post-Traumatic Stress Disorder Checklist-Civilian Version; while the level of anxiety and depression symptoms was assessed using the 25-item Hopkins Symptom Checklist-25. Quality of life was assessed using the World Health Organization Quality Of Life-Brief Version measure. Information on sociodemographic and trauma-related variables was collected using a semi-structured interview schedule. The associations between psychiatric disorders and quality of life domains were explored using bivariate analyses followed by multiple regressions. Results The mean scores (standard deviations) for overall quality of life and health status perception were 2.79 (.87) and 2.35 (1.11), respectively. The mean scores for the physical, psychological, social and environmental domains were 12.31 (2.96), 11.46 (2.84), 12.79 (2.89), and 13.36 (1.79), respectively. Natural disaster was the only trauma variable significantly associated with overall quality of life, but not with other domains. Anxiety, depression and post-traumatic stress disorder were all significantly associated with various quality of life domains, where anxiety had the greatest number of associations. Conclusion Quality of life, overall and across domains, was affected in various ways based on the presence of psychiatric disorders such as anxiety, depression and post-traumatic stress disorder in patients with trauma. Our findings therefore emphasize the need to address these disorders in a systematic way to improve the patients’ quality of life.

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“…This variation is necessary due to type of accident; meanwhile, the high heterogeneity observed may be related to variability of study samples, since they are very different in terms of size, composition, and socioeconomic context. 6 , 12 , 30 Thus, caution is warranted with regard to inferences based on results of meta-analyses.…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic stress disorder in major accidents: systematic review and meta-analysis

Rodrigues¹,

Barletta²,

Nery³

2021

Rev Bras Med Trab

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Major accidents are defined as accidents whose consequences spread spatially and temporally from acute events related to production activities. Exposure to these accidents has psychological impacts on individuals, including the development of mental disorders such as posttraumatic stress disorder. Thus, the aim of this study was to identify and analyze the evidence available in the literature on the relationship between exposure to major accidents and the development of posttraumatic stress disorder. To that end, a systematic literature review was conducted using the Web of Science and Google Scholar databases, followed by a meta-analysis based on the results of the selected studies. Twenty-six articles were selected, related to 14 major accidents, including 11 longitudinal and 15 cross-sectional studies. The studies were conducted from 2 months to 36 years after the major accident, comprising 24,276 participants. The methods, techniques and instruments used varied between studies. The meta-analysis indicated a prevalence of posttraumatic stress disorder of 18.57% (confidence interval 13.80-23.87; I 2 = 96.22%). Posttraumatic stress disorder symptoms persisted over the years after the accident. The prevalence of posttraumatic stress disorder after exposure to major accidents was found to be higher compared to that of the general population. Risk factors for posttraumatic stress disorder included intensity of exposure, occurrence of physical damage, lack of social support, and economic losses. The results indicate the need for planned, rapid start and long-term interventions.

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Rate of psychiatric disorders and associations with quality of life among community members following the Kaohsiung gas explosion: an 18-month cross-sectional follow-up study

Cited by 17 publications

References 29 publications

Influence of post-traumatic status on health-related quality of life among survivors 10 years after the Wenchuan earthquake in China

Influence of post-traumatic status on health-related quality of life among survivors 10 years after the Wenchuan earthquake in China

Quality of life and its association with psychiatric disorders in outpatients with trauma history in a tertiary hospital in Kathmandu, Nepal: a cross-sectional study

Post-traumatic stress disorder in major accidents: systematic review and meta-analysis

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