The Nepal earthquake: use of a disaster to improve mental health literacy

Shakya, Dhana Ratna

doi:10.1192/s205647400000088x

Cited by 6 publications

(10 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It occurred at the moment when Nepal was recovering from a decade long (1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006) period of civil unrest which cost over 15,000 lives and caused many to flee from their homes to save their lives [16]. After the earthquake, the need to address trauma and stress related disorders was more highlighted; previously, this had not a priority in Nepal [17].…”

Section: Introductionmentioning

confidence: 99%

Trauma related psychiatric disorders and their correlates in a clinical sample: A cross-sectional study in trauma affected patients visiting a psychiatric clinic in Nepal

et al. 2020

View full text Add to dashboard Cite

Background Nepal, like many other low-income countries, has a great burden of mental health issues but few resources to meet them. In addition, Nepal has endured several traumatic events in recent decades but the impact on mental health has not been studied in clinical settings. This study explores trauma-related psychiatric disorders and their correlates. Methods 100 patients with a history of trauma who visited the outpatient psychiatry clinic at a University hospital in Kathmandu were assessed. The Composite International Diagnostic Interview 2.1 (CIDI) was used to evaluate lifetime and current depressive disorder, generalized anxiety disorder (GAD) and lifetime post-traumatic stress disorder (PTSD). Current PTSD was evaluated using PSTD Checklist-Civilian Version (PCL-C). Results The median number of lifetime traumatic events was two. Natural disaster was the most common trauma type (84%) compared to other types of trauma. Rape was reported as the most traumatizing. Current PTSD was found in 15%, depression in 33% and GAD in 38% of the patients. The lifetime rates were PTSD 83%, depression 45% and GAD 40%. There was high comorbidity between the disorders. The 31 to 45 years age group, above high school education level and trauma types other than earthquake were independently associated with current PTSD. Marital status and upper socioeconomic status (SES) compared to upper-middle SES were independently associated with lifetime PTSD. Both lifetime and current depression rates were independently associated with the upper SES compared to

show abstract

Section: Introductionmentioning

confidence: 99%

Trauma related psychiatric disorders and their correlates in a clinical sample: A cross-sectional study in trauma affected patients visiting a psychiatric clinic in Nepal

et al. 2020

View full text Add to dashboard Cite

show abstract

“…We decided to conduct the second study in March 2016, 1 year after the 2015 earthquake in a high EE area of Bhaktpur where almost half of the victims had psychiatric morbidity. [ 5 ] We decided to investigate the suitability of both NET-R and group CFBT with a self-help manual adapted from the “recovering from earthquake” chapter of Basoglu andSalcioglu's excellent manual, “A Mental Healthcare Model for Mass Trauma Survivors.”[ 16 ] This could be delivered to groups of 20–30 survivors. Each treatment session was delivered within 1–2 h (90 min on an average), at the interval of 2 weeks as outlined in Box 2 .…”

Section: Methodsmentioning

confidence: 99%

“…Compared to the 2010 Haiti earthquake, Nepal's health-care system responded well to physical trauma,[ 4 ] but the country was not prepared for the psychological aftermath of the earthquake. [ 5 ]…”

Section: Introductionmentioning

confidence: 99%

“…The postearthquake mental health was among the least assessed, recorded, prioritized, attended, and programmed areas of disaster response,[ 5 ] and the psychosocial recovery program by the Government of Nepal did not include any long-term intervention for PTSD. There was a need to identify an evidence-based brief therapy for chronic PTSD of earthquake survivors.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Identification and treatment of Nepal 2015 earthquake survivors with posttraumatic stress disorder by nonspecialist volunteers: An exploratory cross-sectional study

Jha

Shakya

Zang

et al. 2017

Indian J Psychiatry

View full text Add to dashboard Cite

Context:In April 2015, a major earthquake struck northern regions of Nepal affecting one-third of the population, and many suffered mental health problems.Aims:This study aimed to conduct a preliminary investigation of prevalence and feasibility of brief therapy for posttraumatic stress disorder (PTSD) among earthquake survivors.Settings and Design:This is an exploratory cross-sectional study of prevalence and feasibility of brief trauma-focused therapy for PTSD among survivors 3 and 11 months after the earthquake in affected areas near Kathmandu.Methodology:A team of local nonspecialist mental health volunteers was trained to identify survivors with PTSD using the PTSD checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) (cutoff score 38). They were trained to deliver either shortened versions of narrative exposure therapy (NET)-revised or group-based control-focused behavioral treatment (CFBT).Results:Altogether, 333 survivors were surveyed (130 in July 2015 and 203 in March 2016) with PCL-5 as the screening instrument, using the cutoff score of 38 or more for diagnosing PTSD. A PTSD prevalence of 33% was noted in 2015 and 28.5% in 2016. This drop of 4.5% prevalence in the intervening 8 months suggests that a significant number of survivors are still suffering from PTSD. Most participants were female, aged 40 or above, married, and poorly educated. Compared to the brief (four sessions) individual NET-revised, a group-based CFBT was found more acceptable and affordable.Conclusions:PTSD is common following earthquake trauma, and if untreated, survivors continue to suffer for a long time. Management of PTSD should be included in future disaster management plans.

show abstract

“…Mega earth-quakes, 2015 affected Nepal and neighboring countries. 10 Some stressors locally affect particular areas.…”

mentioning

confidence: 99%

Stress Management- A Way Ahead

Shakya

2020

Jnl. BP Koirala Inst. Health Sci.

View full text Add to dashboard Cite

show abstract

The Nepal earthquake: use of a disaster to improve mental health literacy

Cited by 6 publications

References 3 publications

Trauma related psychiatric disorders and their correlates in a clinical sample: A cross-sectional study in trauma affected patients visiting a psychiatric clinic in Nepal

Trauma related psychiatric disorders and their correlates in a clinical sample: A cross-sectional study in trauma affected patients visiting a psychiatric clinic in Nepal

Identification and treatment of Nepal 2015 earthquake survivors with posttraumatic stress disorder by nonspecialist volunteers: An exploratory cross-sectional study

Stress Management- A Way Ahead

Contact Info

Product

Resources

About