Tsunami-exposed Tourist Survivors

Johannesson, Kerstin Bergh; Lundin, Tom; Fröjd, Thomas; Hultman, Christina M.; Michel, Per‐Olof

doi:10.1097/nmd.0b013e31820c73d1

Cited by 39 publications

(23 citation statements)

References 36 publications

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“…Women had significantly greater mental health problems than men. This finding is consistent with those of earlier studies assessing mental health problems among survivors of disasters [2], [10], [11]. It is also consistent with the findings of previous studies conducted in non-disaster settings [13], [14].…”

Section: Discussionsupporting

confidence: 93%

Mental Health and Related Factors after the Great East Japan Earthquake and Tsunami

et al. 2014

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Mental health is one of the most important issues facing disaster survivors. The purpose of this study is to determine the prevalence and correlates of mental health problems in survivors of the Great East Japan Earthquake and Tsunami at 6–11 months after the disaster. The questionnaire and notification were sent to the survivors in three municipalities in the Tohoku area of the Northern part of Honshu, Japan’s largest island, between September 2011 and February 2012. Questionnaires were sent to 12,772, 11,411, and 18,648 residents in the Yamada, Otsuchi, and Rikuzentakata municipalities, respectively. Residents were asked to bring the completed questionnaires to their health check-ups. A total of 11,124 or (26.0%) of them underwent health check-ups, and 10,198 were enrolled. We excluded 179 for whom a K6 score was missing and two who were both 17 years of age, which left 10,025 study participants (3,934 male and 6,091 female, mean age 61.0 years). K6 was used to measure mental health problems. The respondents were classified into moderate (5–12 of K6) and serious mental health problems (13+). A total of 42.6% of the respondents had moderate or serious mental health problems. Multivariate analysis showed that women were significantly associated with mental health problems. Other variables associated with mental health problems were: younger male, health complaints, severe economic status, relocations, and lack of a social network. An interaction effect of sex and economic status on severe mental health problems was statistically significant. Our findings suggest that mental health problems were prevalent in survivors of the Great East Japan Earthquake and Tsunami. For men and women, health complaints, severe economic status, relocations, and lack of social network may be important risk factors of poor mental health. For men, interventions focusing on economic support may be particularly useful in reducing mental health problems after the disaster.

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Section: Discussionsupporting

confidence: 93%

Mental Health and Related Factors after the Great East Japan Earthquake and Tsunami

et al. 2014

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“…Our findings on women's average lower resilience compared to men has also been observed in some other studies, for example, on survivors of the World Trade Center attack of 11 September 2001 (Weissman et al 2005, Bonanno et al 2006; on the hospitalized survivors of the severe acute respiratory syndrome epidemic in Hong Kong in 2003 (Bonanno et al 2008); and on Swedish tourist survivors of the 2004 Southeast Asian tsunami (Johannesson et al 2011). Little, however, is known about a potential explanation for this (Rodriguez-Llanes et al 2013), and there is a need for more focused studies on this phenomenon.…”

Section: Discussionsupporting

confidence: 69%

Emergence of human resilience in coastal ecosystems under environmental change

Matin¹,

Taylor²

2015

E&S

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ABSTRACT. Resilience has been studied in a number of disciplines, predominantly in psychosocial and ecological sciences. Although there are striking similarities in their approaches, the psychosocial tradition has centered on the family and its immediate surroundings, whereas the social-ecological approach has focused on macrosystems that stop at the family level. Recently, the need for bridging these gaps has been echoed by researchers from both these traditions, particularly for promoting resilience of individuals and their wider environment in the context of natural disasters and climate change. However, a new synthesis of social-ecological and behavioral theories integrating multiple dynamic systems that interact across levels is strikingly rare. We addressed some of these issues in the context of complex coastal ecosystems in the Sundarbans region in southwest Bangladesh soon after the Cyclone Aila, which hit the coast in May 2009. The devastation that followed tested the endurance and resilience of people and nature alike. We used an integrated method that combined Antonovsky's sense of coherence scale with narrative inquiry for assessing human resilience. The quantitative analysis was able to address gender, educational, and livelihood dimensions of individual resilience. Life history narratives were found particularly useful in bringing out the underlying contexts and processes that embody individual social-ecological interactions that influence the construct of human resilience. These exercises show that the emergence of human resilience must be understood as a holistic and dynamic process because the variables that contribute to its emergence interact in complex ways.

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“…The assessments of the national cohort include a mail survey 1 year and 2 months after the disaster (T1, n = 4,932; Johannesson et al, 2009) and two mail surveys of the respondents from the first survey: at 3 years and 1 month (T2, n = 3,457; Johannesson, Lundin, Fröjd, Hultman, & Michel, 2011) and 6 years and 3 months after the event (T3, n = 2,643; Johannesson, Arnberg, & Michel, 2012). Disaster exposure was established at T1 based on previous analyses of this sample (Johannesson et al, 2009) with 30 multiple-choice items.…”

Section: Mail Surveysmentioning

confidence: 99%

Properties of Swedish posttraumatic stress measures after a disaster

Arnberg

Michel

Johannesson

2014

Journal of Anxiety Disorders

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This study evaluated the properties of Swedish versions of self-report measures of posttraumatic stress disorder (PTSD), with emphasis on the Impact of Event ScaleRevised (IES-R). Survey data from adult survivors 1, 3, and 6 years after the 2004 Indian Ocean tsunami (n= 1,506) included the IES-R (from which the IES-6 was derived) and the 12-item General Health Questionnaire (GHQ-12). The PTSD Checklist (PCL) was included in one survey. A structured clinical interview was performed after 6 years (n = 142). Factor analyses of the IES-R and PCL indicated that a dysphoric-arousal model provided good fit invariant across assessments. Both measures were accurate in excluding PTSD while all measures provided poorer positive predictive values. The IES-R, but not the IES-6 and GHQ-12, evidenced stability across assessments. In conclusion, the Swedish IES-R and PCL are sound measures of chronic PTSD, and the findings illustrate important temporal aspects of PTSD assessment.

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Tsunami-exposed Tourist Survivors

Cited by 39 publications

References 36 publications

Mental Health and Related Factors after the Great East Japan Earthquake and Tsunami

Mental Health and Related Factors after the Great East Japan Earthquake and Tsunami

Emergence of human resilience in coastal ecosystems under environmental change

Properties of Swedish posttraumatic stress measures after a disaster

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