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Titolo:
Psychological impact of the hurricane Mitch in Nicaragua in a one-year perspective
Autore:
Caldera, T; Palma, L; Penayo, U; Kullgren, G;
Indirizzi:
Umea Univ, Dept Clin Sci, SE-90185 Umea, Sweden Umea Univ Umea Sweden SE-90185 niv, Dept Clin Sci, SE-90185 Umea, Sweden
Titolo Testata:
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
fascicolo: 3, volume: 36, anno: 2001,
pagine: 108 - 114
SICI:
0933-7954(200103)36:3<108:PIOTHM>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTTRAUMATIC-STRESS-DISORDER; PSYCHIATRIC-DISORDERS; AIR DISASTER; COMORBIDITY; ANDREW;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Kullgren, G Umea Univ, Dept Clin Sci, SE-90185 Umea, Sweden Umea Univ Umea Sweden SE-90185 in Sci, SE-90185 Umea, Sweden
Citazione:
T. Caldera et al., "Psychological impact of the hurricane Mitch in Nicaragua in a one-year perspective", SOC PSY PSY, 36(3), 2001, pp. 108-114

Abstract

Background Whereas natural disasters more commonly occur in low-income countries, almost all studies on psychological consequences have been conducted in the Western world. In countries where resources are poor it is of importance to know which groups should be targeted for early intervention aftera disaster. The study aims at assessing the prevalence of post-traumatic stress disorder PTSD and of post-traumatic symptoms among people afflicted by hurricane Mitch in Nicaragua and at identifying risk factors for PTSD symptoms 6 months following a disaster. Method: At four primary health care centres, 496 consecutive adult patients were interviewed 6 months after hurricane Mitch regarding PTSD symptoms (Harvard Trauma Questionnaire, HTQ), disaster experiences and post-disaster help-seeking. Results: All individuals resident in the area during Mitch were judged to have experienced a trauma fulfilling A criteria for PTSD. Regarding more specific traumas, 39% reported a close relative to be dead or seriously injured and 72% had their housepartly or completely destroyed. Prevalence of PTSD ranged from 9.0% in theworst afflicted area to 4.5% in a less damaged area. From a dimensional perspective, PTSD symptoms according to HTQ 6 months after the disaster were significantly associated with the death of a relative (beta -coefficient 0.257, P = 0.000), a house destroyed (p-coefficient 0.148, P = 0.001), femalesex (beta -coefficient 0.139, P = 0.001), previous mental health problems (beta -coefficient 0.109, P = 0.009) and illiteracy (beta -coefficient 0.110, P = 0.009). Those with previous mental health problems (OR = 4.84; 95% CI = 3.04-7.66) were more likely than others to seek from help, any source whereas the opposite was true for illiterate people (OR = 0.38; 95% CI = 0.21-0.69). Of all respondents, 8.5% reported that they had thought of taking their lives, and illiterates (OR 2.84; 95% CI = 1.12-4.37) and those with previous mental health problems (OR 2.84; 95% CI = 1.12-4.57) were at particular risk for suicidal problems. One year after Mitch, half of those identified as PTSD cases at 6 months still fulfilled the criteria for a PTSD diagnosis. Conclusion: PTSD represents a serious mental health problem after a disaster. Those with illiteracy, females and those with previous mental health problems should be targets for early postdisaster intervention.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 00:49:05