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Posttraumatic stress disorder six months after an earthquake

Findings from a community sample in a rural region in Italy

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Abstract

Background and aims

Various studies assessed rates of post-traumatic stress disorder (PTSD) following natural disasters including earthquakes. Yet, samples were often non-representative or small or both. This study aims to assess the prevalence of PTSD and predictors of PTSD 6 months after an earthquake in a rural region of Italy.

Methods

A questionnaire was handed out to a representative sample of approximate 3,000 people in the region of Molise in Italy 6 months after an earthquake in October/November 2002. The questionnaire assessed socio-demographic characteristics, aspects of the event, the experience of symptoms immediately after the earthquake, and symptoms of PTSD.

Results

Questionnaires of 2,148 people were returned, representing a response rate of 73.7%. The final analysis was based on 1,680 people. The screening tool provided a PTSD prevalence rate of 14.5%. Male gender, age under 55 years, and better school education predicted lower rates of PTSD. More variance was explained when psychological symptoms of immediately after the event were also included as predictors.

Conclusion

The findings on predictors are consistent with the literature. Whilst personal characteristics explain only a small variance of PTSD six months after the event, early psychological distress allows a better prediction of who is likely to have PTSD 6 months later.

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References

  1. Anderson KM, Manuel G (1994) Gender differences in reported stress response to the Loma Prieta earthquake. Sex Roles 30:725–733

    Article  Google Scholar 

  2. Bland S, Valoroso L, Stranges S, Strazzullo P, Farinaro E, Trevisan M (2005) Long-term follow-up of psychological distress following earthquake experiences among working Italian males: a cross-sectional analysis. J Nerv Ment Dis 193(6):420–423

    Article  PubMed  Google Scholar 

  3. Bödvarsdottir I, Elklit A (2004) Psychological reactions in Icelandic earthquake survivors. Scand J Psychol 45(1):3–13

    Article  PubMed  Google Scholar 

  4. Bremner JD, Southwick S, Brett E, Fontana A, Rosenheck R, Charney DS (1992) Dissociation and posttraumatic stress disorder in Vietnam combat veterans. Am J Psychiatry 149:328–332

    PubMed  CAS  Google Scholar 

  5. Breslau N, Davis GC, Andreski P (1996) Risk factors for PTSD-related traumatic events: a prospective analysis. Am J Psychiatry 152:529–535

    Google Scholar 

  6. Breslau N, Peterson EL, Kessler RC, Schultz LR (1999) Short screening scale for DSM-IV posttraumatic stress disorder. Am J Psychiatry 156(6):908–911

    PubMed  CAS  Google Scholar 

  7. Carr VJ, Lewin TJ, Webster RA, Kenardy JA, Hazell PL, Carter GL (1997) Psychosocial sequelae of the 1989 Newcastle earthquake, II: exposure and morbidity profiles during the first 2 years post-disaster. Psychol Med 27:167–178

    Article  PubMed  CAS  Google Scholar 

  8. Chang CM, Connor KM, Lai TJ, Lee LC, Davidson JR (2005) Predictors of posttraumatic outcomes following the 1999 Taiwan earthquake. J Nerv Ment Dis 193(1):40–46

    Article  PubMed  Google Scholar 

  9. Goenjan AK, Najarian LM, Pynoos RS, Steinberg AM, Manoukian G, Tavosian A, Fairbank LA (1994) Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia. Am J Psychiatry 151:895–901

    Google Scholar 

  10. Karanci AN, Rustemli A (1995) Psychological consequences of the 1992 Erzican (Turkey) earthquake. Disasters 19:8–18

    Article  PubMed  CAS  Google Scholar 

  11. Kato H, Asukai N, Miyake Y, Minakawa K, Nishiyama A (1996) Post-traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanhin-Awaji earthquake in Japan. Acta Psyciatr Scand 93:477–481

    Article  CAS  Google Scholar 

  12. Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB (1995) Posttraumatic stress disorder in the national co-morbidity survey. Arch Gen Psychiatry 52:1048–1060

    PubMed  CAS  Google Scholar 

  13. Lai TJ, Chang CM, Connor KM, Lee LC, Davidson JR (2004) Full and partial PTSD among earthquake survivors in rural Taiwan. J Psychiatr Res 38(3):313–322

    Article  PubMed  Google Scholar 

  14. Lewin TJ, Carr VJ, Webster RA (1998) Recovery from post-earthquake psychological morbidity: who suffers and who recovers? Aust NZ J Psychiatry 32(1):15–20

    Article  CAS  Google Scholar 

  15. Montazeri A, Baradaran H, Omidvari S, Azin SA, Ebadi M, Garmaroudi G, Harirchi AM, Shariati M (2005) Psychological distress among Bam earthquake survivors in Iran: a population-based study. BMC Public Health 11(5):4

    Article  Google Scholar 

  16. Murray J, Ehlers A, Mayon RA (2002) Dissociation and post-traumatic stress disorder: two prospective studies of road traffic accident survivors. Br J Psychiatry 180:363–368

    Article  PubMed  Google Scholar 

  17. Nolen-Hoeksema S, Morrow J (1991) A prospective study of depression and post-traumatic stress symptoms after a natural disaster: the 1989 Loma Prieta earthquake. J Pers Soc Psychol 6:115–121

    Google Scholar 

  18. Önder E, Tural Ü, Aker T, Kiliç C, Erdoğan S (2006) Prevalence of psychiatric disorders three years after the 1999 earthquake in Turkey: Marmara earthquake survey (MES). Soc Psychiatry Psychiatr Epidemiol 41:868–874

    Article  PubMed  Google Scholar 

  19. Peen J, Dekker J, Schoevers RA, ten Have M, Graaf R, Beekman AT (2007) Is the prevalence of psychiatric disorders associated with urbanization? Soc Psychiatry Psychiatr Epidemiol 42:984–989

    Article  PubMed  Google Scholar 

  20. Phifer JF (1990) Psychological distress and somatic symptoms after natural disaster: differential vulnerability among older adults. Psychol Aging 5:412–420

    Article  PubMed  CAS  Google Scholar 

  21. R Development Core Team. R: a language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria, 2005. URL http://www.r-project.org. ISBN 3-900051-07-0

  22. Silove D, Steel Z, Bauman A, Chey T, McFarlane A (2007) Trauma, PTSD and the longer-term mental health burden amongst Vietnamese refugees. Soc Psychiatry Psychiatr Epidemiol 42:467–476

    Article  PubMed  Google Scholar 

  23. Solomon SD, Davidson JRT (1997) Trauma: prevalence, impairment, service use and cost. J Clin Psychiatry 58(Suppl 9):5–11

    PubMed  Google Scholar 

  24. Strollo A, Richwalski SM, Parolai S, Gallipoli MR, Mucciarelli M, Caputo R (2007) Site effects of the 2002 Molise earthquake, Italy: analysis of strong motion, ambient noise, and synthetic data from 2D modelling in San Giuliano di Puglia. Bull Earthquake Eng 5:347–362

    Article  Google Scholar 

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Authors and Affiliations

  1. Unit for Social and Community Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, Newham Centre for Mental Health, London, E13 8SP, UK

    Stefan Priebe Dipl.-Psych., Dr. med. habil., FRCPsych,  Michael Dewey & Ana Costa

  2. Dept. of Experimental Medicine and Public Health, Faculty of Pharmacy, University of Camerino, Camerino, MC, Italy

    Iolanda Grappasonni &  Fabio Petrelli

  3. Dept. of Mental Health, Jesi, AN, Italy

    Massimo Mari

Authors
  1. Stefan Priebe Dipl.-Psych., Dr. med. habil., FRCPsych
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  2. Iolanda Grappasonni
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  3. Massimo Mari
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  4. Michael Dewey
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  5. Fabio Petrelli
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  6. Ana Costa
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Corresponding author

Correspondence to Stefan Priebe Dipl.-Psych., Dr. med. habil., FRCPsych.

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Priebe, S., Grappasonni, I., Mari, M. et al. Posttraumatic stress disorder six months after an earthquake. Soc Psychiat Epidemiol 44, 393–397 (2009). https://doi.org/10.1007/s00127-008-0441-y

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  • DOI: https://doi.org/10.1007/s00127-008-0441-y

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