Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2016-0029
Trends in Psychiatry and Psychotherapy
Review Article

Posttraumatic stress disorder: a serious post-earthquake complication

Transtorno do estresse pós-traumático: complicação séria pós-terremoto

Mudassir Farooqui; Syed A. Quadri; Sajid S. Suriya; Muhammad Adnan Khan; Muhammad Ovais; Zohaib Sohail; Samra Shoaib; Hassaan Tohid; Muhammad Hassan

http://dx.doi.org/10.1590/2237-6089-2016-0029 Trends Psychiatry Psychother, vol.39, n2, p.135-143, 2017
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Abstract

Abstract Objectives Earthquakes are unpredictable and devastating natural disasters. They can cause massive destruction and loss of life and survivors may suffer psychological symptoms of severe intensity. Our goal in this article is to review studies published in the last 20 years to compile what is known about posttraumatic stress disorder (PTSD) occurring after earthquakes. The review also describes other psychiatric complications that can be associated with earthquakes, to provide readers with better overall understanding, and discusses several sociodemographic factors that can be associated with post-earthquake PTSD Method A search for literature was conducted on major databases such as MEDLINE, PubMed, EMBASE, and PsycINFO and in neurology and psychiatry journals, and many other medical journals. Terms used for electronic searches included, but were not limited to, posttraumatic stress disorder (PTSD), posttraumatic symptoms, anxiety, depression, major depressive disorder, earthquake, and natural disaster. The relevant information was then utilized to determine the relationships between earthquakes and posttraumatic stress symptoms. Results It was found that PTSD is the most commonly occurring mental health condition among earthquake survivors. Major depressive disorder, generalized anxiety disorder, obsessive compulsive disorder, social phobia, and specific phobias were also listed. Conclusion The PTSD prevalence rate varied widely. It was dependent on multiple risk factors in target populations and also on the interval of time that had elapsed between the exposure to the deadly incident and measurement. Females seemed to be the most widely-affected group, while elderly people and young children exhibit considerable psychosocial impact.

Keywords

Earthquake, posttraumatic stress disorder, mental health, major depressive disorder, anxiety, prevalence, risk factors

Resumo

Resumo Objetivos Terremotos são desastres naturais imprevisíveis e devastadores. Eles podem causar destruição em massa e morte, e os sobreviventes podem apresentar sintomas psicológicos severos. O objetivo deste estudo foi revisar estudos publicados nos últimos 20 anos pra compilar o conhecimento disponível acerca da ocorrência de transtorno do estresse pós-traumático (TEPT) após terremotos. A revisão também descreve outras complicações psiquiátricas que podem estar associadas a terremotos, oferecendo aos leitores um melhor entendimento geral sobre o assunto, e discute vários fatores sociodemográficos que podem estar associados com TEPT pós-terremoto. Métodos Foi realizada uma busca de literatura nas principais bases de dados, como MEDLINE, PubMed, EMBASE e PsycINFO, e também em revistas de neurologia e psiquiatria, e vários outros periódicos médicos. Os termos usados nas buscas eletrônicas incluíram, mas não se limitaram a, posttraumatic stress disorder (PTSD), posttraumatic symptoms, anxiety, depression, major depressive disorder, earthquake e natural disaster. As informações relevantes foram então utilizadas para determinar as relações entre terremotos e sintomas de estresse pós-traumático. Resultados A revisão revelou que o TEPT é a condição de saúde mental mais comum em sobreviventes de terremoto. Depressão maior, transtorno de ansiedade generalizada, transtorno obsessivo-compulsivo, fobia social e fobias específicas foram outras condições encontrados. Conclusão A prevalência de TEPT variou bastante. O transtorno foi dependente de múltiplos fatores de risco em populações-alvo e também do intervalo de tempo decorrido entre a exposição ao incidente fatal e a avaliação. As mulheres pareceram ser o grupo mais amplamente afetado, ao passo que idosos e crianças demonstração considerável impacto psicossocial.

Palavras-chave

Terremoto, transtorno do estresse pós-traumático, saúde mental, depressão maior, ansiedade, prevalência, fatores de risco

References

Earthquake facts. .

Wu Z, Xu J, He L. Psychological consequences and associated risk factors among adult survivors of the 2008 Wenchuan earthquake. BMC Psychiatry. 2014;14.

Tural U, Coşkun B, Onder E, Corapçioğlu A, Yildiz M, Kesepara C. Psychological consequences of the 1999 earthquake in Turkey. J Trauma Stress. 2004;17:451-9.

Kuwabara H, Shioiri T, Toyabe S, Kawamura T, Koizumi M, Ito-Sawamura M. Factors impacting on psychological distress and recovery after the 2004 Niigata-Chuetsu earthquake, Japan: community-based study. Psychiatry Clin Neurosci. 2008;62:503-7.

Naeem F, Ayub M, Masood K, Gul H, Khalid M, Farrukh A. Prevalence and psychosocial risk factors of PTSD: 18 months after Kashmir earthquake in Pakistan. J Affect Disord. 2011;130:268-74.

Karanci AN, Rustemly A. Psychological consequences of the 1992 Erzincan (Turkey) earthquake. Disasters. 1995;19:8-18.

Christodoulou GN, Paparrigopoulos TJ, Soldatos CR. Acute stress reaction among victims of the 1999 Athens earthquake: help seekers’ profile. World Psychiatry. 2003;2:50-3.

Long J, Huang X, Liao Y, Hu X, Hu J, Lui S. Prediction of post-earthquake depressive and anxiety symptoms: a longitudinal resting-state fMRI study. Sci Rep. 2014;4.

Blanc J, Bui E, Mouchenik Y, Derivois D, Birmes P. Prevalence of post-traumatic stress disorder and depression in two groups of children one year after the January 2010 earthquake in Haiti. J Affect Disord. 2014;172:121-6.

Goenjian AK, Roussos A, Steinberg AM, Sotiropoulou C, Walling D, Kakaki M. Longitudinal study of PTSD, depression, and quality of life among adolescents after the Parnitha earthquake. J Affect Disord. 2011;33:509-15.

Feder A, Ahmad S, Lee EJ, Morgan JE, Singh R, Smith BW. Coping and PTSD symptoms in Pakistani earthquake survivors: purpose in life, religious coping and social support. J Affect Disord. 2013;147:156-63.

Norenzayan A, Lee A. It was meant to happen: explaining cultural variations in fate attributions. J Pers Soc Psychol. 2010;98:702-20.

Roberts YH, Mitchell MJ, Witman M, Taffaro C. Mental health symptoms in youth affected by Hurricane Katrina. Prof Psychol-Res Pr. 2010;41:10-8.

Neria Y, Nandi A, Galea S. Post-traumatic stress disorder following disasters: a systematic review. Psychol Med. 2008;38:467-80.

North CS, Nixon SJ, Shariat S, Mallonee S, McMillen JC, Spitznagel EL. Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA. 1999;282:755-62.

Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). 1994.

Classen C, Koopman C, Hales R, Spiegel D. Acute stress disorder as a predictor of posttraumatic stress symptoms. Am J Psychiatry. 1998;155:620-4.

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). 2013.

Bryant RA. Acute stress disorder as a predictor of posttraumatic stress disorder: a systematic review. J Clin Psychiatry. 2011:233-9.

Breslau N. Epidemiologic studies of trauma, posttraumatic stress disorder, and other psychiatric disorder. Can. J. Psychiatry. 2002;47:923-9.

Anwar J, Mpofu E, Matthews LR, Shadoul AF, Brock KE. Reproductive health and access to healthcare facilities: risk factors for depression and anxiety in women with an earthquake experience. BMC Public Health. 2011;11.

Goenjian A.K., Steinberg A.M., Najarian L.M., Fairbanks L.A., Tashjian M., Pynoos R.S. Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. Am J Psychiatry. 2000;157:911-6.

Basoglu M., Kilic C., Salcioglu E., Livanou M. Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: an epidemiological study. J Trauma Stress. 2004;17:133-41.

Cénat JM, Derivois D. Assessment of prevalence and determinants of posttraumatic stress disorder and depression symptoms in adult survivors of earthquake in Haiti after 30 months. J Affect Disord. 2014;159:111-7.

Clum GA, Calhoun KS, Kimerling R. Associations among symptoms of depression and posttraumatic stress disorder and self-reported health in sexually assaulted women. J Nerv Ment Dis. 2000;188:671-8.

Inaba A, Thoits PA, Ueno K, Gove WR, Evenson RJ. Depression in the United States and Japan: gender, marital status, and SES patterns. Soc Sci Med. 2005;61:2280-92.

Sharan P, Chaudhary G, Kavathekar SA, Saxena S. Preliminary report of psychiatric disorders in survivors of a severe earthquake. Am J Psychiatry. 1996;153:556-8.

Onder E, Tural U, Aker T, Kiliç C, Erdoğan S. Prevalence of psychiatric disorders three years after the 1999 earthquake in Turkey: Marmara Earthquake Survey (MES). Soc Psychiatry Psychiatr Epidemiol. 2006;41:868-74.

Wu Z, Xu J, He L. Psychological consequences and associated risk factors among adult survivors of the 2008 Wenchuan earthquake. BMC Psychiatry. 2014;14.

Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology. 2000;68:748-66.

Breslau N, Kessler RC, Chilcoat HD, Schultz LR, Davis GC. Trauma and post-traumatic stress disorder in the community: The 1996 Detroit Area Survey of Trauma. American Journal of Psychiatry. 1998;55:626-32.

Kun P, Han S, Chen X, Yao L. Prevalence and risk factors for posttraumatic stress disorder: a cross-sectional study among survivors of the Wenchuan 2008 earthquake in China. Depress and Anxiety. 2009;26:1134-40.

Agustini EN, Asniar I, Matsuo H. The prevalence of long-term posttraumatic stress symptoms among adolescents after the tsunami in Aceh. Journal of Psychiatric and Mental Health Nursing. 2011;18:543-9.

Ma X, Liu X, Hu X, Qiu C, Wang Y, Huang Y. Risk indicators for posttraumatic stress disorder in adolescents exposed to the 5.12 Wenchuan earthquake in China. Psychiatry Research. 2011;189:385-91.

Wang L, Zhang Y, Wang W, Shi Z, Shen J, Li M. Symptoms of posttraumatic stress disorder among adult survivors three months after the Sichuan earthquake in China. Journal of Traumatic Stress. 2009;22:444-50.

Cheng Y, Wang F, Wen J, Shi Y. Risk factors of post-traumatic stress disorder (PTSD) after Wenchuan earthquake: a case control study. PLoS One. 2014;9.

Zhou X, Kang L, Sun X, Song H, Mao W, Huang X. Risk factors of mental illness among adult survivors after the Wenchuan earthquake. Soc Psychiatry Psychiatr Epidemiol. 2013;48:907-15.

Zhou X, Kang L, Sun X, Song H, Mao W, Huang X, Zhang Y, Li J. Prevalence and risk factors of post-traumatic stress disorder among adult survivors six months after the Wenchuan earthquake. Compr Psychiatry. 2013;54:493-9.

Yokoyama Y, Otsuka K, Kawakami N, Kobayashi S, Ogawa A, Tannno K. Mental health and related factors after the Great East Japan earthquake and tsunami. PLoS One. 2014;24(9).

Cheng Y, Wang F, Wen J, Shi Y. Risk factors of post-traumatic stress disorder (PTSD) after Wenchuan earthquake: a case control study. PLoS One. 2014;9.

Fu Y, Chen Y, Wang J, Tang X, He J, Jiao M. Analysis of prevalence of PTSD and its influencing factors among college students after the Wenchuan earthquake. Child Adolesc Psychiatry Ment Health. 2013;7.

Naeem F, Ayub M, Masood K, Gul H, Khalid M, Farrukh A. Prevalence and psychosocial risk factors of PTSD: 18 months after Kashmir earthquake in Pakistan. J Affect Disord. 2011;130:268-74.

Punamaki RL, Komproe IH, Qouta S, Elmasri M, Jong JT. The role of peritraumatic dissociation and gender in the association between trauma and mental health in a community sample. Am J Psychiatry. 2005;162:545-51.

Patel V, Kirkwood BR, Pednekar S, Weiss H, Mabey D. Risk factors for common mental disorders in women: Population-based longitudinal study. Br J Psychiatry. 2006;189:547-55.

Engelhard IM, van den Hout M, Arntz A. Posttraumatic stress disorder after pregnancy loss. Gen Hosp Psychiatry. 2001;23:62-6.

Forray A, Mayes LC, Magriples U, Epperson CN. Prevalence of posttraumatic stress disorder in pregnant women with prior pregnancy complications. J Matern Fetal Neonatal Med. 2009;22:522-7.

Mental health aspects of women’s reproductive health: A global review of the literature. 2009.

Buekens P, Xiong X, Harville E. Hurricanes and pregnancy. Birth. 2006;33:91-3.

Callaghan WM, Rasmussen SA, Jamieson DJ, Ventura SJ, Farr SL, Sutton PD. Health concerns of women and infants in times of natural disasters: Lessons learned from Hurricane Katrina. Matern Child Health J. 2007;11:307-11.

Otsea K. Prioritizing reproductive health for refugees. Initiat Reprod Health Policy. 1999;3:1-3.

Patel V, Kirkwood BR, Pednekar S, Pereira B, Barros P, Fernandes J, Datta J, Pai R, Weiss H, Mabey D. Gender disadvantage and reproductive health risk factors for common mental disorders in women: A community survey in India. Arch Gen Psychiatry. 2006;63:404-13.

Seng JS, Oakley DJ, Sampselle CM, Killion C, Graham-Bermann S, Liberzon I. Posttraumatic stress disorder and pregnancy complications. Obstet Gynecol. 2001;97:17-22.

Kun P, Chen X, Han S, Gong X, Chen M, Zhang W. Prevalence of post-traumatic stress disorder in Sichuan Province, China after the 2008 Wenchuan earthquake. Public Health. 2009;123:703-7.

Jia Z, Tian W, Liu W, Cao Y, Yan J, Shun Z. Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Public Health. 2010;10.

Ursano R, Norwood AE. Trauma and disaster responses and management. 2003:63-90.

Giannopoulou I, Strouthos M, Smith P, Dikaiakou A, Galanopoulou V, Yule W. Post-traumatic stress reactions of children and adolescents exposed to the Athens 1999 earthquake. Eur Psychiatry. 2006;21:160-6.

Bui E, Brunet A, Allenou C, Camassel C, Raynaud JP, Claudet I. Peritraumatic reactions and post-traumatic stress symptoms in school-aged children victims of road traffic accident. Gen Hosp Psychiatry. 2010;32:330-3.

Yuan KC, Ruo Yao Z, Zhen Yu S, Xu Dong Z, Jian Zhong Y, Edwards JG. Prevalence and predictors of stress disorders following two earthquakes. Int J Soc Psychiatry. 2013;59:525-30.

Norris FH, Friedman MJ, Watson PJ, Byrne CM, Diaz E. 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry. 2002;65:207-39.

Oyama M, Nakamura K, Suda Y, Someya T. Social network disruption as a major factor associated with psychological distress 3 years after the 2004 Niigata-Chuetsu earthquake in Japan. Environmental health and preventive medicine. 2012;17:118-23.

Jia Z, Tian W, Liu W, Cao Y, Yan J. Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Public Health. 2010;10.

Altindaga AT, Ozenb S, Sir A. One-year follow-up study of posttraumatic stress disorder among earthquake survivors in Turkey. Compr Psychiatry. 2005;46:328-33.

Tian Y, Wong TK, Li J, Jiang X. Posttraumatic stress disorder and its risk factors among adolescent survivors three years after an 8.0 magnitude earthquake in China. BMC Public Health. 2014;14.

Roussos A, Goenjian AK, Steinberg AM, Sotiropoulou C, Kakaki M, Kabakos C. Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece. Am J Psychiatry. 2005;162:530-7.

Goenjian AK, Walling D, Steinberg AM, Karayan I, Najarian LM. Pynoos R: A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. Am J Psychiatry. 2005;162:2302-8.

Goenjian AK, Pynoos RS, Steinberg AM, Najarian LM, Asarnow JR, Karayan I. Psychiatric comorbidity in children after the 1988 earthquake in Armenia. J Am Acad Child Adolesc Psychiatry. 1995;34:1174-84.

Liu KZ, Liang XM, Guo LT, Li Y, Li XR, Xin B. The acute stress disorder in the paediatric surgical children and adolescents injured in the Wenchuan earthquake of China. Steess Health. 2010;1:75-81.

Priebe S, Marchi F, Bini L. Mental disorders, psychological symptoms and quality of life 8 years after an earthquake: findings from a community sample in Italy. Soc Psychiatry Psychiatr Epidemiol. 2011;46:615-21.

Wang B, Ni C, Chen J, Liu X, Wang A, Shao Z. Posttraumatic stress disorder 1 month after 2008 earthquake in China: Wenchuan earthquake survey. Psychiatry Res. 2011;187:392-6.

Goenjian AK, Roussos A, Steinberg AM, Sotiropoulou C, Walling D, Kakaki M. Longitudinal study of PTSD, depression, and quality of life among adolescents after the Parnitha earthquake. J Affect Disord. 2011;33:509-15.

Anwar J, Mpofu E, Matthews LR, Brock KE. Risk factors of posttraumatic stress disorder after an earthquake disaster. J Nerv Ment Dis. 2013;201:1045-52.

Dai W, Chen L, Lai Z, Li Y, Wang J, Liu A. The incidence of post-traumatic stress disorder among survivors after earthquakes: a systematic review and meta-analysis. BMC Psychiatry. 2016;16.

Liu D, Fu L, Jing Z, Chen C. Post-traumatic stress disorder and it’s predictors among Tibetan adolescents 3 years after the high-altitude earthquake in China. Arch Psychiatr Nursing. 2016;30:593-9.

Rahill GJ, Joshi M, Lescano C, Holbert D. Symptoms of PTSD in a sample of female victims of sexual violence in post-earthquake Haiti. J Affect Disord. 2015;173:232-8.

Bianchini V, Roncone R, Giusti L, Casacchia M, Cifone MG, Pollice R. PTSD growth and substance abuse among a college student community: coping strategies after 2009 L’aquila Earthquake. Clin Pract Epidemiol Ment Health. 2015;11:140-3.

Cofini V, Carbonelli A, Cecilia MR, Binkin N, di Orio F. Post traumatic stress disorder and coping in a sample of adult survivors of the Italian earthquake. Psychiatry Res. 2015;229:353-8.

Shrestha R. Post-traumatic stress disorder among medical personnel after Nepal earthquake, 2015. J Nepal Health Res Counc. 2015;13:144-8.

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