DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20214550

Long term post-traumatic stress disorders among the earthquake affected people of Sindhupalchwok, Nepal

Laxmi Gautam, Durga Khadka Mishra, Gobind Prasad Pant, Rabina Khadka, Prakash Datt Chataut, Tripti Shrestha, Sailendra Thapa

Abstract


Background: People who are suffering from PTSD have disturbing feelings and thoughts which is related to their experience even after a long time of such traumatic events happened. This study highlight the characteristics and prevalence of PTSD among the earthquake survivors.

Methods: Cross sectional study was carried out using standard PCL-5 PTSD questionnaire. Interview was taken among 376 survivors of earthquake after 4 years of earthquake in Sindhupalchok. Descriptive statistics, Chi-square test and multiple logistic regression were used to describe data and test association.

Results: The mean age of the respondents was 39.47±16.18 years. Almost 2/5th of the respondents were either buried, injured or physically or mentally disabled during earthquake. Majority of the survivors had loss their loved one while most of them loss their property. Among the respondents who were buried 28.6% had develop PTSD which was 22.2% among physical or mental disable during earthquake. PTSD showed significant association with age, loss of known person and loss of property however didn’t show with gender, caste, experience of earthquake and so on. The prevalence of PTSD was 71 (21.5%) out of 331 respondents. Female (63.4%) were more prone to PTSD than male (36.6%).

Conclusions: PTSD is prevalent among 21.5% of survivors even after 4 years of earthquake which showed an urgent need to address PTSD among the respondents and immediate intervention to prevent and treat such problems in case of future disasters.

 


Keywords


Earthquake, Long-term, Prevalence, PTSD

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References


National Reconstruction Authority. 2015. Available from: http://www.nra.gov.np/en/pages/view/fk2lR wucsHVwn9q-LAxpTW9mGJgIRz25rUWNDHdb kYk. Accessed on 1 January 2020.

Government of Nepal. Sindhupalchok Gender Profile. 2016. Available from: https://reliefweb.int/ report/nepal/sindhupalchok-gender-profile-august-2016. Accessed on 1 January 2020.

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

Arlington VA, American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Am Psychiatr Assoc. 2013;5:612-3.

Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, Schnurr PP. The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov. 2013;10.

World Health Organization. One year on, the healing continues in Nepal. 2016. Available from: https://www.who.int/hac/crises/npl/releases/nepaloneyear/en/. Accessed on 3 January 2020.

OSOCC Assessment Cell. Nepal Earthquake District Profile- Sindhupalchok 08.05.2015. 2015. Available from: https://reliefweb.int/report/ nepal/nepal-earthquake-district-profile-sindhupalchok-08052015. Accessed on 3 January 2020.

Baral IA, Bhagawati K. Post-traumatic stress disorder and coping strategies among adult survivors of earthquake, Nepal. BMC Psychiatr. 2019;19(1):118.

Mishra D, Giri D, Marahatta SB. Post-traumatic stress disorder and associated factors among adolescents after 2015 Nepal earthquake. J Manmohan Mem Inst Health Sci. 2017;3(1):45-55.

Navarro-Mateu F, Salmerón D, Vilagut G, Tormo MJ, Ruíz-Merino G, Escámez T, et al. Post-traumatic stress disorder and other mental disorders in the general population after Lorca’s earthquakes, 2011 (Murcia, Spain): a cross-sectional study. PloS One. 2017;12(7):e0179690.

Wu HC, Chou P, Huang-Chih Chou F, Su CY, Tsai KY, Ou-Yang WC, et al. Survey of quality of life and related risk factors for a Taiwanese village population 3 years post-earthquake. A N Z J Psychiatr. 2006;40(4):355-61.

Önder E, Tural Ü, Aker T, Kılıç C, Erdoğan S. Prevalence of psychiatric disorders three years after the 1999 earthquake in Turkey: Marmara Earthquake Survey (MES). Soc Psychiatr Psychiatr Epidemiol. 2006;41(11):868-74.

Grappasonni I, Mari M, Dewey M, Petrelli F, Costa A. Posttraumatic stress disorder six months after an earthquake. Soc Psychiatr Psychiatr Epidemiol. 2009;44(5):393.

Zhou X, Kang L, Sun X, Song H, Mao W, Huang X, et al. Prevalence and risk factors of post-traumatic stress disorder among adult survivors six months after the Wenchuan earthquake. Comprehens psychiatr. 2013;54(5):493-9.

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 Psychiatr. 2016;16(1):188.

Cairo JB, Dutta S, Nawaz H, Hashmi S, Kasl S, Bellido E. The prevalence of posttraumatic stress disorder among adult earthquake survivors in Peru. Disaster Med Public Health Prepared. 2010;4(1):39-46.

Xu J, Song X. Posttraumatic stress disorder among survivors of the Wenchuan earthquake 1 year after: prevalence and risk factors. Comprehens Psychiatr. 2011;52(4):431-7.

Kun P, Chen X, Han S, Gong X, Chen M, Zhang W, et al. Prevalence of post-traumatic stress disorder in Sichuan Province, China after the 2008 Wenchuan earthquake. Public Health. 2009;123(11):703-7.

Naeem F, Ayub M, Masood K, Gul H, Khalid M, Farrukh A, et al. Prevalence and psychosocial risk factors of PTSD: 18 months after Kashmir earthquake in Pakistan. J Affect Disord. 2011;130(1-2):268-74.