Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-19T07:39:36.576Z Has data issue: false hasContentIssue false

Health-Related Quality of Life in the Aftermath of the L’Aquila Earthquake in Italy

Published online by Cambridge University Press:  21 July 2015

Antonella Gigantesco*
Affiliation:
Italian National Institute of Health, Center of Epidemiology, Surveillance and Health Promotion, Rome, Italy
Paolo D’Argenio
Affiliation:
Italian National Institute of Health, Center of Epidemiology, Surveillance and Health Promotion, Rome, Italy
Vincenza Cofini
Affiliation:
Università de L’Aquila, Department of Internal Medicine and Public Health, L’Aquila, Italy
Cristiana Mancini
Affiliation:
ASL Avezzano-Sulmona-L’Aquila, Department of Prevention and Public Health, L’Aquila, Italy.
Valentina Minardi
Affiliation:
Italian National Institute of Health, Center of Epidemiology, Surveillance and Health Promotion, Rome, Italy
*
Correspondence and reprint requests to Antonella Gigantesco, Italian National Institute of Health, Center of Epidemiology, Surveillance and Health Promotion, Viale Regina Elena, Rome, Italy (e-mail: [email protected]).

Abstract

Objective

A recent article reported a reduction in the suicide rate in the inhabitants of L’Aquila (Italy) in 2009, when on the night of April 6, a devastating earthquake struck the city. The potential implications of the role of resilience in the aftermath of natural disasters, together with the limitations of existing evidence on this topic, suggest a need for more research. We aimed to retrospectively investigate the impact of the L’Aquila earthquake on a standardized self-reported measure of health-related quality of life (HRQoL).

Methods

HRQoL data were collected through 2 separate cross-sectional surveys conducted during 2008 and 2010, before and after the earthquake that occurred in 2009, on 2 random samples of adults living in L’Aquila.

Results

The data seemed to suggest no decrease in the inhabitants’ HRQoL level after the disaster, which may suggest the role of resilience in supporting survivors’ HRQoL. The findings were also consistent with previous observations of a reduction in the suicide rate in the same inhabitants after the earthquake.

Conclusions

After a natural disaster, people likely activate personal resources and protective social factors that result in better subjective outcomes. (Disaster Med Public Health Preparedness. 2016;10:11-15)

Type
Brief Reports
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Castleden, M, McKee, M, Murray, V, et al. Resilience thinking in health protection. J Public Health. 2011;33:369-377.Google Scholar
2. Bonanno, GA, Rennicke, C, Dekel, S. Self-enhancement among high-exposure survivors of the September 11th terrorist attack: resilience or social maladjustment? J Pers Soc Psychol. 2005;88:984-998.Google Scholar
3. Bonanno, GA, Galea, S, Bucciarelli, A, et al. What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. J Consult Clin Psychol. 2007;75:671-682.Google Scholar
4. Baldissera, S, Campostrini, S, Binkin, N, et al. Features and initial assessment of the Italian Behavioral Risk Factor Surveillance System (PASSI), 2007-2008. Prev Chronic Dis. 2011;8(1):A24.Google Scholar
5. Gigantesco, A, Mirante, N, Granchelli, C, et al. Psychopathological chronic sequelae of the 2009 earthquake in L’Aquila, Italy. J Affect Disord. 2013;148:265-271.Google Scholar
6. Kroenke, K, Spitzer, RL, Williams, JB. The patient health questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284-1292.Google Scholar
7. Zack, MM, Centers for Disease Control and Prevention (CDC). Health-related quality of life - United States. 2006 and 2010. MMWR Surveill Summ. 2013;62:105-111.Google Scholar
8. Hennessy, CH, Moriarty, DG, Zack, MM, et al. Measuring health-related quality of life for public health surveillance. Public Health Rep. 1994;109:665-672.Google ScholarPubMed
9. Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. 5th ed. Lenexa, Kansas: American Association for Public Opinion Research; 2008. http://www.aapor.org/AAPORKentico/Communications/AAPOR-Journals/Standard-Definitions.aspx. Accessed July 7, 2015.Google Scholar
10. Lowe, B, Kroenke, K, Grafe, K. Detecting and monitoring depression with a two-item questionnaire (PHQ-2). J Psychosom Res. 2005;58:163-171.Google Scholar
11. Valenti, M, Masedu, F, Mazza, M, et al. A longitudinal study of quality of life of earthquake survivors in L’Aquila, Italy. BMC Public Health. 2013;13:1143.CrossRefGoogle ScholarPubMed
12. Chou, FH, Chou, P, Su, TT, et al. Quality of life and related risk factors in a Taiwanese Village population 21 months after an earthquake. Aust N Z J Psychiatry. 2004;38(5):358-364.Google Scholar
13. Ware, JEJ, Sherbourne, CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-483.CrossRefGoogle ScholarPubMed
14. Ke, X, Liu, C, Li, N. Social support and quality of life: a cross-sectional study on survivors eight months after the 2008 Wenchuan earthquake. BMC Public Health. 2010;10:573.CrossRefGoogle ScholarPubMed
15. Ware, JEJ, Kosinski, M, Keller, SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-233.Google Scholar
16. Wind, TR, Joshi, PC, Kleber, RJ, et al. The impact of recurrent disasters on mental health: a study on seasonal floods in northern India. Prehosp Disaster Med. 2013;28(3):279-285.Google Scholar
17. Heo, JH, Kim, MH, Koh, SB, et al. A prospective study on changes in health status following flood disaster. Psychiatry Investig. 2008;5(3):186-192.CrossRefGoogle ScholarPubMed
18. Brown, JS, Cherry, KE, Marks, LD, et al. After Hurricanes Katrina and Rita: gender differences in health and religiosity in middle-aged and older adults. Health Care Women Int. 2010;31(11):997-1012.Google Scholar
19. Stratta, P, Rossi, A. Subjective adjustment of individuals with psychiatric disorders in the aftermath of the L’Aquila earthquake. Am J Psychiatry. 2010;167:352-353.Google Scholar
20. Stratta, P, Rossi, A. Suicide in the aftermath of the L’Aquila (Italy) earthquake. Crisis. 2013;34:142-144.CrossRefGoogle ScholarPubMed
21. Hobfoll, SE. Social and psychological resources and adaptation. Rev Gen Psychol. 2002;6:307-324.Google Scholar
22. Cook, JD, Bickman, L. Social support and psychological symptomatology following natural disaster. J Trauma Stress. 1990;3:541-556.CrossRefGoogle Scholar
23. Andrews, B, Brewin, CR, Philpott, R, et al. Delayed-onset posttraumatic stress disorder: a systematic review of the evidence. Am J Psychiatry. 2007;164:1319-1326.Google Scholar
24. Hunt, SM, McKenna, SP, McEwen, J, et al. The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med A. 1981;15:221-229.Google Scholar
25. Kaplan, RM, Sieber, WJ, Ganiats, TG. The quality of well-being scale: comparison of the interviewer-administered version with a selfadministered questionnaire. Psych Health. 1997;12:783-791.Google Scholar
26. Hagerty, MR, Cummins, RA, Ferris, AL, et al. Quality of life indexes for national policy: review and agenda for research. Soc Indic Res. 2001;55:1-96.CrossRefGoogle Scholar