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Symptoms of Anxiety, Depression, and Posttraumatic Stress Among Survivors of the 2005 Pakistani Earthquake

Published online by Cambridge University Press:  08 April 2013

Shahrukh Hashmi ,
Paul Petraro ,
Tara Rizzo ,
Hafsa Nawaz ,
Rabeea Choudhary ,
Baylah Tessier-Sherman ,
Stanislav Kasl  and
Haq Nawaz
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Abstract

Objectives: To assess and compare the prevalence of psychological morbidity among survivors of the 2005 northern Pakistan earthquake from Azad Kashmir and the Northwest Frontier Province (NWFP).

Methods: We conducted a cross-sectional study among randomly sampled survivors (N = 361) of the earthquake living in camps at the time of the interview, approximately 6 months after the earthquake.

Results: The prevalence of posttraumatic stress disorder (PTSD) symptoms in the total sample was 51.5% and the prevalence of individuals who received positive scores on the Hopkins Symptom Checklist (HSCL) was 75%. The prevalence rates for anxiety and depression symptoms were 77.3% and 70.9%, respectively. The prevalence in Azad Kashmir was 57.9% for PTSD and 79.8% for positive HSCL, and NWFP had 41.3% PTSD and 67.4% positive HSCL. Study subjects from Azad Kashmir were approximately 2 times as likely to have PTSD or a positive HSCL when compared to subjects from NWFP (odds ratio 1.95, confidence interval 1.27-3.0; P = .0024) and (odds ratio 1.91, confidence interval 1.18-3.1; P = .0085), respectively.

Conclusions: Nearly half of the northern Pakistan earthquake survivors had symptoms of PTSD. Six months after the incident, more than three-fourths exhibited symptoms of an anxiety disorder.

(Disaster Med Public Health Preparedness. 2011;5:293–299)

Keywords

PTSDsexKashmirdisastersanxietydepressionmental disordersstress disorder, post-traumaticearthquakesPakistanKashmirwomen's healthsex factors
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 5 , Issue 4 , December 2011 , pp. 293 - 299
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2011

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References

REFERENCES

1.Earthquake in Pakistan. Accessed May 10, 2009. http://www.earthquake.net.pk.Google Scholar
2.Onder, E, Tural, U, Aker, T, Kiliç, C, Erdoğan, S.Prevalence of psychiatric disorders three years after the 1999 earthquake in Turkey: Marmara Earth quake Survey (MES). Soc Psychiatry Psychiatr Epidemiol. 2006;41 (11):868–874.Google Scholar
3.Diagnostic and Statistical Manual of Mental Disorders.Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association; 2000.Google Scholar
4.Farhood, L, Dimassi, H, Lehtinen, T.Exposure to war-related traumatic events, prevalence of PTSD, and general psychiatric morbidity in a civilian population from Southern Lebanon. J Transcult Nurs. 2006;17 (4):333–340.Google Scholar
5.Pham, PN, Weinstein, HM, Longman, T.Trauma and PTSD symptoms in Rwanda: implications for attitudes toward justice and reconciliation. JAMA. 2004;292 (5):602–612.CrossRefGoogle ScholarPubMed
6.Seplaki, CL, Goldman, N, Weinstein, M, Lin, YH.Before and after the 1999 Chi-Chi earthquake: traumatic events and depressive symptoms in an older population. Soc Sci Med. 2006;62 (12):3121–3132.CrossRefGoogle Scholar
7.Norris, FH, Murphy, AD, Baker, CK, Perilla, JL.Postdisaster PTSD over four waves of a panel study of Mexico's 1999 flood. J Trauma Stress. 2004;17 (4):283–292.Google Scholar
8.Thavichachart, N, Tangwongchai, S, Worakul, P.Posttraumatic stress disorder of the Tsunami survivors in Thailand. J Med Assoc Thai. 2009;92 (3):420–429.Google ScholarPubMed
9.Kadri, N, Berrada, S, Douab, S, Tazi, I, Moussaoui, D.Post-traumatic stress disorder in survivors of the Agadir earthquake (Morocco) in 1960. Encephale. 2006;32 (2 Pt 1):215–221.Google Scholar
10.Kessler, RC.Posttraumatic stress disorder: the burden to the individual and to society. J Clin Psychiatry. 2000;61(Suppl 5)4–12, discussion 13-14.Google Scholar
11.Roberts, NP, Kitchiner, NJ, Kenardy, J, Bisson, JI.Systematic review and meta-analysis of multiple-session early interventions following traumatic events. Am J Psychiatry. 2009;166 (3):293–301.Google Scholar
12.Math, SB, John, JP, Girimaji, SC.Comparative study of psychiatric morbidity among the displaced and non-displaced populations in the Andaman and Nicobar Islands following the tsunami. Prehosp Disaster Med. 2008;23 (1):29–34, discussion 35.CrossRefGoogle ScholarPubMed
13.Luxton, DD, Skopp, NA, Maguen, SGender differences in depression and PTSD symptoms following combat exposure. Depress Anxiety. 2010 Nov;27(11).Google Scholar
14.Ward, MA timeline of terror in Pakistan. http://www.guardian.co.uk/world/2011/may/13/timeline-terror-pakistan. Published May 13, 2011. Accessed November 8, 2011.Google Scholar
15.Becker, SM.Psychosocial care for women survivors of the tsunami disaster in India. Am J Public Health. 2009;99 (4):654–658.Google Scholar
16.Madakasira, S, O’Brien, KF.Acute posttraumatic stress disorder in victims of a natural disaster. J Nerv Ment Dis. 1987;175 (5):286–290.Google Scholar
17.Kohn, R, Levav, I, Garcia, ID, Machuca, ME, Tamashiro, R.Prevalence, risk factors and aging vulnerability for psychopathology following a natural disaster in a developing country. Int J Geriatr Psychiatry. 2005;Sep;20 (9):835–841.CrossRefGoogle ScholarPubMed
18.United Nations Office for the Coordination of Humanitarian Affairs (OCHA). OCHA Situation Report.2005;5:10. http://reliefweb.int/node/187285. Accessed November 8, 2011.Google Scholar
19.United Nations HCR Emergency Response to South Asia Earthquake. Pakistan Situation Report.2006;57:10. http://www.humanitarianinfo.org/hic-pakistan/documents/UNHCREXTSitrep57-10may.pdf. Accessed November 8, 2011.Google Scholar
20.Halepota, AA, Wasif, SA.Hopkins Symptoms Checklist 25(HSCL-25) Urdu translation: an instrument for detecting anxiety and depression in torture and trauma victims. J Pak Med Assoc. 2001;51 (7):255–257.Google Scholar
21.Ventureyra, VA, Yao, SN, Cottraux, J, Note, I, De Mey-Guillard, C.The validation of the Posttraumatic Stress Disorder Checklist Scale in posttraumatic stress disorder and nonclinical subjects. Psychother Psychosom. 2002;71 (1):47–53.Google Scholar
22.Mills, MA, Edmondson, D, Park, CL.Trauma and stress response among Hurricane Katrina evacuees. Am J Public Health. 2007;97(Suppl 1)S116–S123.Google Scholar
23.Aksaray, G, Kortan, G, Erkaya, H, Yenilmez, C, Kaptanoğlu, C.Gender differences in psychological effect of the August 1999 earthquake in Turkey. Nord J Psychiatry. 2006;60 (5):387–391.Google Scholar
24.Naqvi, HA, Khan, MM.Mapping exercise of mental health research and researchers in Pakistan. J Pak Med Assoc. 2007;57 (6):294–298.Google Scholar
25.Petersen, HD, Larsen, M, Mannstaedt, M, Skytt, GL, Vedel, OM, Wandall, JH.Documentation of violence against civilians in a civil war: Examples from Kashmir. Ugeskr Laeger. 1998;160 (29):4302–4306.Google Scholar
26.Petersen, HD, Wandall, JH.Evidence of physical torture in a series of children. Forensic Sci Int. 1995;75 (1):45–55.Google Scholar
27.Hashemian, F, Khoshnood, K, Desai, MM, Falahati, F, Kasl, S, Southwick, S.Anxiety, depression, and posttraumatic stress in Iranian survivors of chemical warfare. JAMA. 2006;296 (5):560–566.Google Scholar
28.Fairbank, JA, Nicholson, RA.Theoretical and empirical issues in the treatment of post-traumatic stress disorder in Vietnam veterans. J Clin Psychol. 1987;43 (1):44–55.Google Scholar
29.Davidson, JR, Rothbaum, BO, van der Kolk, BA, Sikes, CR, Farfel, GM.Multicenter, double-blind comparison of sertraline and placebo in the treatment of posttraumatic stress disorder. Arch Gen Psychiatry. 2001;58 (5):485–492.CrossRefGoogle ScholarPubMed
30.Connor, KM, Sutherland, SM, Tupler, LA, Malik, ML, Davidson, JR.Fluoxetine in post-traumatic stress disorder. Randomised, double-blind study. Br J Psychiatry. 1999;175:17–22.Google Scholar
31.Watson, PJ, Ruzek, JI.Academic/State/Federal collaborations and the improvement of practices in disaster mental health services and evaluation. Adm Policy Ment Health. 2009;36 (3):215–220.CrossRefGoogle ScholarPubMed
32.Rodriguez, JJ, Kohn, R.Use of mental health services among disaster survivors. Curr Opin Psychiatry. 2008;21 (4):370–378.Google Scholar