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Adverse childhood experiences, exposure to a natural disaster and posttraumatic stress disorder among survivors of the 2011 Great East Japan earthquake and tsunami

Published online by Cambridge University Press:  15 May 2017

Y. Inoue ,
A. Stickley ,
A. Yazawa ,
J. Aida ,
I. Kawachi ,
K. Kondo  and
T. Fujiwara
Y. Inoue*
Affiliation:
Carolina Population Center, The University of North Carolina at Chapel Hill, Chapel Hill, USA Department of Human Ecology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
A. Stickley
Affiliation:
Department of Human Ecology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan Stockholm Center for Health and Social Change (Scohost), Södertörn University, Huddinge, Sweden
A. Yazawa
Affiliation:
Department of Human Ecology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
J. Aida
Affiliation:
Department of International and Community Oral Health, Graduate School of Dentistry, Tohoku University, Sendai, Japan Miyagi Prefectural Government Office, Sendai, Japan
I. Kawachi
Affiliation:
Harvard T. H. Chan School of Public Health, Harvard University, Boston, USA
K. Kondo
Affiliation:
Center for Preventive Medical Sciences, Chiba University, Chiba, Japan Center for Well-being and Society, Nihon Fukushi University, Aichi, Japan Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi, Japan
T. Fujiwara
Affiliation:
Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan
*
*Address for correspondence: Y. Inoue, Carolina Population Center, The University of North Carolina at Chapel Hill, 137 East Franklin Street, Chapel Hill, NC, 27514, USA. (E-mail: [email protected])
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Abstract

Aims.

To investigate whether adverse childhood experiences (ACEs) modify the impact of exposure to a natural disaster (the 2011 Great East Japan earthquake and tsunami) on the occurrence of posttraumatic stress disorder (PTSD) among older people.

Methods.

Data were collected as part of the Japan Gerontological Evaluation Study (JAGES), which is an on-going epidemiological survey investigating social determinants of health among older people across Japan. Information on PTSD symptoms based on the Screening Questionnaire for Disaster Mental Health, traumatic exposure to the earthquake (i.e., house damage and loss of relatives/friends during the earthquake/tsunami) and ACEs was obtained from 580 participants aged 65 or older living in Iwanuma City, Miyagi Prefecture, which suffered severe damage as a result of the earthquake and the subsequent tsunami in March 2011. Associations were examined using Poisson regression analysis with a robust variance estimator after adjusting for covariates.

Results.

The prevalence of PTSD was 9.7% in this population; compared to those with no traumatic experience, the prevalence of PTSD was approximately two times higher among those who experienced the loss of close friends/relatives (PR = 1.84, 95% CI = 1.11–3.03, p = 0.018), or whose house was damaged (PR = 2.15, 95% CI = 1.07–4.34, p = 0.032). ACE was not significantly associated with PTSD. Stratified analyses by the presence of ACE showed that damage due to the earthquake/tsunami was associated with PTSD only among those without ACEs; more specifically, among non-ACE respondents the PR of PTSD associated with house damage was 6.67 (95% CI = 1.66–26.80), while for the loss of a relative or a close friend it was 3.56 (95% CI = 1.18–10.75). In contrast, no statistically significant associations were observed among those with ACEs.

Conclusion.

Following the Great East Japan earthquake/tsunami in 2011 a higher risk of developing PTSD symptoms was observed in 2013 especially among older individuals without ACEs. This suggests that ACEs might affect how individuals respond to subsequent traumatic events later in life.

Keywords

PTSDelderlyepidemiologypopulation survey
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 28 , Issue 1 , February 2019 , pp. 45 - 53
Copyright
Copyright © Cambridge University Press 2017 

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References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Association Publishing: Arlington, VA.Google Scholar
Astin, MC, Ogland-Hand, SM, Coleman, EM, Foy, DW (1995). Posttraumatic stress disorder and childhood abuse in battered women: comparisons with maritally distressed women. Journal of Consulting and Clinical Psychology 63, 308.Google Scholar
Blosnich, JR, Dichter, ME, Cerulli, C, Batten, SV, Bossarte, RM (2014). Disparities in adverse childhood experiences among individuals with a history of military service. JAMA Psychiatry 71, 1041–1048.Google Scholar
Bonanno, GA (2004). Loss, trauma, and human resilience – have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist 59, 20–28.Google Scholar
Bremner, JD, Southwick, SM, Johnson, DR, Yehuda, R, Charney, DS (1993). Childhood physical abuse and combat-related posttraumatic stress disorder in Vietnam veterans. American Journal of Psychiatry 150, 235–239.Google Scholar
Brewin, CR, Andrews, B, Valentine, JD (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology 68, 748.Google Scholar
Brown, DW, Anda, RF, Tiemeier, H, Felitti, VJ, Edwards, VJ, Croft, JB, Giles, WH (2009). Adverse childhood experiences and the risk of premature mortality. American Journal of Preventive Medicine 37, 389–396.Google Scholar
Cabrera, OA, Hoge, CW, Bliese, PD, Castro, CA, Messer, SC (2007). Childhood adversity and combat as predictors of depression and post-traumatic stress in deployed troops. American Journal of Preventive Medicine 33, 77–82.Google Scholar
Castro-Vale, I, van Rossum, EF, Machado, JC, Mota-Cardoso, R, Carvalho, D (2016). Genetics of glucocorticoid regulation and posttraumatic stress disorder – what do we know? Neuroscience and Biobehavioral Reviews 63, 143–157.Google Scholar
Felitti, VJ, Anda, RF, Nordenberg, D, Williamson, DF, Spitz, AM, Edwards, V, Koss, MP, Marks, JS (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine 14, 245–258.Google Scholar
Fritch, AM, Mishkind, M, Reger, MA, Gahm, GA (2010). The impact of childhood abuse and combat-related trauma on postdeployment adjustment. Journal of Traumatic Stress 23, 248–254.Google Scholar
Fujii, S, Kato, H, Maeda, K (2007). A simple interview-format screening measure for disaster mental health: an instrument newly developed after the 1995 Great Hanshin Earthquake in Japan – the Screening Questionnaire for Disaster Mental Health (SQD). Kobe Journal of Medical Sciences 53, 375–385.Google Scholar
Heim, C, Nemeroff, CB (2001). The role of childhood trauma in the neurobiology of mood and anxiety disorders: preclinical and clinical studies. Biological Psychiatry 49, 1023–1039.Google Scholar
Hikichi, H, Aida, J, Tsuboya, T, Kondo, K, Kawachi, I (2016). Can community social cohesion prevent posttraumatic stress disorder in the aftermath of a disaster? A natural experiment from the 2011 tohoku earthquake and tsunami. American Journal of Epidemiology 183, 902–910.Google Scholar
Iversen, AC, Fear, NT, Ehlers, A, Hacker Hughes, J, Hull, L, Earnshaw, M, Greenberg, N, Rona, R, Wessely, S, Hotopf, M (2008). Risk factors for post-traumatic stress disorder among UK Armed Forces personnel. Psychological Medicine 38, 511–522.Google Scholar
LeardMann, CA, Smith, B, Ryan, MAK (2010). Do adverse childhood experiences increase the risk of postdeployment posttraumatic stress disorder in US Marines? BMC Public Health 10, 437.Google Scholar
Matsuyama, Y, Fujiwara, T, Aida, J, Watt, RG, Kondo, N, Yamamoto, T, Kondo, K, Osaka, K (2016). Experience of childhood abuse and later number of remaining teeth in older Japanese: a life-course study from Japan Gerontological Evaluation Study project. Community Dentistry and Oral Epidemiology 44, 531–539.Google Scholar
McCranie, EW, Hyer, LA, Boudewyns, PA, Woods, MG (1992). Negative parenting behavior, combat exposure, and PTSD Symptom Severity – test of a Person-Event Interaction-Model. Journal of Nervous and Mental Disease 180, 431–438.Google Scholar
McLaughlin, KA, Conron, KJ, Koenen, KC, Gilman, SE (2010). Childhood adversity, adult stressful life events, and risk of past-year psychiatric disorder: a test of the stress sensitization hypothesis in a population-based sample of adults. Psychological Medicine 40, 1647–1658.Google Scholar
McMillen, C, Zuravin, S, Rideout, G (1995). Perceived benefit from child sexual abuse. Journal of Consulting and Clinical Psychology 63, 1037.Google Scholar
McNutt, LA, Wu, C, Xue, X, Hafner, JP (2003). Estimating the relative risk in cohort studies and clinical trials of common outcomes. American Journal of Epidemiology 157, 940–943.Google Scholar
Niino, N (1991). A Japanese translation of the geriatric depression scale. Clinical Gerontologist 10, 85–87.Google Scholar
Ogle, CM, Rubin, DC, Siegler, IC (2013). The impact of the developmental timing of trauma exposure on PTSD symptoms and psychosocial functioning among older adults. Developmental Psychology 49, 2191–2200.Google Scholar
Rudenstine, S, Cohen, G, Prescott, M, Sampson, L, Liberzon, I, Tamburrino, M, Calabrese, J, Galea, S (2015). Adverse childhood events and the risk for new-onset depression and post-traumatic stress disorder among U.S. National Guard Soldiers. Military Medicine 180, 972–978.Google Scholar
Sareen, J, Henriksen, CA, Bolton, SL, Afifi, TO, Stein, MB, Asmundson, GJG (2013). Adverse childhood experiences in relation to mood and anxiety disorders in a population-based sample of active military personnel. Psychological Medicine 43, 73–84.Google Scholar
Sheikh, JI, Yesavage, JA (1986). 9/Geriatric depression scale (GDS) recent evidence and development of a shorter violence. Clinical Gerontologist 5, 165–173.Google Scholar
Stein, AL, Tran, GQ, Lund, LM, Haji, U, Dashevsky, BA, Baker, DG (2005). Correlates for posttraumatic stress disorder in Gulf War veterans: a retrospective study of main and moderating effects. Journal of Anxiety Disorders 19, 861–876.Google Scholar
Tedeschi, RG, Calhoun, LG (2004). Posttraumatic growth: conceptual foundations and empirical evidence. Psychological Inquiry 15, 1–18.Google Scholar
Tsuboya, T, Aida, J, Hikichi, H, Subramanian, S, Kondo, K, Osaka, K, Kawachi, I (2016). Predictors of depressive symptoms following the Great East Japan earthquake: a prospective study. Social Science and Medicine 161, 47–54.Google Scholar
Wahlstrom, L, Michelsen, H, Schulman, A, Backheden, M (2010). Childhood life events and psychological symptoms in adult survivors of the 2004 tsunami. Nordic Journal of Psychiatry 64, 245–252.Google Scholar
Woodward, C, Joseph, S (2003). Positive change processes and post-traumatic growth in people who have experienced childhood abuse: understanding vehicles of change. Psychology and Psychotherapy 76, 267–283.Google Scholar
Zhang, J, Kai, FY (1998). What's the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. JAMA 280, 1690–1691.Google Scholar