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Rate of Prescription of Antidepressant and Anxiolytic Drugs after Cyclone Yasi in North Queensland

Published online by Cambridge University Press:  25 September 2012

Kim Usher*
Affiliation:
School of Nursing, Midwifery and Nutrition, James Cook University, Cairns, Queensland, Australia
Lawrence H. Brown
Affiliation:
School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Cairns, Queensland, Australia
Petra Buettner
Affiliation:
School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, Queensland, Australia
Beverley Glass
Affiliation:
School of Pharmacy and Molecular Sciences, James Cook University, Cairns, Queensland, Australia
Helen Boon
Affiliation:
School of Education, James Cook University, Cairns, Queensland, Australia
Caryn West
Affiliation:
School of Nursing, Midwifery and Nutrition, James Cook University, Cairns, Queensland, Australia
Joseph Grasso
Affiliation:
School of Pharmacy and Molecular Sciences, James Cook University, Cairns, Queensland, Australia
Jennifer Chamberlain-Salaun
Affiliation:
School of Nursing, Midwifery and Nutrition, James Cook University, Cairns, Queensland, Australia
Cindy Woods
Affiliation:
School of Nursing, Midwifery and Nutrition, James Cook University, Cairns, Queensland, Australia
*
Correspondence: Kim Usher, RN, DipHSc, BA, MNSt, PhD School of Nursing, Midwifery and Nutrition James Cook University PO Box 6811 Cairns, QLD, 4870 Australia E-mail [email protected]

Abstract

Introduction

The need to manage psychological symptoms after disasters can result in an increase in the prescription of psychotropic drugs, including antidepressants and anxiolytics. Therefore, an increase in the prescription of antidepressants and anxiolytics could be an indicator of general psychological distress in the community.

Purpose

The purpose of this study was to determine if there was a change in the rate of prescription of antidepressant and anxiolytic drugs following Cyclone Yasi.

Methods

A quantitative evaluation of new prescriptions of antidepressants and anxiolytics was conducted. The total number of new prescriptions for these drugs was calculated for the period six months after the cyclone and compared with the same six month period in the preceding year. Two control drugs were also included to rule out changes in the general rate of drug prescription in the affected communities.

Results

After Cyclone Yasi, there was an increase in the prescription of antidepressant drugs across all age and gender groups in the affected communities except for males 14-54 years of age. The prescription of anxiolytic drugs decreased immediately after the cyclone, but increased by the end of the six-month post-cyclone period. Control drug prescription did not change.

Conclusion

There was a quantifiable increase in the prescription of antidepressant drugs following Cyclone Yasi that may indicate an increase in psychosocial distress in the community.

UsherK, BrownLH, BuettnerP, GlassB, BoonH, WestC, GrassoJ, Chamberlain-SalaunJ, WoodsC. Rate of Prescription of Antidepressant and Anxiolytic Drugs after Cyclone Yasi in North Queensland. Prehosp Disaster Med. 2012;27(6):1-5.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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References

1.Katz, CL, Pellegrino, L, Pandya, A, Ng, A, DeLisi, LE. Research on psychiatric outcomes and interventions subsequent to disasters: a review of the literature. Psychiatry Res. 2002;110(3):201-217.CrossRefGoogle ScholarPubMed
2.Leon, GR. Overview of the psychosocial impact of disasters. Prehosp Disaster Med. 2004;19(1):4-9.CrossRefGoogle ScholarPubMed
3.Gray, MJ, Litz, B, Maguen, S. The acute psychological impact of disaster and large-scale trauma: limitations of traditional interventions and future practice recommendations. Prehosp Disaster Med. 2004;19(1):64-72.CrossRefGoogle Scholar
4.Van Ommeren, M, Saxena, S, Saraceno, B. Aid after disasters needs a long term public mental health perspective. BMJ. 2005;330(7501):1160-1161.CrossRefGoogle Scholar
5.North, C, Smith, E, Spitznagel, E. Posttraumatic stress disorder in survivors of a mass shooting. Am J Psychiatry. 1994;151(1):82-88.Google ScholarPubMed
6.North, CS, Pfefferbaum, B, Narayanan, P, Thielman, S, McCoy, G, Dumont, C, Kawasaki, A, Ryosho, N, Kim, YS, Spitznagel, EL. Comparison of post-disaster psychiatric disorders after terrorist bombings in Nairobi and Oklahoma City. Br J Psychiatry. 2005;186:487-493.CrossRefGoogle ScholarPubMed
7.Rossi, A, Maggio, R, Riccardi, I, Allegrini, F, Stratta, P. A quantitative analysis of antidepressant and antipsychotic prescriptions following an earthquake in Italy. J Trauma Stress. 2011;24(1):129-132.CrossRefGoogle ScholarPubMed
8.Shore, J, Tatum, E, Vollmer, W. Psychiatric reactions to disaster: the Mount St. Helens experience. Am J Psychiatry. 1986;143(5):590-595.Google ScholarPubMed
9.McFarlane, A, Raphael, B. Ash Wednesday: the effects of a fire. Aust N Z J Psychiatry. 1984;18:341-351.CrossRefGoogle ScholarPubMed
10.Maida, C, Gordon, N, Steinberg, A, Gordon, G. Psychosocial impact of disasters: victims of the Baldwin Hills fire. J Trauma Stress. 1989;2(1):37-48.CrossRefGoogle Scholar
11.Koopman, C, Classen, C, Spiegel, D. Predictors of posttraumatic stress symptoms among survivors of the Oakland/Berkeley, California, firestorm. Am J Psychiatry. 1994;151(6):888-894.Google ScholarPubMed
12.Green, BL, Lindy, JD, Grace, MC, et al. Buffalo Creek survivors in the second decade: stability of stress symptoms. Am J Orthopsychiatry. 1990;60(1):43-54.CrossRefGoogle ScholarPubMed
13.Cardena, E, Spiegel, D. Dissociative reactions to the San Francisco Bay Area earthquake of 1989. Am J Psychiatry. 1989;150(3):474-478.Google Scholar
14.Pynoos, RS, Goenjian, A, Tashjian, M, et al. Post-traumatic stress reactions in children after the 1988 Armenian earthquake. Br J Psychiatry. 1993;163(2):239-247.CrossRefGoogle ScholarPubMed
15.Goenjian, AK, Najarian, LM, Pynoos, RS, et al. Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia. Am J Psychiatry. 1994;151(6):895-901.Google ScholarPubMed
16.DiMaggio, C, Galea, S, Madrid, PA. Population psychiatric medication prescription rates following a terrorist attack. Prehosp Disaster Med. 2007;22(6):479-484.CrossRefGoogle ScholarPubMed
17.Ford, JD, Adams, ML, Dailey, EF. Factors associated with receiving help and risk factors for disaster-related distress among Connecticut adults 5-15 months after the September 11 terrorist incidents. Soc Psychiatry Psychiatr Epidemiol. 2006;41:261-270.CrossRefGoogle ScholarPubMed
18.Davidson, JRT. Pharmacotherapy of posttraumatic stress disorder: Treatment options, long-term follow-up and predictors of outcomes. J Clin Psychiatry. 2000;61(Suppl. 5):52-59.Google Scholar
19.Boscarino, JA, Galea, S, Ahern, J, Resnick, H, Vlahov, D. Psychiatric medication use among Manhattan residents following the World Trade Center disaster. J Trauma Stress. 2003;16(3):301-306.CrossRefGoogle ScholarPubMed
20.Rossi, A, Stratta, P, Allegrini, F. Changes in prescription of psychotropics after an earthquake in Italy. Psychiatr Serv. 2010;61(8):845-846.CrossRefGoogle ScholarPubMed
21.Woods, C, Goodman, D, Mills, J, Usher, K, McBride, WJH. Weather to evacuate? Med J Aust. 2011;195(11/12):712-713.CrossRefGoogle ScholarPubMed
22.Hennessy, S. Use of health care databases in pharmacoepidemiology. Basic Clin Pharmacol Toxicol. 2006;98(3):311-313.CrossRefGoogle ScholarPubMed
23.Hoff, LA. People in Crisis: Understanding and Helping (4th ed.). Redwood City, California: Addison-Wesley; 1995.Google Scholar