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The “Trauma Signature:” Understanding the Psychological Consequences of the 2010 Haiti Earthquake

Published online by Cambridge University Press:  18 November 2011

James M. Shultz ,
Louis Herns Marcelin ,
Sharon B. Madanes ,
Zelde Espinel  and
Yuval Neria
James M. Shultz*
Affiliation:
Director, Center for Disaster & Extreme Event Preparedness (DEEP Center), University of Miami Miller School of Medicine, Miami, Florida USA
Louis Herns Marcelin
Affiliation:
University of Miami, Department of Anthropology & Department of Epidemiology and Public Health, Interuniversity Institute for Research and Development, Coral Gables, Florida USA
Sharon B. Madanes
Affiliation:
Department of Psychiatry, Columbia University, New York, New York USA
Zelde Espinel
Affiliation:
Co-Director, DEEP Center, University of Miami Miller School of Medicine, Miami, Florida USA
Yuval Neria
Affiliation:
Professor of Clinical Psychology and Director, Trauma and PTSD Program, Columbia University, Department of Psychiatry & The New York State Psychiatric Institute, New York, New York USA
*
Correspondence: James M. Shultz, PhD 251 174th Street #2319Sunny Isles Beach, FL, USA Email: [email protected]
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Abstract

The 2010 Haiti earthquake was one of the most catastrophic episodes in history, leaving 5% of the nation’s population killed or injured, and 19% internally displaced. The distinctive combination of earthquake hazards and vulnerabilities, extreme loss of life, and paralyzing damage to infrastructure, predicts population-wide psychological distress, debilitating psychopathology, and pervasive traumatic grief. However, mental health was not referenced in the national recovery plan. The limited MHPSS services provided in the first eight months generally lacked coordination and empirical basis.

There is a need to customize and coordinate disaster mental health assessments, interventions, and prevention efforts around the novel stressors and consequences of each traumatic event. An analysis of the key features of the 2010 Haiti earthquake was conducted, defining its “Trauma Signature” based on a synthesis of early disaster situation reports to identify the unique assortment of risk factors for post-disaster mental health consequences. This assessment suggests that multiple psychological risk factors were prominent features of the earthquake in Haiti. For rapid-onset disasters, Trauma Signature (TSIG) analysis can be performed during the post-impact/pre-deployment phase to target the MHPSS response in a manner that is evidence-based and tailored to the event-specific exposures and experiences of disaster survivors. Formalization of tools to perform TSIG analysis is needed to enhance the timeliness and accuracy of these assessments and to extend this approach to human-generated disasters and humanitarian crises.

Keywords

bereavementdisasterearthquakemental healthpsychologicalpsychosocialtrauma
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 26 , Issue 5 , October 2011 , pp. 353 - 366
Copyright
Copyright Shultz © World Association for Disaster and Emergency Medicine 2012

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References

Shultz, JM, Espinel, Z, Galea, S, Reissman, DB: Disaster Ecology: Implications for Disaster Psychiatry. In: Ursano, , et al., (eds.) Textbook of Disaster Psychiatry. Cambridge, UK: Cambridge University Press, 2007a, pp 69–96.Google Scholar
Shultz, JM, Espinel, Z, Flynn, BW, Cohen, RE, Hoffmann, Y: DEEP PREP: All-Hazards Disaster Behavioral Health Training. Tampa, Florida: Disaster Life Support Publishing, 2007b.Google Scholar
Shultz, JM, Kelly, F, Forbes, D, Verdeli, H, Leon, GR, Rosen, A, Neria, Y: Triple threat trauma: Evidence-based mental health response for the 2011 Japan disaster. Prehosp Disast Med 2011;26(3):141–145.CrossRefGoogle ScholarPubMed
Guha-Sapir, D, Hargitt, D, Hoyois, P, Thirty Years of Natural Disasters 1974–2003: The Numbers. Centre for Research on the Epidemiology of Disasters (CRED). Louvain-la-Neuve, Belgium: Presses Universitaires de Louvain, 2004.Google Scholar
World Health Association. Public Health Risk Assessment and Interventions: Earthquake Haiti. January 2010. Available at: ">http://www.who.int/diseasecontrol_emergencies/publications/haiti_earthquake_20100118.pdf"> Accessed 16 July 2011.http://www.who.int/diseasecontrol_emergencies/publications/haiti_earthquake_20100118.pdf">+Accessed+16+July+2011.>Google Scholar
Government of the Republic of Haiti. Haiti Earthquake PDNA: Assessment of Damage, Losses, General and Sectoral Needs. March 2010. Available at: http://www.refondation.ht/resources/PDNA_Working_Document.pdf. Accessed 16 July 2011.Google Scholar
Earthquake in Haiti PAHO/WHO Situation Report on Health Activities Post Earthquake. 18 May 2010. Available at: http://new.paho.org/disasters/index.php?option=com_docman&task=doc_download&gid=875&Itemid=. Accessed 16 July 2011.Google Scholar
Inter Agency Standing Committee (IASC)/United Nations Office for the Coordination of Humanitarian Assistance. Response to the Humanitarian Crisis in Haiti Following the 12 January 2010 Earthquake. July 2010. Available at: www.humanitarianinfo.org/iasc/downloaddoc.aspx?docID=5366&type... . Accessed 16 July 2011.Google Scholar
Quarantelli Catastrophes are Different from Disasters: Some Implications for Crisis Planning and Managing Drawn from Katrina. Understanding Katrina: Perspectives from the Social Sciences. Available at: http://understandingkatrina.ssrc.org/Quarantelli/. Accessed 16 July 2011.Google Scholar
Wikipedia: 2010 Haiti Earthquake. Available at: http://en.wikipedia.org/wiki/2010_Haiti_earthquake. Accessed 16 July 2011.Google Scholar
Callahan, R: Scientists: Newly Found Fault Caused Haiti Quake. Associated Press. Available at: http://www.huffingtonpost.com/2010/08/15/haiti-earthquake-fault-pr_n_682781.html. Accessed 16 July 2011.Google Scholar
Calais, E. The January 12, 2010 Haiti Earthquake. Available at: http://web.ics.purdue.edu/~ecalais/haiti/. Accessed 16 July 2011.Google Scholar
Norris, FH, Friedman, M, Watson, P: 60,000 disaster victims speak. Summary and implications of the disaster nental health research. Psychiatry 2002;65:240–260.CrossRefGoogle Scholar
Neria, Y, Nandi, A, Galea, S: Posttraumatic stress disorder following disasters: A systematic review. Psychol Med 2008;38(4):467–480.CrossRefGoogle ScholarPubMed
United Nations Development Programme. Human Development Report 2010 20th Anniversary Edition: The Real Wealth of Nations: Pathways to Human Development. Houndmills, Basingstoke, Hampshire, UK: Palgrave Macmillan, 2010 pp 186.Google Scholar
United Nations OCHA Haiti: Haiti Before Jan12th. Available at: http://ochaonline.un.org/OchaLinkClick.aspx?link=ocha&docId=1165439. Accessed 16 July 2011.Google Scholar
Marcelin, LH: Voices from the Shanties: A Post-Earthquake Rapid Assessment of Cite Soleil, Port-au-Prince. Port-au-Prince, Haiti: Interuniversity Institute for Research and Development (INURED), 2010 pp 1–24.Google Scholar
Centre for Research on the Epidemiology of Disasters: CRED Haiti Earthquake Brief January 13, 2010. Available at: http://cred.be/sites/default/files/Haiti_Earthquake_Brief.pdf. Accessed 16 July 2011.Google Scholar
Butler, AS, Panzer, AM, Goldfrank, LR: Preparing for the Psychological Consequences of Terrorism: A Public Health Approach. Washington DC: National Academies Press. 2003.Google Scholar
Centers for Disease Control and Prevention. Epidemiologic assessment of the impact of four hurricanes – Florida, 2004. Morb Mortal Wkly Rep 2004; 54:693–697.Google Scholar
Shultz, JM, Allen, A, Neria, Y, and Espinel, Z: Psychological Impacts of Natural Disasters. In: Bobrowski, P (ed.) Encyclopedia of Natural Hazards. Heidelberg, Germany: Springer Publishing Co., 2012.Google Scholar
Neria, Y, Olfson, M, Gameroff, M, Gross, R, Pilowsky, D, Blanco, PC, Manetti-Cusa Wickramaratne, J, Lantigua, R, Shea, S, Weissman, MM:. The mental health sequelae of loss: Findings from a New York City primary care practice one year after the 9/11 attacks. Psychiatry 2008;71:339–348.CrossRefGoogle Scholar
Neria, Y, Galea, S, Norris, FH, (eds.) Mental Health and Disasters. Cambridge, UK: Cambridge University Press, 2009.CrossRefGoogle Scholar
National Center for PTSD: Effects of Disasters: Risk and Resilience Factors. Available at: http://www.ptsd.va.gov/public/pages/effects_of_disasters_risk_and_resilience_factors.asp. Accessed 16 July 2011.Google Scholar
National Center for PTSD: Psychosocial Consequences of Major Hurricanes and Floods: Range, Duration, and Magnitude of Effects and Risk Factors for Adverse Outcomes. Available at: www.deep.med.miami.edu/media/PCHurrFldFrnNrsNCPTSD.pdf. Accessed 16 July 2011.Google Scholar
National Center for PTSD: Tsunami and Mental Health: What Can We Expect? Available at: http://www.ptsd.va.gov/public/pages/tsunami-mental-health.asp. Accessed 16 July 2011.Google Scholar
Peleg, K, Reuveni, H, Stein, M: Earthquake disasters—lessons to be learned. Isr Med Assoc J 2002;4:361–365.Google ScholarPubMed
Green, BL: Evaluating the effects of disasters. Psychological assessment. J Consult Clin Psychol 1991;3:538–546.Google Scholar
Neria, Y, Gross, R, Olfson, M, Gameroff, M, Wickramaratne, P, Das, A, Pilowsky, D, Feder, A, Blanco, PC, Marshall, RD, Lantigua, T, Shea, S, Weissman, MM: Posttraumatic stress disorder in primary care one year after the 9/11 Attacks. Gen Hosp Psychiatry 2006;28:213–222.CrossRefGoogle ScholarPubMed
Goenjian, AK, Najarian, LM, Pynoos, RS, Steinberg, AM, Manoukian, G, Tavosian, A, et al.: Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia. Am J Psychiatry 1994;151:895–901.Google ScholarPubMed
Goenjian, AK, Steinberg, AM, Najarian, LM, Fairbanks, LA, Tashjian, M, Pynoos, RS: Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. Am J Psychiatry 2000;157:911–916.CrossRefGoogle ScholarPubMed
Carr, VJ, Lewin, TJ, Webster, RA, Hazell, PL, Kenardy, JA, Carter, GL: Psychosocial sequelae of the 1989 Newcastle earthquake: I. Community disaster experiences and psychological morbidity 6 months postdisaster. Psychol Med 1995;25:539–555.CrossRefGoogle Scholar
Palinkas, LA, Petterson, JS, Russell, J, Downs, MA: Community patterns of psychiatric disorders after the Exxon Valdez oil spill. Am J Psychiatry 1993;150:1517–1523.Google ScholarPubMed
Smith, EM, North, CS, McCool, RE, Shea, JM: Acute postdisaster psychiatric disorders: Identification of persons at risk. Am J Psychiatry 1990;147:202–206.Google ScholarPubMed
Wang, X, Gao, L, Shinfuku, N, Zhang, H, Zhao, C, Shen, Y: Longitudinal study of earthquake-related PTSD in a randomly selected community sample in north China. Am J Psychiatry 2000;157:1260–1266.CrossRefGoogle Scholar
Wang, X, Gao, L, Zhang, H, Zhao, C, Shen, Y, Shinfuku, N: Post-earthquake quality of life and psychological well-being: Longitudinal evaluation in a rural community sample in northern China. Psychiatry Clin Neurosci 2000;54:427–433.CrossRefGoogle Scholar
Norris, F, Uhl, G: Chronic stress as a mediator of acute stress: The case of Hurricane Hugo. Journal Appl Soc Psychol 1993;23:1263–1284.CrossRefGoogle Scholar
Thompson, M, Norris, F, Hanacek, B: Age differences in the psychological consequences of Hurricane Hugo. Psychol Aging 1993;8:606–616.CrossRefGoogle ScholarPubMed
Norris, F, Perilla, J, Riad, J, Kaniasty, K, Lavizzo, E: Stability and change in stress resources, and psychological distress following natural disaster: Findings from Hurricane Andrew. Anxiety Stress Coping 1999;12:363–396.CrossRefGoogle ScholarPubMed
Norris, FH, Wind, LH: The Experience of Disaster: Trauma, Loss, Adversities, and Community Effects. In: Neria, Y, Galea, S, Norris, FH, (eds.) Mental Health and Disasters. Cambridge, UK: Cambridge University Press, 2009, pp 29–44.Google Scholar
Livanou, M, Basoglu, M, Salcioglu, E, Kalendar, D: Traumatic stress responses in treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis 2002;190:816–823.CrossRefGoogle ScholarPubMed
Livanou, M, Kasvikis, Y, Basoglu, M, Mytskidou, P, Sotiropoulou, V, Spanea, E, Mitsopoulou, T, Voutsa, N: Earthquake-related psychological distress and associated factors 4 years after the Parnitha earthquake in Greece. Eur Psychiatry 2005;20:137–144.CrossRefGoogle ScholarPubMed
Basoglu, M, Salcioglu, E, Livanou, M: Traumatic stress responses in earthquake survivors in Turkey. J Trauma Stress 2002;15:269–276.CrossRefGoogle ScholarPubMed
Basoglu, M, Kilic, C, Salcioglu, E, Livanou, M: Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: An epidemiological study. J Trauma Stress 2004;17(2):133–144.CrossRefGoogle ScholarPubMed
Salcioglu, E, Basoglu, M, Livanou, M: Long-term psychological outcome for non-treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis 2003;191:154–160.CrossRefGoogle ScholarPubMed
Sumer, N, Karanci, AN, Berument, SK, Gunes, H: Personal resources, coping self-efficacy, and quake: Exposure as predictors of psychological distress following the 1999 earthquake in Turkey. J Trauma Stress 2005;18(4):331–342.CrossRefGoogle ScholarPubMed
United States Geophysical Survey (USGS): The Modified Mercalli Intensity Scale. USGS Earthquake Hazards Program. Available at: http://earthquake.usgs.gov/learn/topics/mercalli.php. Accessed 13 July 2011.Google Scholar
United States Geological Survey, 2010. Estimated Population Exposed to Earthquake Shaking. Available at: http://earthquake.usgs.gov/earthquakes/pager/events/us/2010rja6/onepager.pdf. Accessed 13 July 2011.Google Scholar
Ursano, RJ, Fullerton, CS, McGaughey, BG: Trauma and Disaster. In Ursano, RJ, McGaughey, BG, Fullerton, CS (eds), Individual and Community Responses to Trauma and Disaster: The Structure of Human Chaos. Cambridge UK: Cambridge University Press, 1994, pp 3–27.CrossRefGoogle Scholar
Neria, Y, Litz, B: Bereavement by traumatic means: The complex synergy of trauma and grief. J Loss Trauma 2004;9:73–87.CrossRefGoogle ScholarPubMed
Kuwabara, H, Shioiri, T, Toyabe, SI, Kawamura, T, Koizumi, M, Ito-Sawamura, M, Akazawa, K, Someya, T: Factors impacting on psychological distress and recovery after the 2004 Niigata–Chuetsu earthquake, Japan: Community-based study. Psychiatry Clin Neurosci 2008;62:503–507.CrossRefGoogle ScholarPubMed
Lau, JTF, Yu, X, Zhang, J, Mak, WWS, Choi, KC, Lui, WWS, Zhang, J, and Chan, EYY: Psychological distress among adolescents in Chengdu, Sichuan at 1 month after the 2008 Sichuan earthquake. Journal of Urban Health. Bull N Y Acad Med 2010;87(3):504–523.Google Scholar
Adams, P: Rainy season could hamper Haiti’s recovery. Lancet 2010;375:1067–1069.CrossRefGoogle ScholarPubMed
Rundell, JR: Psychiatric issues in medical-surgical disaster casualties: A consultation-liaison approach. Psychiatr Q 2000;71:245–258.CrossRefGoogle ScholarPubMed
Rundell, JR: Assessment and Management of Medical-Surgical Disaster Casualties. In: Ursano, , et al., (eds.) Textbook of Disaster Psychiatry. Cambridge, UK: Cambridge University Press, 2007, pp 164–189.Google Scholar
Victorson, D, Farmer, L, Burnett, K, Ouellette, A, Barocas, J:. Maladaptive coping strategies and injury-related distress following traumatic physical injury. Rehabil Psychol 2005;50(4):408–415.CrossRefGoogle Scholar
Geisser, ME, Roth, RS, Bachman, JE, Eckert, TA: The relationship between symptoms of post-traumatic stress disorder and pain, affective disturbance and disability among patients with accident and non-accident related pain. Pain 1996;66:207–214.CrossRefGoogle ScholarPubMed
Maes, M, Mylle, J, Delmeire, L, Altamura, C: Psychiatric morbidity and comorbidity following accidental man-made traumatic events: Incidence and risk factors. Eur Arch Psychiatry Clin Neurosci 2000;250:156–162.CrossRefGoogle ScholarPubMed
Richmond, TS, Kauder, D: Predictors of psychological distress following serious injury. J Trauma Stress 2000;13:681–692.CrossRefGoogle ScholarPubMed
Helzer, JE, Robins, LN, McEvoy, L: Post-traumatic stress disorder in the general population. Findings of the epidemiological catchment area survey. N Engl J Med 1987;317:1630–1634.CrossRefGoogle ScholarPubMed
Abenheim, L, Dab, W, Salmi, LR: Study of civilian victims of terrorist attacks (France 1982-1987). J Clin Epidemiol 1992;45:103–109.CrossRefGoogle Scholar
Green, BL: Identifying Survivors at Risk. In: Wilson, JP, Raphael, B (eds.) International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993.Google Scholar
Hoge, CW, Castro, CA, Messer, SC, et al.: Combat duty in Iraq and Afghanistan, mental health problems and barriers to care. N Engl J Med 2004;351:13–22.CrossRefGoogle ScholarPubMed
Koren, D, Norman, D, Cohen, A, Berman, J, Klein, EM. Increased PTSD risk with combat-related injury: A matched comparison study of injured and uninjured soldiers experiencing the same combat events. Am J Psychiatry 2005;162:276–282.CrossRefGoogle ScholarPubMed
Zatzick, D: Interventions for Acutely Injured Survivors of Individual and Mass Trauma. In: Ursano, , et al., (eds.) Textbook of Disaster Psychiatry. Cambridge, UK: Cambridge University Press, 2007, pp 190–205.Google Scholar
Michaels, AJ, Michaels, CE, Moon, CH et al.: Posttraumatic stress disorder after injury: Impact on general health outcome and early risk assessment. J Trauma 1999;47:460–467.CrossRefGoogle ScholarPubMed
Ursano, RJ, Fullertion, CS, Epstein, RS et al.: Acute and chronic posttraumatic stress disorder in motor vehicle accident victims. Am J Psychiatry 1999;156;589–595.CrossRefGoogle ScholarPubMed
Holbrook, TL, Hoyt, DB, Stein, MB, Sieber, WJ: Perceived threat to life predicts posttraumatic stress disorder after major trauma: risk factors and functional outcome. J Trauma 2001;51:287–293.CrossRefGoogle ScholarPubMed
Marshall, GN, Schell, TL: Reappraising the link between peritraumatic dissociation and PTSD symptom severity: Evidence from a longitudinal study of community violence survivors. J Abnorm Psychol 2002;111:626–636.CrossRefGoogle ScholarPubMed
Zatzick, DF, Jurkovich, GJ, Gentilello, LM, Wisner, DH, Rivara, FP: Posttraumatic stress, problem drinking, and functioning 1 year after injury. Arch Surg 2002a;137:200–205.CrossRefGoogle ScholarPubMed
Zatzick, DF, Kang, SM, Muller, HG et al.: Predicting posttraumatic distress in hospitalized trauma survivors with acute injuries. Am J Psychiatry 2002b;159:941–946.CrossRefGoogle ScholarPubMed
Zatzick, DF, Jurkovich, G, Russo, J et al.: Post-traumatic distress, alcohol disorders, and recurrent trauma across level 1 trauma centers. J Trauma 2004;57:360–366.CrossRefGoogle ScholarPubMed
Zatzick, DF, Russo, J, Grossman, D et al.: Posttraumatic stress and depressive symptoms, alcohol use, and recurrent traumatic events in a representative sample of hospitalized injured adolescents and their parents. J Pediatric Psychol 2006;31:377–387.CrossRefGoogle Scholar
Shalev, AY, Freedman, S, Peri, T et al.: Prospective study of posttraumatic stress disorder and depression following trauma. Am J Psychiatry 1998;155:630–637.CrossRefGoogle ScholarPubMed
O’Donnell, ML, Creamer, M, Pattison, P: Posttraumatic stress disorder and depression following trauma: Understanding co-morbidity. Am J Psychiatry 2004;161:1390–1396.CrossRefGoogle Scholar
Engel, CC, Liu, X, McCarthy, BD, Miller, RF, Ursano, RJ: Relationship of physical symptomst to posttraumatic stress disorder among veterans seeking care for gulf-war related health concerns. Psychosom Med 2000;62:739–745.CrossRefGoogle Scholar
Katon, W, Sullivan, M, Walker, E: Medical symptoms without identified pathology: Relationship to psychiatric disorders, childhood and adult trauma, and personality traits. Ann Intern Med 2001;134:917–925.CrossRefGoogle ScholarPubMed
Zatzick, DF, Russo, J, Katon, W: Somatic, posttraumatic stress and depressive symptoms among injured patients treated in trauma surgery. Psychosomatics 2003;44:479–484.CrossRefGoogle ScholarPubMed
MSNBC: Haiti’s Amputees. Building a Life Worth Living (collection of byline articles from NBC reporters). Available at: http://haitiamputees.msnbc.msn.com/. Accessed July 14, 2011.Google Scholar
Cansever, A, Uzon, O, Yuldiz, C, Ates, A, Atesalp, AS: Depression in men with traumatic lower part amputation: A comparison to men with surgical lower part amputation. Mil Med 2003;168(2):106–109.Google ScholarPubMed
Cavanagh, SR, Shin, LM, Karamouz, N, Rauch, S: Psychiatric and emotional sequelae of surgical amputation. Psychomatics 2006;47(6):459–64.CrossRefGoogle ScholarPubMed
Frank, R, Kashani, J, Kashani, S, Wonderlich, S, Umlauf, R, Ashkanazi, G: Psychological response to amputation as a function of age and time since amputation. Br J Psychiatry 1984;144:493–497.CrossRefGoogle ScholarPubMed
Singh, R, Ripley, D, Pentland, B, Todd, I, Hunter, J, Hutton, L, Philip, A: Depression and anxiety symptoms after lower limb amputation: The rise and fall. Clin Rehabil 2009;23:281–286.CrossRefGoogle ScholarPubMed
Davis, W, The Serpent and the Rainbow. New York: Simon and Schuster, 1985.Google Scholar
Daniel, Y, Dancing Wisdom: Embodied Knowledge in Haitian Vodou, Cuban Yoruba, and Bahian Candomblé. Urbana: University of Illinois Press, 2005.Google Scholar
Smith, PB, Michel, C, Vodou in Haitian Life and Culture: Invisible Powers. New York: Palgrave Macmillan, 2006, pp 1–26.Google Scholar
Horgan, O, MacLachlan, M: Psychosocial adjustment to lower-limb amputation: a review. Disability Rehabilitation 2004;26(14–15):837–50CrossRefGoogle ScholarPubMed
Ferguson, AD, Richie, BS, Gomez, MJ: Psychological factors after traumatic amputation in landmine survivors: the bridge between physical healing and full recovery. Disability Rehabilitation 2004;26(14–15):931–8.CrossRefGoogle Scholar
Macintyre, AG, Barbera, JA, Smith, ER: Surviving collapsed structure entrapment after earthquakes: A “time-to-rescue” analysis. Prehosp Disast Med 2006;21(1):4–19.CrossRefGoogle ScholarPubMed
Hopmeier, MJ, Pape, JW, Paulison, D: Reflections on the initial multinational response to the earthquake in Haiti. Population Health Management 2010;13(3):105–113.CrossRefGoogle Scholar
Wang, HH, Zhang, ZJ, Tan, QR, Yin, H, Chen, YC, Wanga, HN, Zhang, RG, Wang, ZZ, Guo, L, Tang, LH, Li, LJ: Psychopathological, biological, and neuroimaging characterization of posttraumatic stress disorder in survivors of a severe coalmining disaster in China. J Psychiatr Res 2010;44:385–392.CrossRefGoogle ScholarPubMed
Sever, SM, Erek, E, Vanholder, R, Ozener, C, Yavuz, M, Kayacan, SM, Ergin, H, Apaydin, S, Cobanoglu, M, Donmez, O, Erdem, Y, Lamiere, N: Lessons learned from the Marmara disaster: Time period under the rubble. Crit Care Med 2002;30(11): 2443–2449.CrossRefGoogle ScholarPubMed
Watts, R: Posttraumatic stress disorder after a bus accident. Aust N Z J Psychiatry 1995;29:75–83.CrossRefGoogle ScholarPubMed
Galea, S, Ahern, J, Resnick, H, Kilpatrick, D, Bucuvalas, M, Gold, J et al.: Psychological sequelae of September 11 terrorist attacks in New York City. N Engl J Med 2002;346:982–987.CrossRefGoogle ScholarPubMed
Government of the Republic of Haiti. Haiti Earthquake Action Plan got National Recovery and Development of Haiti: Immediate Key Initiatives for the Future. March 2010. Available at: www.haiticonference.org/Haiti_Action_Plan_ENG.pdf. Accessed 16 July 2011.Google Scholar
Crane, K, Dobbins, J, Miller, LE, Ries, CP, Chivvis, CS, Haims, MC, Overhaus, M, Schwartz, HL, Wilke, E: Building a More Resilient Haitian State. Santa Monica, CA: RAND Corporation, July 2010. Available at: www.rand.org/pubs/monographs/2010/RAND_MG1039.pdf. Accessed 16 July 2011.CrossRefGoogle Scholar
Central Intelligence Agency. The World Factbook. Haiti. Available at: https://www.cia.gov/library/publications/the-world-factbook/geos/ha.html. Accessed 16 July 2011.Google Scholar
Centre for Research on the Epidemiology of Disasters (CRED). Earthquake (Seismic Activity) Disaster Profile – Natural Disasters. Available at: http://www.emdat.be/result-disaster-profiles?disgroup=natural&period=1900%242010&dis_type=Earthquake+%28seismic+activity%29&Submit=Display+Disaster+Profile. Accessed 16 July 2011.Google Scholar
CBS News. Haiti raises quake death toll on anniversary. Available at: http://www.cbc.ca/news/world/story/2011/01/12/haiti-anniversary-memorials.html. Accessed July 14, 2011.Google Scholar
Fullerton, CS, Ursano, RJ, Kao, TC, Bharitya, VR: Disaster-related bereavement: Acute symptoms and subsequent depression. Aviat Space Environ Med 1999;70(9):902–909.Google ScholarPubMed
Fullerton, CS, Reissman, DB, Gray, C, Flynn, BW, Ursano, RJ: Editorial: Earthquake Response and Psychosocial Health Outcomes: Applying Lessons From Integrating Systems of Care and Recovery to Haiti. Disaster Med Public Health Prep 2010;4(10):15–17.CrossRefGoogle ScholarPubMed
Raphael, B, Martinek, N, Wooding, S: Assessing Traumatic Bereavement. In: Wilson, JP, Keane, TM (eds.) Assessing Psychological Trauma and PTSD. 2nd ed. New York, NY: Guilford Press, 2004, pp 492–510.Google Scholar
Shear, K, Frank, E, Houck, PR, Reynolds, CF III: Treatment of complicated grief: A randomized controlled trial. JAMA 2005;293(21):2601–2608.CrossRefGoogle ScholarPubMed
Montazeri, A, Baradaran, H, Omidvari, S, Azin, SA, Ebadi, M, Garmaroudi, G, Harirchi, AM, Shariati, M: Psychological distress among Bam earthquake survivors in Iran: A population-based study. BMC Public Health 2005;5:4.CrossRefGoogle ScholarPubMed
Neria, Y, Gross, R, Litz, B, Insel, B, Maguen, S, Seirmarco, G, Rosenfeld, H, Suh, EJ, Kishon, R, Cook, J, Marshall R, D: Prevalence and psychological correlates of complicated grief among bereaved adults 2.5–3.5 years after 9/11 attacks. J Trauma Stress 2007;20:251–262.CrossRefGoogle Scholar
Prigerson, HG, Bierhals, AJ, Kasl, SV, Reynolds, CF 3rd, Shear, MK, Newsom, JT, Jacobs, S: Complicated grief as a disorder distinct from bereavement-related depression and anxiety: A replication study. Am J Psychiatry 1996; 153(11):1484–1486.Google ScholarPubMed
Prigerson, HG, Bierhals, AJ, Kasl, SV, Reynolds, CF 3rd, Shear, MK, Day, N, Beery, LC, Newsom, JT, Jacobs, S: Traumatic grief as a risk factor for mental and physical morbidity. Am J Psychiatry 1997;154(5):616–623.Google ScholarPubMed
Bruce, ML, Kim, K, Leaf, PJ, Jacobs, S: Depressive episodes and dysphoria resulting from conjugal bereavement in a prospective community sample. Am J Psychiatry 1990; 147(5):608–611.Google Scholar
Glass, TA, Prigerson, H, Kasl, SV, Mendes de Leon, CF: The effects of negative life events on alcohol consumption among older men and women. J Gerontol B Psychol Sci Soc Sci 1995;50(4):S205–216.CrossRefGoogle ScholarPubMed
Brown, LF, Reynolds, CF 3rd, Monk, TH, Prigerson, HG, Dew, MA, Houck, PR, Mazumdar, S, Buysse, DJ, Hoch, CC, Kupfer, DJ: Social rhythm stability following late-life spousal bereavement: Associations with depression and sleep impairment. Psychiatry Res 1996;62(2):161–169.CrossRefGoogle ScholarPubMed
Latham, AE, Prigerson, H: Suicidality and bereavement: Complicated grief as psychiatric disorder presenting greatest risk for suicidality. Suicide Life Threat Behav 2004;34(4):350–362.CrossRefGoogle ScholarPubMed
Li, J, Laursen, TM, Precht, DH, Olsen, J, Mortensen, PB: Hospitalization for mental illness among parents after the death of a child. N Engl J Med 2005;352(12):1190–1196.CrossRefGoogle ScholarPubMed
Li, J, Precht, DH, Mortensen, PB, Olsen, J: Mortality in parents after death of a child in Denmark: A nationwide follow-up study. Lancet 2003;361:363–367.CrossRefGoogle Scholar
Horowitz, MJ, Siegel, B, Holen, A et al.: Diagnostic criteria for complicated grief disorder. Am J Psychiatry 1997;154:904–910.Google ScholarPubMed
Howard, KI, Cornille, TA, Lyons, JS, Vessey, JT, Lueger, RJ, Saunders, SM: Patterns of mental health service utilization. Arch Gen Psychiatry 1996;53(8):696–703.CrossRefGoogle ScholarPubMed
Leaf, PJ, Bruce, ML, Tischler, GL, Freeman, DH Jr., Weissman, MM, Myers, JK: Factors affecting the utilization of specialty and general medical mental health services. Med Care 1998;26:9–26.CrossRefGoogle Scholar
Hobfoll, SE: The Ecology of Stress. New York: Hemisphere. 1988.Google Scholar
Armenian, HK, Morikawa, M, Melkonian, AK, Hovanesian, AP, Haroutunian, N, Saigh, PA et al.: Loss as a determinant of PTSD in a cohort of adult survivors of the 1988 earthquake in Armenia: Implications for policy. Acta Psychiatr Scand 2000;102:58–64.CrossRefGoogle Scholar
Bland, SH, O’Leary, ES, Farinaro, E, Jozza, F, Trevisan, M: Long-term psychological effects of natural disasters. Psychosom Med 1996;58:18–24 .CrossRefGoogle ScholarPubMed
Freedy, JR, Saladin, ME, Kilpatrick, DG, Resnick, HS, Saunders, BE: Understanding acute psychological distress following natural disaster. J Trauma Stress 1994;7(2):257–273.CrossRefGoogle ScholarPubMed
Lima, BR, Chavez, H, Samaniego, N, Pompei, MS, Pai, S, Santacruz, H et al.: Disaster severity and emotional disturbance: implications for primary mental health care in developing countries. Acta Psychiatr Scand 1989;79:74–82.CrossRefGoogle ScholarPubMed
Maj, M, Starace, F, Crepet, P, Lobrace, S, Veltro, F, De Marco, F, Kemali, D. Prevalence of psychiatric disorders among subjects exposed to a natural disaster. Acta Psychiatr Scand 1989;79:544–549.CrossRefGoogle ScholarPubMed
Caldera, T, Palma, L, Penayo, U, Kullgren, G: Prolonged impact of the hurricane Mitch in Nicaragua in a one-year perspective. Soc Psychiatry Psychiatr Epidemiol 2001;36(3):108–114.CrossRefGoogle Scholar
MacFarlane, A: The aetiology of post-traumatic morbidity: Predisposing, precipitating, and perpetuating factors. Br J Psychiatry 1989;154:221–228.CrossRefGoogle Scholar
Carr, VJ, Lewin, TJ, Kenardy, JA, Webster, RA, Hazell, PL, Carter, GL: Psychosocial sequelae of the 1989 Newcastle earthquake: III. Role of vulnerability factors in postdisaster morbidity. Psychol Med 1997;27:179–190.CrossRefGoogle ScholarPubMed
Epstein, RS, Fullerton, CS, Ursano, RJ: Posttraumatic stress disorder following an air disaster: A prospective study. Am J Psychiatry 1998;155(7):934–938.CrossRefGoogle ScholarPubMed
United Nations OCHA Haiti: Jan 12th Earthquake Key Facts and Figures. Available at: http://ochaonline.un.org/OchaLinkClick.aspx?link=ocha&docId=1165438. Accessed 14 July 2011.Google Scholar
Bland, SH, Valoroso, L, Stranges, S, Strazzullo, P, Farinaro, E, Trevisan, M: Long-term follow-up of psychological distress following earthquake experiences among working Italian males: a cross-sectional analysis. J Nerv Ment Dis 2005;193(6):420–423.CrossRefGoogle ScholarPubMed
Bland, SH, O’Leary, ES, Farinaro, E, Jozza, F, Krogh, V, Violanti, J, Trevisan, M: Social network disturbances and psychological distress following earthquake evacuation. J Nerv Ment Dis 1997;185(3):188–195.CrossRefGoogle ScholarPubMed
Kilic, C, Aydın, _I, Taskintuna, N, Ozurumez, G, Kurt, G, Eren, E, Lale, T, Ozel, S, Zileli, L: Predictors of psychological distress in survivors of the 1999 earthquakes in Turkey: Effects of relocation after the disaster. Acta Psychiatr Scand 2006;114:194–202.CrossRefGoogle ScholarPubMed
Carr, VJ, Lewin, TJ, Webster, RA, Kenardy, JA, Hazell, PL, Carter, GL: Psychosocial sequelae of the 1989 Newcastle earthquake: II. Exposure and morbidity profiles during the first 2 years post-disaster. Psychol Med 1997;27:167–178.CrossRefGoogle ScholarPubMed
Margesson, R, Taft-Morales, M: Haiti Earthquake: Crisis and Response. Congressional Research Service. Library of Congress. Washington DC, February 19, 2010.Google Scholar
Solomon, GF, Segerstrom, SC, Grohr, P, Kemeny, M, Fahey, J: Shaking up immunity: psychological and immunologic changes after a natural disaster. Psychosom Med 1997;59:114–127.CrossRefGoogle ScholarPubMed
Kessler, RC, Galea, S, Gruber, MJ, Sampson, NA, Ursano, RJ, Wessely, S: Trends in mental illness and suicidality after Hurricane Katrina. Mol Psychiatry 2008;13:374–384.CrossRefGoogle ScholarPubMed
Worthington, SA: Testimony of Samuel A. Worthington, President & CEO, InterAction, House Committee on Foreign Affairs, Subcommittee on the Western Hemisphere: Hearing on, “The Crisis in Haiti: Are We Moving Fast Enough?” July 29, 2010. Available at: http://www.internationalrelations.house.gov/111/Wor072910.pdf. Accessed 16 July 2011.Google Scholar
World Health Organization. Inter Agency Standing Committee. IASC Guidelines on Mental health and Psychosocial Support in Emergency Settings. Available at: http://www.who.int/hac/network/interagency/news/mental_health_guidelines/en/. Accessed 16 July 2011.Google Scholar
World Health Organization. Inter Agency Standing Committee. World Health Organization. Guidance Note for Mental Health and Psychosocial Support. Haiti Earthquake Emergency Response - January 2010. Available at: http://www.k4health.org/node/617272. Accessed 16 July 2011.Google Scholar
MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT Coordination Haiti: Mental Health and Psychosocial Support in Haiti: Pyramid of Interventions, Minimal Response Matrix and Mapping, May 2010. Available at: http://mhpss.net/wp-content/uploads/group-documents/83/1305721382-haiti_-_MHPSS_Mapping_ENG-1.docx Accessed 16 July 2011.Google Scholar
Private Sector Economic Forum. Vision and Roadmap for Haiti. March 2010. Available at: http://developinnovations.com/data/images/haiti-forum-and-roadmap_10032-final-draft_w-complete-annexes_ld250310.pdf. Accessed 13 September 2010.Google Scholar
InterAction. Haiti Accountability Report 2010. InterAction Members’ Use of Private Funds in Response to the Earthquake in Haiti. Available at: http://www.interaction.org/document/haiti-accountability-report-interaction-members-use-private-funds-response-earthquake-haiti. Accessed 16 July 2011.Google Scholar
Schinina, G, Hosn, MA, Ataya, A, Dieuveut, K, Salem, MA: Psychosocial response to the Haiti earthquake: The experiences of International Organization for Migration. Intervention 2010;8(2):158–164.CrossRefGoogle Scholar
UNICEF. Children of Haiti: Milestones and Looking Forward at Six Months, July 2010. Available at: http://www.unicef.org/media/files/UNICEF_Haiti_-_Six_Months_Report_Final.pdf. Accessed 16 July 2011.Google Scholar
Medecins Sans Frontiers (Doctors Without Borders). Emergency Response After the Haiti Earthquake: Choices, Obstacles, Activities and Finance, July, 2010. Available at: http://maps.msf.at/Haiti-Six-Months-Later/wp-content/uploads/2010/06/haiti_six_months_EN_LOW.pdf. Accessed 16 Jul 2011.Google Scholar
World Health Organization. Mental Health in Emergencies: Mental and Social Aspects of Health of Populations Exposed to Extreme Stressors, 2003. Available at: http://www.who.int/mental_health/media/en/640.pdf. Accessed 16 July 2011.Google Scholar
Weine, S, Danieli, Y, Silove, D, Van Ommeren, M, Fairbank, JA, Saul, Jfor the Task Force on International Trauma Training of the International Society for Traumatic Stress Studies: Guidelines for international training in mental health and psychosocial interventions for trauma exposed populations in clinical and community settings. Psychiatry 2002;65(2):156–315.CrossRefGoogle ScholarPubMed
World Health Organization. Mental Health Assistance to the Populations Affected by the Tsunami in Asia. Available at: http://www.who.int/mental_health/resources/tsunami/en/. Accessed 16 July 2011.Google Scholar
Yule, W: Theory, training and timing: psychosocial interventions in complex emergencies. Int Rev Psychiatry 2006;18(3):259–264.CrossRefGoogle ScholarPubMed
Norris, FH, Hamblein, JL, Rosen, CS: Service characteristics and counseling outcomes: Lessons from a cross-site evaluation of crisis counseling after Hurricanes Katrina, Rita and Wilma. Adm Policy Ment Health 2009;36:176–185.CrossRefGoogle ScholarPubMed
Yun, K, Lurie, N, Hyde, PS: Moving mental health into the disaster-preparedness spotlight. N Engl J Med 2010;363(13):1193–1195.CrossRefGoogle ScholarPubMed
Hobfoll Watson, P, Ruzek, J, Bell, C, Bryant, R et al.: Five Essential Elements of Immediate and Mid-Term Mass Trauma Intervention: Empirical Evidence. Psychiatry 2007;70:283–315.Google Scholar
Neria, Y, Galea, S, Norris, FH: Mental Health Research of Disasters: Current State, Gaps in Knowledge and Future Directions. In: Neria, Y, Galea, S, Norris, FH, (eds.) Mental Health and Disasters. Cambridge, UK: Cambridge University Press, 2009, pp 29–44.CrossRefGoogle Scholar
Foa, E. B. (2000). Psychosocial treatment of posttraumatic stress disorder. J Clin Psychiatry 2000;61(Suppl. 5):43–48.Google ScholarPubMed
Harvey, AG, Bryant, RA, Tarrier, N: Cognitive behaviour therapy of posttraumatic stress disorder. Clin Psychol Rev 2003;23:501–522.CrossRefGoogle ScholarPubMed
Basoglu, M, Salcioglu, E, Livanou, M: Advances in Our Understanding of Earthquake Trauma and Its Treatment: A Self-Help Model of Mental Health Care for Survivors. In: Neria, Y, Galea, S, Norris, FH, (eds.) Mental Health and Disasters. Cambridge, UK: Cambridge University Press, 2009, pp 29–44.Google Scholar
Gillespie, K, Duffy, M, Hackmann, A, Clark, DM: Community based cognitive therapy in the treatment of posttraumatic stress disorder following the Omagh bomb. Behav Res Ther 2002;40(4):345–357.CrossRefGoogle ScholarPubMed
Difede, J, Cukor, J, Jayasinghe, N, Patt, I, Jedel, S et al.: Virtual reality exposure therapy for the treatment of posttraumatic stress disorder following September 11, 2001. J Clin Psychiatry 2007;6(11):1639–1647.Google Scholar
Difede, J, Malta, LS, Best S. Henn-Haase, C, Metzler, T, Bryant, R, Marmar, C: A randomized controlled clinical treatment trial for World Trade Center attack-related PTSD in disaster workers. J Nerv Ment Dis 2007;195(10):861–865.CrossRefGoogle ScholarPubMed
United States Geophysical Survey (USGS): Magnitude 7.0 - Haiti Region 2010 January 12 21:53:10 UTCUSGS. Earthquake Details. Available at: http://earthquake.usgs.gov/earthquakes/eqinthenews/2010/us2010rja6/#details. Accessed 17 July 2011.Google Scholar
United States Geophysical Survey (USGS): Magnitude 7.0 - Haiti Region 2010 January 12 21:53:10 UTCUSGS. Earthquake Summary. Available at: http://earthquake.usgs.gov/earthquakes/eqinthenews/2010/us2010rja6/#summary. Accessed 17 July 2011.Google Scholar