Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-27T20:10:19.701Z Has data issue: false hasContentIssue false

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

Published online by Cambridge University Press:  08 April 2013

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)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2011

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

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):868874.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):333340.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):602612.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):31213132.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):283292.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):420429.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):215221.Google Scholar
10.Kessler, RC.Posttraumatic stress disorder: the burden to the individual and to society. J Clin Psychiatry. 2000;61(Suppl 5)412, 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):293301.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):2934, 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):654658.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):286290.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):835841.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):255257.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):4753.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)S116S123.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):387391.Google Scholar
24.Naqvi, HA, Khan, MM.Mapping exercise of mental health research and researchers in Pakistan. J Pak Med Assoc. 2007;57 (6):294298.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):43024306.Google Scholar
26.Petersen, HD, Wandall, JH.Evidence of physical torture in a series of children. Forensic Sci Int. 1995;75 (1):4555.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):560566.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):4455.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):485492.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;175:1722.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):215220.CrossRefGoogle ScholarPubMed
32.Rodriguez, JJ, Kohn, R.Use of mental health services among disaster survivors. Curr Opin Psychiatry. 2008;21 (4):370378.Google Scholar