Posttraumatic stress disorder and depression among new mothers at 8 months later of the 2008 Sichuan earthquake in China.
ABSTRACT On May 12, 2008, a magnitude 8.0 earthquake struck China's southwestern Sichuan province. Recent studies have identified mental health problems among the survivors, but little is known about the impact of the Sichuan earthquake on the mental health of new mothers in the area. The main objective was to assess the impact of the Sichuan earthquake on the posttraumatic stress disorders (PTSD) and depression of new mothers. A total of 317 new mothers were interviewed in the hospital from January 2009 to March 2009. Symptoms of PTSD were measured using the impact of event scale-revised, and symptoms of postpartum depression were measured using the Center for Epidemiologic Studies Depression scale. The prevalence rates of PTSD and postpartum depression were 19.9% and 29.0%, respectively. Women with high earthquake exposure had higher risks of PTSD (odds ratio (OR), 5.91; 95% confidence interval (CI), 1.75-19.97; P < 0.001) and postpartum depression (OR, 7.28; 95% CI, 2.51-21.08; P < 0.001) than women without earthquake experience. In addition, women with low monthly family income and farm workers had a higher risk of having PTSD; women who were unemployed or with lower monthly family income and poor sleep had a higher risk of having depression. Earthquake experience increased the risks of having PTSD and depression among new mothers at 8 months later of the earthquake.
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ABSTRACT: The current study assessed the estimated rate of depression and associated risk factors among survivors 8 months after the 2008 Wenchuan earthquake in China. A stratified random sample of 1514 participants was recruited from all temporary camp communities in a county town 45 km away from the epicenter. The estimated rate of depression was 35.7%. The severity of depressive symptoms was significantly associated with female sex, perceived livelihood security, loss of a family member, residential house damage or collapse, and not living in an urban area, whereas married status is a protector against depressive symptoms. The results suggest that community-based effective, sustainable, and culturally sensitive interventions and services are warranted and should be directed to the groups at high risk for mental health problems.The Journal of nervous and mental disease 03/2014; 202(4):275-279. · 1.77 Impact Factor
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ABSTRACT: The objective of the study was to examine trends in the prevalence of Posttraumatic Stress Disorder (PTSD) in Wenchuan, China, over the four-year period following its 2008 earthquake, and to explore the risk factors related to current PTSD. Chi-square analysis and multivariate logistic regression analysis were used to assess PTSD morbidity and identify associated risk factors. The results indicated that the prevalence of PTSD was 58.2% at two months, 22.10% at 8 months, 19.8% at 14 months, 19.0% at 26 months, and 8.0% at about 44 months after the earthquake. Female gender, being married, low education, non-drinking, and poor self-perceived health status were significantly associated with PTSD during the early period following the earthquake. Depression was significantly associated with survivors' PTSD throughout the study period.Journal of anxiety disorders 12/2013; 28(1):75-82. · 2.68 Impact Factor
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ABSTRACT: Objectives: To investigate the relationship of exposure to a traumatic event and the subsequent onset of Posttraumatic Stress Disorder (PTSD) in the population exposed to floods in Pakistan. Study Design: Cross sectional study. Place and Duration of Study: Individuals exposed to the 2010 flood in District Shadadkot, Sindh from April 2012 to September 2012. Methodology: Sample of the study comprised of 101 individuals from the flood affected areas in Pakistan. Age range of the participants was 15 to 50 years (M = 27.73, SD = 7.19), with participation of both, males and females. PTSD was assessed by using the self report measure, Impact of Event Scale (IES) and the subjective and objecitve experience to flood was assessed through Flood Related Exposure Scale (FRES) devised by the authors. Results: The prevalence rate of PTSD among the flood affected population was 35.5%. Trauma had significant positive relation with objective flood exposure and subjective flood exposure (r = .27 and r = .38) respectively. Inverse relation appeared between age and PTSD (r = - .20). PTSD was higher among females as compared to males. Conclusion: Understanding the prevalence of PTSD helps the mental health professionals in devising intervention strategies. A longitudinal study design is recommended that may be developed for better understanding of trajectories of trauma response across time span. Our findings may help identify populations at risk for treatment research. Keywords: Flood affectees, Objective flood exposure, Posttraumatic stress disorder, Prevalence, Subjective flood exposure.Pakistan Armed Forces Medical Journal. 01/2014; 64(1):100-104.