Joh-Jong Huang1, Tsyr-En Grace Wu2, Yi-Chen Chen3, Ju-Yu Chiu3, Pesus Chou4, Frank Huang-Chih Chou5,6. 1. Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan. 2. School of Theology, Chang Jung Christian University, Tainan City, Taiwan. 3. Department of Nursing, Meiho University, Neipu, Ping-Tong County, Taiwan. 4. Community Medicine Research Center and Institute of Public Health, National Yang-Ming University, Taipei City, Taiwan. 5. Department of Nursing, Meiho University, Neipu, Ping-Tong County, Taiwan. f50911.tw@yahoo.com.tw. 6. Department of Community Psychiatry, Municipal Kaohsiung Kai-Syuan Psychiatric Hospital, 130 Kai-Syuan 2nd Rd, Lingya District, Kaohsiung City, Taiwan. f50911.tw@yahoo.com.tw.
Abstract
OBJECTIVE: To investigate the prevalence and related risk factors for probable disaster-related psychiatric disorders, such as major depressive episodes (MDEs) and posttraumatic stress disorder (PTSD), among the victims of a petrochemical gas explosion in Kaohsiung, Taiwan, 6 months after the event. Additionally, the quality of life (QOL) of victims with related risk factors was simultaneously investigated. METHODS: A community-based screening survey with cross-sectional assessments was conducted. The victims of a petrochemical gas explosion were surveyed 6 months after the event. We used two scales, the Disaster-Related Psychological Screening Test and Short Form 12v2, to survey a representative sample of 502 participants (average age: 42.90 ± 16.61 years; M: 270, average age: 40.89 ± 16.40 years; F: 232; average age: 45.25 ± 16.58 years). The Chinese version of SPSS 17.0 software was used to perform the analysis. RESULTS: Non-PTSD or non-MDE (non-P or M), probable PTSD, probable MDE and probable PTSD, and MDE were present in 341 (67.9%), 54 (10.8%), 37 (7.4%) and 70 (13.9%) participants, respectively. QOL worsened (negative trend) among the groups in the following order: non-P or M, probable PTSD or MDE alone, and probable PTSD and MDE. The risk factors for probable PTSD or MDE were female gender, older age, physical injury, significant financial loss, and lack of religious belief. The risk factors for poorer QOL subscales were older age, financial problems, physical injury, higher educational level, religious beliefs, and probable PTSD and/or MDE. CONCLUSION: This study shows that probable PTSD/MDE is associated with lower QOL, supporting the need for early mental health rehabilitation after a disaster. Therefore, rapid screening and early mental rehabilitation are very important.
OBJECTIVE: To investigate the prevalence and related risk factors for probable disaster-related psychiatric disorders, such as major depressive episodes (MDEs) and posttraumatic stress disorder (PTSD), among the victims of a petrochemical gas explosion in Kaohsiung, Taiwan, 6 months after the event. Additionally, the quality of life (QOL) of victims with related risk factors was simultaneously investigated. METHODS: A community-based screening survey with cross-sectional assessments was conducted. The victims of a petrochemical gas explosion were surveyed 6 months after the event. We used two scales, the Disaster-Related Psychological Screening Test and Short Form 12v2, to survey a representative sample of 502 participants (average age: 42.90 ± 16.61 years; M: 270, average age: 40.89 ± 16.40 years; F: 232; average age: 45.25 ± 16.58 years). The Chinese version of SPSS 17.0 software was used to perform the analysis. RESULTS:Non-PTSD or non-MDE (non-P or M), probable PTSD, probable MDE and probable PTSD, and MDE were present in 341 (67.9%), 54 (10.8%), 37 (7.4%) and 70 (13.9%) participants, respectively. QOL worsened (negative trend) among the groups in the following order: non-P or M, probable PTSD or MDE alone, and probable PTSD and MDE. The risk factors for probable PTSD or MDE were female gender, older age, physical injury, significant financial loss, and lack of religious belief. The risk factors for poorer QOL subscales were older age, financial problems, physical injury, higher educational level, religious beliefs, and probable PTSD and/or MDE. CONCLUSION: This study shows that probable PTSD/MDE is associated with lower QOL, supporting the need for early mental health rehabilitation after a disaster. Therefore, rapid screening and early mental rehabilitation are very important.
Entities:
Keywords:
Disaster-related psychological screening test (DRPST); Gas explosion; Major depressive episode; Posttraumatic stress disorder (PTSD); Short form 12v2 (SF-12v2)
Authors: D Kendrick; B Kelllezi; C Coupland; A Maula; K Beckett; R Morriss; S Joseph; J Barnes; J Sleney; N Christie Journal: Qual Life Res Date: 2016-10-26 Impact factor: 4.147
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