Prevalence and Predictors of Post-Traumatic Stress Disorder and Depression Among Survivors Over 12 Years After the Bam Earthquake

Parisa Divsalar,1 Tania Dehesh2 1Neuroscience Research Center, Institute of Neuropharmacology, Department of Psychiatry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran; 2Department of Biostatistics and Epidemiology, Kerman University of Medical Sciences, Kerman, IranCorrespo...

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Autores principales:	Divsalar P, Dehesh T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	bam earthquake epidemiology depression ptsd risk factors Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/121067ab6c8e4c1aa3cd03e59599aacf
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spelling	oai:doaj.org-article:121067ab6c8e4c1aa3cd03e59599aacf2021-12-02T12:07:56ZPrevalence and Predictors of Post-Traumatic Stress Disorder and Depression Among Survivors Over 12 Years After the Bam Earthquake1178-2021https://doaj.org/article/121067ab6c8e4c1aa3cd03e59599aacf2020-05-01T00:00:00Zhttps://www.dovepress.com/prevalence-and-predictors-of-post-traumatic-stress-disorder-and-depres-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Parisa Divsalar,1 Tania Dehesh2 1Neuroscience Research Center, Institute of Neuropharmacology, Department of Psychiatry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran; 2Department of Biostatistics and Epidemiology, Kerman University of Medical Sciences, Kerman, IranCorrespondence: Tania Dehesh Email Tania_dehesh@yahoo.comPurpose: The Bam earthquake was one of Iran’s worst natural disasters. As a reason of limited sample size, prevalence and risk factors of PTSD and depression were still unclear after a huge earthquake in Bam.Patients and Methods: A total of 1500 participants selected from the survivors by multistage sampling. Instruments included the demographic questionnaire, the PTSD Checklist-Civilian Version and the Beck Depression Inventory-2. Bivariable and multivariable logistic regressions were used to analyze the data.Results: The prevalence rates of PTSD and depressive symptoms were 38.7% (n = 581) and 40.1% (n=597), respectively. The most commonly occurring symptoms of PTSD were distress at reminders (73.7%), fear of recurrence (70.3%) and sleep disturbance (68.4%). Age (OR=1.5, 95% CI= [1.03, 1.74], P < 0.001) and being injured (OR=1.68, 95% CI= [1.09, 2.61], P=0.02) are positive risk factors of PTSD. The risk factors for depressive symptoms were old age (OR= 1.46, 95% CI= [1.02, 1.64], P < 0.001), female gender (OR=1.42, 95% CI=[1.14, 1.77], P=0.002), and death of work colleagues (OR=4.03, 95% CI= [1.54, 6.54], P=0.005).Conclusion: Professional and effective mental health services should design programs in order to aid the psychological wellbeing of the population focusing on older adults, females, those who lost work colleagues, and those who lost their family members.Keywords: Bam, earthquake, epidemiology, depression, PTSD, risk factorsDivsalar PDehesh TDove Medical Pressarticlebamearthquakeepidemiologydepressionptsdrisk factorsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 1207-1216 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	bam earthquake epidemiology depression ptsd risk factors Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	bam earthquake epidemiology depression ptsd risk factors Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Divsalar P Dehesh T Prevalence and Predictors of Post-Traumatic Stress Disorder and Depression Among Survivors Over 12 Years After the Bam Earthquake
description	Parisa Divsalar,1 Tania Dehesh2 1Neuroscience Research Center, Institute of Neuropharmacology, Department of Psychiatry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran; 2Department of Biostatistics and Epidemiology, Kerman University of Medical Sciences, Kerman, IranCorrespondence: Tania Dehesh Email Tania_dehesh@yahoo.comPurpose: The Bam earthquake was one of Iran’s worst natural disasters. As a reason of limited sample size, prevalence and risk factors of PTSD and depression were still unclear after a huge earthquake in Bam.Patients and Methods: A total of 1500 participants selected from the survivors by multistage sampling. Instruments included the demographic questionnaire, the PTSD Checklist-Civilian Version and the Beck Depression Inventory-2. Bivariable and multivariable logistic regressions were used to analyze the data.Results: The prevalence rates of PTSD and depressive symptoms were 38.7% (n = 581) and 40.1% (n=597), respectively. The most commonly occurring symptoms of PTSD were distress at reminders (73.7%), fear of recurrence (70.3%) and sleep disturbance (68.4%). Age (OR=1.5, 95% CI= [1.03, 1.74], P < 0.001) and being injured (OR=1.68, 95% CI= [1.09, 2.61], P=0.02) are positive risk factors of PTSD. The risk factors for depressive symptoms were old age (OR= 1.46, 95% CI= [1.02, 1.64], P < 0.001), female gender (OR=1.42, 95% CI=[1.14, 1.77], P=0.002), and death of work colleagues (OR=4.03, 95% CI= [1.54, 6.54], P=0.005).Conclusion: Professional and effective mental health services should design programs in order to aid the psychological wellbeing of the population focusing on older adults, females, those who lost work colleagues, and those who lost their family members.Keywords: Bam, earthquake, epidemiology, depression, PTSD, risk factors
format	article
author	Divsalar P Dehesh T
author_facet	Divsalar P Dehesh T
author_sort	Divsalar P
title	Prevalence and Predictors of Post-Traumatic Stress Disorder and Depression Among Survivors Over 12 Years After the Bam Earthquake
title_short	Prevalence and Predictors of Post-Traumatic Stress Disorder and Depression Among Survivors Over 12 Years After the Bam Earthquake
title_full	Prevalence and Predictors of Post-Traumatic Stress Disorder and Depression Among Survivors Over 12 Years After the Bam Earthquake
title_fullStr	Prevalence and Predictors of Post-Traumatic Stress Disorder and Depression Among Survivors Over 12 Years After the Bam Earthquake
title_full_unstemmed	Prevalence and Predictors of Post-Traumatic Stress Disorder and Depression Among Survivors Over 12 Years After the Bam Earthquake
title_sort	prevalence and predictors of post-traumatic stress disorder and depression among survivors over 12 years after the bam earthquake
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/121067ab6c8e4c1aa3cd03e59599aacf
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Prevalence and Predictors of Post-Traumatic Stress Disorder and Depression Among Survivors Over 12 Years After the Bam Earthquake

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