Editorial Comments—Mental Health Problems following Earthquake in Kashmir: Findings of Community Run Clinics

2007 ◽  
Vol 22 (6) ◽  
pp. 546-546
Author(s):  
Carol Amaratunga
Keyword(s):  
Mental Health ◽  
Natural Hazards ◽  
Mental Health Problems ◽  
Health Workers ◽  
Psychiatric Morbidity ◽  
Well Being ◽  
Political Conflict ◽  
Disaster Medicine ◽  
Stress Reactions ◽  
Post Traumatic Stress

The article by Chadda et al is particularly deserving in that it describes a universal, social imperative to address the mental health and well-being of affected populations following a horrendous disaster caused by natural hazards. The inclusion of mental health workers, psychologists, and psychiatrists in postdisaster recovery and response efforts is not always feasible, but in recent years the importance of recognizing these professionals as “front line responders” has been gaining currency. By addressing the extent and typology of mental health needs of survivor populations (e.g., adjustment disorders, depression, and stress reactions, such as post-traumatic stress disorder (PTSD) symptoms), the business of recovery and reconstruction can begin. This paper sufficiently captures the extent of psychiatric morbidity in the affected Kashmiri populations following the October 2005 earthquake in India.The authors visited >30 rural and remote sites and met with >300 survivors who had lost their homes, loved ones, and who also had suffered physical injury and mental health trauma. It is a remarkable testament to human resiliency that the vast majority of the earthquake survivors described in this paper, including those who live in an ongoing state of civil unrest due to political conflict, did not present full PTSD mental health disorders. Prehospital and Disaster Medicine deserves praise for supporting the work of our colleagues in the south. Thanks to the WADEM for the inclusion of this empirically based study, as it contributes to our understanding of human resiliency following disasters caused by natural hazards in a meaningful way.

Psychiatric morbidity in December 2015 flood-affected population in Tamil Nadu, India

2019 ◽  
Vol 65 (4) ◽  
pp. 338-344 ◽  
Author(s):  
Shailaja Bandla ◽  
NR Nappinnai ◽  
Srinivasagopalan Gopalasamy
Keyword(s):  
Mental Health ◽  
Tamil Nadu ◽  
Mental Health Problems ◽  
Negative Impact ◽  
Psychiatric Morbidity ◽  
Well Being ◽  
World Health ◽  
Post Traumatic Stress ◽  
Chi Square ◽  
Health Organization

Background: Floods are the most common type of natural disaster, which have a negative impact on mental health. Following floods, survivors are vulnerable to develop PTSD (post-traumatic stress disorder), depression, anxiety and other mental health problems. Aim: The aim is to study the psychiatric morbidity in the persons affected by floods during December 2015. Materials and methods: This study was carried out in Chennai and Cuddalore. In total, 223 persons who were directly exposed to floods were assessed. PTSD Checklist–Civilian Version, Beck’s Depression Inventory, Beck’s Anxiety Inventory and World Health Organization–Five Well-Being Scale (WHO-5) were used in the study. Chi-square test was used to compare the means. Results: Overall, psychiatric morbidity was found to be 45.29%; 60 (26.9%) persons had symptoms of PTSD. Anxiety was found in 48 (27.4%) and depression was found in 101 (45.29%) persons; and 11 (4.9%) persons have reported an increase in substance abuse. Conclusion: Following disaster like floods, there is a need for better preparedness in terms of basic necessities and medical and psychological assistance, particularly emphasizing the needs of older persons in order to prevent the development of psychiatric problems.

Mental Health Problems following the 2005 Earthquake in Kashmir: Findings of Community-Run Clinics

2007 ◽  
Vol 22 (6) ◽  
pp. 541-545 ◽  
Author(s):  
Rakesh Kumar Chadda ◽  
Anil Malhotra ◽  
Nanaji Kaw ◽  
Jaspreet Singh ◽  
Hem Sethi
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Psychiatric Morbidity ◽  
Health Problems ◽  
Stress Disorders ◽  
Adjustment Disorders ◽  
Stress Reactions ◽  
Physical Injuries ◽  
Common Mental Health Problems

AbstractIntroduction:Events such as earthquakes are followed by significant psychiatric morbidity due to the enormous damage caused to life, health, property, and other resources in the affected area. In October 2005, a devastating earthquake occurred in Kashmir in India. A team of mental health professionals visited the earthquake stricken area to provide mental health services five weeks after of the event.Methods:The team conducted clinics at >30 sites in different villages in the area. This paper describes the mental health problems encountered in those communities.Results:All patients seen in the clinics had their houses destroyed by the earthquake.Nearly one-fourth had suffered serious physical injuries and 12% had lost one of their family members. Common psychiatric diagnoses included adjustment disorders (39.6%), depressive episode (22.6%), and other stress disorders (21.8 %). Only 10 (3.3%) patients were found to suffer from posttraumatic stress disorder (PTSD), though PTSD-like symptoms were reported by more than two-thirds of the patients.Conclusions:Adjustment disorders, depression, other stress reactions, and PTSD-like symptoms were the common mental health problems five to six weeks following an earthquake.

scholarly journals Sustained Neglect in Mental Health during Nepal’s Crises

2018 ◽  
Vol 17 (1) ◽  
pp. 4-7 ◽  
Author(s):  
Shiva Raj Mishra ◽  
Pratik Khanal ◽  
Vishnu Khanal
Keyword(s):  
Mental Health ◽  
Health System ◽  
Health Care Services ◽  
Mental Health Problems ◽  
Medical Training ◽  
Health Workers ◽  
Mental Health Policy ◽  
Health Problems ◽  
Political Conflict ◽  
Mental Health Training

Conflict in Nepal seems never resolving and the current generation has grown up in the environment of armed and political conflict characterized by indiscriminate killing, violent demonstration and widespread hostility. Adding to agony, the April 2015 earthquake left two million homeless and the 2015 Indo-Nepal economic blockade has created hostility among different community ethnic groups. With such background, this commentary highlights issues related to conflict, disaster and their relation to mental health. We also identify some gaps in existing health system, medical education and current focus on preventive approach to mental health. Mental health policy was endorsed in 1996; however, the policy has never been implemented in the fullest sense. Psychiatric services are provided by tertiary hospitals with no linkage to community-level primary health care services. Medical training still lacks mental health training at basic cadres of health workers and only small number of seats is allocated for post-graduate degree. Nepal continue to experience conflicts and disasters possibly leading to an increased burden of mental health problems and its health system is further distressed by the increasing gaps in provision of mental health service. With the devastating effect of the April 2015 earthquake, there is even higher need of serious effort to treat and prevent mental health problems with evidence-though limited depicting increase in burden of mental health problems. The state should stop putting half-hearted response to mental health problems and put more effort on long-term sustainable and culturally suitable solutions.Keywords: conflict, mental health, Nepal

scholarly journals Strategies for Delivering Mental Health Services in Response to Global Climate Change: A Narrative Review

2020 ◽  
Vol 17 (22) ◽  
pp. 8562
Author(s):  
Lawrence A. Palinkas ◽  
Meaghan L. O’Donnell ◽  
Winnie Lau ◽  
Marleen Wong
Keyword(s):  
Climate Change ◽  
Mental Health ◽  
Mental Health Problems ◽  
Health Workers ◽  
Civil Conflict ◽  
Well Being ◽  
Environmental Conservation ◽  
Narrative Review ◽  
Extreme Weather Events

This narrative review examined strategies for preparedness and response to mental health impacts of three forms of climate change from a services perspective: (1) acute and extreme weather events such as hurricanes, floods, and wildfires, (2) sub-acute or long-term events such as droughts and heatwaves; and (3) the prospect of long-term and permanent changes, including higher temperatures, rising sea levels, and an uninhabitable physical environment. Strategies for acute events included development and implementation of programs and practices for monitoring and treating mental health problems and strengthening individual and community resilience, training of community health workers to deliver services, and conducting inventories of available resources and assessments of at-risk populations. Additional strategies for sub-acute changes included advocacy for mitigation policies and programs and adaptation of guidelines and interventions to address the secondary impacts of sub-acute events, such as threats to livelihood, health and well-being, population displacement, environmental degradation, and civil conflict. Strategies for long-lasting changes included the implementation of evidence-based risk communication interventions that address the existing and potential threat of climate change, promoting the mental health benefits of environmental conservation, and promoting psychological growth and resilience.

scholarly journals Well-being status and post-traumatic stress symptoms in health workers attending mindfulness sessions during the early stage of the COVID-19 epidemic in Mexico

Salud Mental ◽  
2020 ◽  
Vol 43 (6) ◽  
pp. 303-310
Author(s):  
Janet Real-Ramírez ◽  
Luis Alberto García-Bello ◽  
Rebeca Robles-García ◽  
Montserrat Martínez ◽  
Karime Adame-Rivas ◽  
...  
Keyword(s):  
Mental Health ◽  
Compassion Fatigue ◽  
Traumatic Stress ◽  
Health Workers ◽  
Early Stage ◽  
Well Being ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Post Traumatic ◽  
National Mental Health

Introduction. In Mexico, a National Mental Health Strategy was implemented to identify and attend the mental health repercussions of the COVID-19 pandemic. It included the creation of five virtual clinics for health workers, being the Burnout, Post-traumatic Stress and Compassion Fatigue clinic one of them. Objective. To describe the basal sociodemographic and psychological characteristics of health workers attending online mindfulness sessions as part of the treatment of the aforementioned clinic. Method. This is a cross-sectional report part of a major nationwide and longitudinal project. All attendants responded to digital sociodemographics and COVID-19 questionnaires, the Extended Physician Well-Being Index (EPWBI), and the Post-traumatic Stress Disorder (PTSD) TOP-8 index. Results. Of the 507 health workers that participated, 70.02% of them were at risk of burnout according to the Extended Well-Being Index and 57.31, 7.91 and 2.77% had a mild, moderate, and severe risk of PTSD, respectively. The most affected were the female health workers, from metropolitan or central areas of the country, and those diagnosed with COVID-19 or exposed to a person with the diagnosis. Discussion and conclusion. Mexican health workers attending mindfulness sessions presented high frequencies of PTSD symptoms and burnout. Female workers at urban hospitals could be at a special risk for developing PTSD or Well-ness alterations, and thus, they must be cared for closely, particularly those having direct contact with COVID 19 positive persons. The early participation in mental health strategies might lessen the immediate and long-term pandemic effects.

Mental Health Problems among Orphanage Children in the Gaza Strip

2007 ◽  
Vol 31 (2) ◽  
pp. 54-62 ◽  
Author(s):  
Lamia Thabet ◽  
Abdel Aziz Mousa Thabet
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Gaza Strip ◽  
Health Problems ◽  
Stress Reactions ◽  
Post Traumatic Stress ◽  
Local Resources ◽  
Residential Units ◽  
Post Traumatic ◽  
The Gaza Strip

Lamia Thabet, Abdel Aziz Mousa Thabet, Sajida Abdul Hussein and Panos Vostanis report on a study that aimed to establish the level of emotional problems among 115 children aged 9–16 years (average 13.4), who were living in two orphanages in the Gaza Strip. The children's age of admission to the orphanage (average 8.8 years) was higher than in traditional orphanages in other countries. This was related to the reasons for admission, following their father's death, and the inability of their remaining family to care for them. However, children retained substantial contact with their family of origin by visiting during school holidays (88.6%) or being visited at the unit (97.4%). Using previous standardised mental health measures completed by the children and their main carers, children demonstrated high rates of anxiety, depressive and post-traumatic stress reactions. These mental health problems were strongly inter-related but were not found to be associated with social/care variables. Potential implications of the findings for orphanages and other residential units in developing countries are discussed. These should take into consideration the socio-cultural characteristics of each country and limited local resources; involve non-governmental organisations and local communities; tackle wider stigmatising attitudes; and instill a child-centred philosophy within these settings.

Psychosocial and Mental Health Problems of Older People in Postearthquake Nepal

2017 ◽  
Vol 30 (6) ◽  
pp. 945-964 ◽  
Author(s):  
Ramesh P. Adhikari ◽  
Nawaraj Upadhaya ◽  
Sasmita Paudel ◽  
Ruja Pokhrel ◽  
Nagendra Bhandari ◽  
...  
Keyword(s):  
Mental Health ◽  
Older People ◽  
Qualitative Methodology ◽  
Mental Health Problems ◽  
Health Workers ◽  
Negative Impact ◽  
Treatment Options ◽  
Well Being ◽  
Health Problems ◽  
Mental Health Programs

Objective: To identify community perceptions on psychosocial and mental health problems of older people in postearthquake situation in Nepal. Method: A qualitative methodology was adopted to explore the experience and opinions of older people, social workers, school teachers, health workers, and nongovernmental organization workers on the psychosocial and mental health problems of older people in Nepal, using key informant interviews. Results: Major local vocabulary for older peoples’ psychosocial and mental health problems were “bichalan” (variation in mood and feeling), “ekohoro” (becoming single minded), “athmabiswasko kami” (low self-esteem), and “bina karan rune” (crying without any reason). The major causes attributed to older people’s problems were physical injury, disability, family conflict, and economic problems. Forgetfulness, tiredness, loss of concentration, restlessness, and isolation were observed in older people since the 2015 earthquake. Discussion: The findings suggest that earthquake had negative impact on older people’s psychosocial well-being; however, little support or treatment options have been made available to these individuals. The tailor-made community-based psychosocial and mental health programs for older people are needed.

scholarly journals Are climate change and mental health correlated?

2021 ◽  
Vol 34 (6) ◽  
pp. e100648
Author(s):  
Abdullah Mohammed Hassan Ramadan ◽  
Ahmed G Ataallah
Keyword(s):  
Climate Change ◽  
Mental Health ◽  
Indirect Effects ◽  
Mental Health Problems ◽  
Forced Migration ◽  
Well Being ◽  
Economic Losses ◽  
Human Beings ◽  
Post Traumatic Stress ◽  
Climate Crisis

Climate change is one of the biggest challenges of our time and is likely to affect human beings in substantial ways. Recently, researchers started paying more attention to the changes in climate and their subsequent impact on the social, environmental and economic determinants of health, and the role they play in causing or exacerbating mental health problems. The effects of climate change-related events on mental well-being could be classified into direct and indirect effects. The direct effects of climate change mostly occur after acute weather events and include post-traumatic stress disorder, anxiety, substance abuse disorder, depression and even suicidal ideation. The indirect effects include economic losses, displacement and forced migration, competition over scarce resources and collective violence. The risk factors for developing those mental health issues include young age, female gender, low socioeconomic status, loss or injury of a loved one, being a member of immigrant groups or indigenous people, pre-existing mental illness and inadequate social support. However, in some individuals, especially those undisturbed by any directly observable effects of climate change, abstract awareness and acknowledgement of the ongoing climate crisis can induce negative emotions that can be intense enough to cause mental health illness. Coping strategies should be provided to the affected communities to protect their mental health from collapse in the face of climate disasters. Awareness of the mental health impacts of climate change should be raised, especially in the high-risk groups. Social and global attention to the climate crisis and its detrimental effects on mental health are crucial.This paper was written with the aim of trying to understand the currently, scientifically proven impact of climate change-related disasters on mental health and understanding the different methods of solving the problem at the corporate level, by trying to decrease greenhouse gas emissions to zero, and at the individual level by learning how to cope with the impacts of those disasters.

scholarly journals The psychological impact of COVID-19 disease on nurses in two tertiary healthcare centers in Akwa Ibom State, Nigeria

2021 ◽  
Vol 8 (3) ◽  
pp. 1037
Author(s):  
Henry E. Jambo ◽  
Timothy Amos Ekwere ◽  
Victor A. Umoh ◽  
Nkemakolam F. Ndionuka ◽  
Effiong E. Akpan
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Protective Factor ◽  
Mental Health Problems ◽  
Health Workers ◽  
Psychological Impact ◽  
Well Being ◽  
Simple Random Sample ◽  
Tertiary Healthcare ◽  
High Level

Background: The onset of COVID-19 disease pandemic worldwide has been associated with a high level of psychological distress. Health workers are amongst the high-risk groups for contracting COVID-19 and may be particularly vulnerable to a variety of mental health problems. This study was conducted to determine the psychological impact of the pandemic on mental well-being of Nigerian nurses who are among the frontline health workers in the fight against the disease.Methods: This was a cross-sectional study conducted on a sample of nurses in two tertiary healthcare setting. A simple random sample of 111 nurses completed the general healthcare questionnaire (GHQ 12).Results: The mean age of respondents was 36.86±8.2 years, consisting of 38.7% males and 61.3% females. The prevalence of psychological distress was 64.9%. Females had significantly higher psychological distress than males (p=0.003). Also, respondents performing duties in COVID-19 ICU hosting institution had significantly higher distress score than those from non COVID-19 hosting centre (p=0.02). Psychological distress was also significantly higher for respondents with a history of exposure to suspected (p=0.001) or confirmed cases (p<0.001). Formal infection prevention training was a protective factor for the development of psychological stress (p=0.002).Conclusions: A large proportion of nursing staffs have a high level of psychological distress during the ongoing COVID-19 pandemic. Mental health interventions may be required to mitigate mental health risks in these health workers. 

scholarly journals Rational for conducting PTSD Researchand Challenges of Recruiting and Training Volunteers to Screen and Treat PTSD among the Nepal 2015 Earthquake Survivors

2015 ◽  
Vol 53 (199) ◽  
pp. 202-207 ◽  
Author(s):  
Arun Jha ◽  
Suraj Shakya
Keyword(s):  
Mental Health ◽  
Traumatic Stress ◽  
Mental Health Problems ◽  
Psychiatric Morbidity ◽  
Post Traumatic Stress ◽  
Short Term ◽  
Post Traumatic ◽  
Earthquake Survivors ◽  
And Training

Post-traumatic Stress Disorder is common psychiatric morbidity among earthquake survivors, and if untreated people suffer from it for years. Government of Nepal and NGOs provided various short-term mental health services to the victims of the 2015 earthquake in Nepal, but there was no plan or provision for long-term mental health problems. The prevalence of PTSD following natural disasters depends on various local factors requiring understanding and further investigation before identifying affordable evidence based interventions. This paper discusses the need for PTSD research among the survivors of the 2015 earthquake in Nepal, and describes the challenges and difficulties of recruiting and training PTSD volunteers.  Keywords: earthquake; narrative exposure therapy; Nepal; prevalence; PTSD.

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