scholarly journals 2004 Tsunami: Long-Term Psychological Consequences for Swiss Tourists in the Area at the Time of the Disaster

2009 ◽  
Vol 43 (5) ◽  
pp. 420-425 ◽  
Author(s):  
Bernd Kraemer ◽  
Lutz Wittmann ◽  
Josef Jenewein ◽  
Ulrich Schnyder

Objective: Most of the data on psychological outcome and the mental health treatment available following natural disasters originate from the indigenous population of the region destroyed. Examining tourists returning from the area affected by the 2004 tsunami presents an opportunity of studying the impact of natural disasters on psychological outcome and mental health treatment in their countries of origin. The aim of the present study was to extend the current knowledge on psychiatric morbidity and potential positive outcomes, as well as subsequent mental health treatment following a natural disaster, based on the results from a sample of home-coming Swiss tourists. Method: Tourists who had been potentially affected by the 2004 tsunami were assessed using the Post-traumatic Diagnostic Scale, the Hospital Anxiety and Depression Scale, and the Post-traumatic Growth Inventory. Outcome variables were related to the degree of tsunami exposure. In addition, mental health treatment before and after the tsunami was assessed. Results: Of the 342 respondents, 55 (16.8%) fulfilled the criteria of post-traumatic stress disorder (PTSD). Evidence of anxiety or depressive disorder was found in 17.8% and 8.0%, respectively. The tsunami victims who had been directly affected showed significantly more symptoms of anxiety, depression and PTSD, as well as post-traumatic personal growth, than tourists who were indirectly affected or unaffected. A total of 12.3% of untreated respondents fulfilled the criteria for PTSD and 38% of respondents who had received psychiatric treatment were still fulfilling PTSD criteria 2½ years after the tsunami. Conclusion: A marked percentage of respondents reported symptoms of PTSD but they remained untreated or were treated insufficiently. We recommend that tourists returning from regions affected by natural disasters be informed about PTSD and that careful screening be given to those found to be at risk of PTSD. An open-door policy of mental health services is particularly needed for tourists returning home who have been affected by large-scale disasters.

2019 ◽  
Vol 91 ◽  
pp. 41-49 ◽  
Author(s):  
Kate E. Mowrey ◽  
Myla Ashfaq ◽  
Deborah A. Pearson ◽  
Syed S. Hashmi ◽  
Steven L. Roberds ◽  
...  

Author(s):  
Jasim Anwar

With the ever-increasing number of natural disasters, it is important to understand the impact on the health and wellbeing of survivors, especially women. The reproductive and mental health of women contributes significantly to their overall wellbeing. The Chapter gives an overview of natural disasters with an emphasis on consequences of earthquakes of health and wellbeing of the survivors. It includes a critical review of published studies on psychological trauma and reproductive health following earthquake disasters. Among the psychological consequences of earthquakes, this chapter describes post-traumatic stress disorder, depression and anxiety. The last section of this chapter reviewed reproductive health in relation to the mental health consequences following natural disasters.


Author(s):  
Sara Bender ◽  
Imelda N. Bratton

Homelessness may have a profound impact on a child's physical, socio-emotional, and/or cognitive development. Cultural context may further exacerbate the impact of such circumstances. Past literature confirms that the Appalachian culture is distinct from mainstream America, suggesting that various interventions, including mental health treatment, may not be received similarly or have the same impact as they would in other communities. This chapter addresses how to support children and unaccompanied youth facing homelessness or housing insecurity within rural Appalachian communities. Existing research addresses the developmental consequences of homelessness; however, there is limited literature dedicated to understanding how the unique context of the Appalachian culture may affect these conditions. The aim of this chapter is to provide educators, counselors, and similar professionals with an overview regarding how to best support homeless children and unaccompanied youth within Appalachian communities.


Author(s):  
Debra Kram-Fernandez

This chapter is concerned with the impact of practitioner biases on the experience of a meaningful life for individuals who live with serious mental illness (SMI). Professional biases, systemic biases that originate in societal fear and lack of knowledge, and internalized stigma taken on by the consumer affect life decisions. Following a history of treatment initiatives experienced by consumers as abusive, it is important to understand how a system envisioned to protect and treat was often experienced as harmful. In the 1980s a movement emerged to transform the nature of mental health treatment to a client-centered, recovery-oriented model. In 1999, the Surgeon General proclaimed that all agencies serving this population should be recovery oriented. Yet, the shift to this approach to understanding people with SMI has not been complete. While there are many explanations why practitioners may not fully embrace this perspective, this chapter introduces the concept of “schemas” from cognitive behavioral theory as a way of examining professional biases in the field of SMI.


2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S227-S228
Author(s):  
Emily Petti ◽  
Pamela Rakhshan Rouhakhtar ◽  
Mallory J Klaunig ◽  
Miranda Bridgwater ◽  
Caroline Roemer ◽  
...  

Abstract Background Despite increases in psychiatric treatment-seeking in the U.S., sociodemographic and racial inequalities in mental health service utilization and quality of care remain, particularly among Black/African-American populations. Factors including trauma and racial discrimination impact psychosis spectrum symptom severity, but little is known about how these factors uniquely impact treatment-seeking behaviors and attitudes among youth with psychosis-like experiences (PEs). The current study examined the associations between trauma, discrimination, self-reported PEs, race, and treatment-seeking among a racially diverse group of college-aged youth endorsing high levels of PEs. Methods Participants were college students between 18 - 25 years of age (N = 177). The sample included individuals with self-reported race of Asian, Black, or White who endorsed PEs at a “high-risk” cutoff level as per the Prime Screen or Prodromal Questionnaire (PQ), commonly used measures of PEs. Analyses included the PQ total score to measure PEs; trauma history was assessed with the Life Events Checklist (total number of lifetime traumatic experiences endorsed); discrimination was measured by the 9-item situation section of the Experiences of Discrimination questionnaire. Participants self-reported mental health service utilization in the past 2 months (current), before 3 months ago (past), as well as how strongly they were considering seeking mental health care (future). Binary logistic regressions were used to analyze the associations between past and current help-seeking and race, trauma, discrimination, and PEs. A multiple linear regression analysis was performed to evaluate the associations between future treatment-seeking and race, PEs, trauma, and discrimination. Results Participants with higher PQ scores were more likely to endorse past (b = 0.04, SE = 0.15, χ2[1] = 8.03, p < .01, OR = 1.04), current (b = 0.05, SE =0.02, χ2[1] = 8.99, p < .01, OR = 1.05), and future treatment (b = 0.04, t(1) = 3.32, p < .01, f2 = 0.07). Asian and Black participants were significantly less likely than their White peers to have received past treatment (bAsian = -1.94, SEAsian = 0.47, χ2Asian[1] = 17.15, pAsian < .001, ORAsian = 0.14; bBlack = -1.53, SEBlack = 0.48, χ2Black[1] = 10.04, pBlack < .01, ORBlack = 0.22), current treatment (bAsian = -1.56, SEAsian = 0.51, χ2Asian[1] = 9.41, pAsian < .01, ORAsian = 0.21; bBlack = -1.06, SEBlack = 0.52, χ2Black[1] = 4.20, pBlack < .05, ORBlack = 0.35), and to be considering future treatment (bAsian = -0.51, tAsian (1) = -1.94, pAsian = .06, f2Asian = 0.02; bBlack = -0.58, tBlack (1) = -2.02, pBlack < .05, f2Black = 0.03). Experiences of trauma significantly predicted past treatment (b = 0.30 SE = 0.12, χ2[1] = 6.44, p < .05, OR = 1.35), but not current or future treatment (ps > .05). Experiences of discrimination did not significantly predict self-reported treatment variables across all analyses (all ps > .05). Discussion The current study examined the associations between race, trauma, PEs, discrimination, and psychiatric treatment-seeking in college students with high levels of psychosis-like experiences. Self-reported PE scores and race were significantly associated with all treatment-seeking variables, while experiences of discrimination were not significantly associated with help-seeking. Results suggest race-related disparities in help-seeking patterns among college-educated youth and young adults. These findings have implications for engaging racial and ethnic minorities in mental health treatment who are experiencing psychosis-like symptoms to alleviate these symptoms and any associated functional impairments or distress.


2020 ◽  
Vol 2 (3) ◽  
pp. 65-85
Author(s):  
Kristia Novia ◽  
Tita Hariyanti ◽  
Laily Yuliatun

Natural disasters are still a matter of the world until today. The events pose not only physical impact but also psychological impacts that leave deep sorrow and fear. The survivors of the disaster felt they were at a very unsettled condition, felt very fearful, felt agitated for uncertain circumstances, and became very easily panicked until they could experience anxiety, depression, and post-traumatic stress disorder (PTSD). This systematic review aims to identify the impact–effects often posed by natural disasters on the soul health of survivors. Data searching is done on the Proquest, Pubmed, Science Direct, Sage, and Scopus databases that were converged in the 2013 to 2019 ranges. The psychological impact experienced by the victims after natural disaster events are depression, post-traumatic stress disorder (PTSD), fear, suicide experiments, and other mental health disorders such as mood changes and a loss of interest in an activity. Natural disasters can hurt the mental health of the victims. If the psychological problems that occur to the victims are not immediately addressed, the victims will fall on more mental severe disorder conditions.


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