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Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal

BACKGROUND: Natural disasters cause long term psychological consequences, especially post-traumatic stress disorders. It has been regarded as the most prevalent of psychiatric disorders after a natural disaster. The purpose of this study is to estimate the prevalence of Post-Traumatic Stress Disorde...

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Autores principales: Acharya Pandey, Radha, Chalise, Pratibha, Khadka, Sunita, Chaulagain, Bina, Maharjan, Binu, Pandey, Jyotsna, Nepal, Jyoti, Pandey, Chandranshu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10184476/
https://www.ncbi.nlm.nih.gov/pubmed/37189110
http://dx.doi.org/10.1186/s12888-023-04836-3
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author Acharya Pandey, Radha
Chalise, Pratibha
Khadka, Sunita
Chaulagain, Bina
Maharjan, Binu
Pandey, Jyotsna
Nepal, Jyoti
Pandey, Chandranshu
author_facet Acharya Pandey, Radha
Chalise, Pratibha
Khadka, Sunita
Chaulagain, Bina
Maharjan, Binu
Pandey, Jyotsna
Nepal, Jyoti
Pandey, Chandranshu
author_sort Acharya Pandey, Radha
collection PubMed
description BACKGROUND: Natural disasters cause long term psychological consequences, especially post-traumatic stress disorders. It has been regarded as the most prevalent of psychiatric disorders after a natural disaster. The purpose of this study is to estimate the prevalence of Post-Traumatic Stress Disorder (PTSD) and determine its associated factors in adult survivors three years after the 2015 Nepal earthquake. METHODS: A cross-sectional descriptive design was used where 1076 adults within the age range of 19–65 were randomly selected and interviewed from four adversely affected districts due to the 2015 earthquake. Instruments included a demographic questionnaire, an earthquake exposure questionnaire, the Oslo Social Support Scale (OSSS), and the Post-traumatic Stress Disorder Checklist-Civilian Version (PCL-C). Descriptive and inferential statistics were applied using Statistical Package for Social Science (SPSS) Version 16 for data analysis. RESULTS: The prevalence of PTSD among earthquake survivors was 18.9%. The multivariate logistic regression showed that gender, ethnicity, education, occupation, social support and severity of damage to house and property were significantly associated with PTSD. Odds of having PTSD was 1.6 times higher among females (AOR = 1.6, 95% CI: 1.1–2.3) and nearly 2 times higher amongst illiterate survivors (AOR = 1.9, 95% CI: 1.2–2.8). Participants from the Janajati ethnic group and those who had a business occupation had a 50% lower risk of having PTSD. Around 39% of the participants had moderate social support and had 60% lower odds of having PTSD compared to those with poor social support (AOR = 0.4, 95%CI: 0.2–0.5, p < 0.001). Participants with medium and very high-level damage to personal property were more likely to have PTSD. CONCLUSION: Post-traumatic stress disorder remained prevalent amongst survivors three years after the 2015 Nepal Earthquake. It is important to provide psychological and social support for survivors to decrease the health burden from PTSD. Socio-demographic characteristics such as females, farmers, those survivors who endured significant personal property damage were at higher risk. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-023-04836-3.
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spelling pubmed-101844762023-05-16 Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal Acharya Pandey, Radha Chalise, Pratibha Khadka, Sunita Chaulagain, Bina Maharjan, Binu Pandey, Jyotsna Nepal, Jyoti Pandey, Chandranshu BMC Psychiatry Research BACKGROUND: Natural disasters cause long term psychological consequences, especially post-traumatic stress disorders. It has been regarded as the most prevalent of psychiatric disorders after a natural disaster. The purpose of this study is to estimate the prevalence of Post-Traumatic Stress Disorder (PTSD) and determine its associated factors in adult survivors three years after the 2015 Nepal earthquake. METHODS: A cross-sectional descriptive design was used where 1076 adults within the age range of 19–65 were randomly selected and interviewed from four adversely affected districts due to the 2015 earthquake. Instruments included a demographic questionnaire, an earthquake exposure questionnaire, the Oslo Social Support Scale (OSSS), and the Post-traumatic Stress Disorder Checklist-Civilian Version (PCL-C). Descriptive and inferential statistics were applied using Statistical Package for Social Science (SPSS) Version 16 for data analysis. RESULTS: The prevalence of PTSD among earthquake survivors was 18.9%. The multivariate logistic regression showed that gender, ethnicity, education, occupation, social support and severity of damage to house and property were significantly associated with PTSD. Odds of having PTSD was 1.6 times higher among females (AOR = 1.6, 95% CI: 1.1–2.3) and nearly 2 times higher amongst illiterate survivors (AOR = 1.9, 95% CI: 1.2–2.8). Participants from the Janajati ethnic group and those who had a business occupation had a 50% lower risk of having PTSD. Around 39% of the participants had moderate social support and had 60% lower odds of having PTSD compared to those with poor social support (AOR = 0.4, 95%CI: 0.2–0.5, p < 0.001). Participants with medium and very high-level damage to personal property were more likely to have PTSD. CONCLUSION: Post-traumatic stress disorder remained prevalent amongst survivors three years after the 2015 Nepal Earthquake. It is important to provide psychological and social support for survivors to decrease the health burden from PTSD. Socio-demographic characteristics such as females, farmers, those survivors who endured significant personal property damage were at higher risk. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-023-04836-3. BioMed Central 2023-05-15 /pmc/articles/PMC10184476/ /pubmed/37189110 http://dx.doi.org/10.1186/s12888-023-04836-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Acharya Pandey, Radha
Chalise, Pratibha
Khadka, Sunita
Chaulagain, Bina
Maharjan, Binu
Pandey, Jyotsna
Nepal, Jyoti
Pandey, Chandranshu
Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal
title Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal
title_full Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal
title_fullStr Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal
title_full_unstemmed Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal
title_short Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal
title_sort post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in nepal
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10184476/
https://www.ncbi.nlm.nih.gov/pubmed/37189110
http://dx.doi.org/10.1186/s12888-023-04836-3
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