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Risk factors of post-traumatic stress disorder in tsunami survivors of Kanyakumari District, Tamil Nadu, India

CONTEXT: In this study, we assessed the relation of possible risk factors with post-traumatic stress disorder (PTSD) in the survivors of December 2004 tsunami in Kanyakumari district. MATERIALS AND METHODS: We identified cases (n=158) and controls (n=141) by screening a random sample of 485 tsunami...

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Autores principales: Pyari, T. T., Kutty, Raman V., Sarma, P. S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339219/
https://www.ncbi.nlm.nih.gov/pubmed/22556437
http://dx.doi.org/10.4103/0019-5545.94645
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author Pyari, T. T.
Kutty, Raman V.
Sarma, P. S.
author_facet Pyari, T. T.
Kutty, Raman V.
Sarma, P. S.
author_sort Pyari, T. T.
collection PubMed
description CONTEXT: In this study, we assessed the relation of possible risk factors with post-traumatic stress disorder (PTSD) in the survivors of December 2004 tsunami in Kanyakumari district. MATERIALS AND METHODS: We identified cases (n=158) and controls (n=141) by screening a random sample of 485 tsunami survivors from June 2005 to October 2005 using a validated tool, “Impact of events scale-revised (IES-R),” for symptoms suggestive of PTSD. Subjects whose score was equal to or above the 70(th) percentile (total score 48) were cases and those who had score below or equal to 30(th) percentile (total score 33) were controls. Analysis was done using statistical package for the social sciences to find the risk factors of PTSD among various pre-disaster, within-disaster and post-disaster factors. RESULTS: Multivariate analysis showed that PTSD was related to female gender [odds ratio (OR) 6.35, 95% confidence interval (CI) 3.26-12.39], age 40 years and above (OR 2.38, 95% CI 1.23-4.63), injury to self (OR 2.97, 95% CI 1.55-5.67), injury to family members (OR 2.09, 95% CI 1.05-4.15), residence in urban area (area of maximum destruction) (OR 3.37, 95% CI 1.35-8.41) and death of close relatives (OR 3.83, 95% CI 1.91-7.68). Absence of fear of recurrence of tsunami (OR 0.32, 95% CI 0.17-0.60), satisfaction of services received (OR 0.57, 95% CI 0.36-0.92) and counseling services received more than three times (OR 0.45, 95% CI 0.26-0.78) had protective effect against PTSD. CONCLUSIONS: There is an association of pre-disaster, within-disaster and post-disaster factors with PTSD, which demands specific interventions at all phases of disaster, with a special focus on vulnerable groups.
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spelling pubmed-33392192012-05-03 Risk factors of post-traumatic stress disorder in tsunami survivors of Kanyakumari District, Tamil Nadu, India Pyari, T. T. Kutty, Raman V. Sarma, P. S. Indian J Psychiatry Original Article CONTEXT: In this study, we assessed the relation of possible risk factors with post-traumatic stress disorder (PTSD) in the survivors of December 2004 tsunami in Kanyakumari district. MATERIALS AND METHODS: We identified cases (n=158) and controls (n=141) by screening a random sample of 485 tsunami survivors from June 2005 to October 2005 using a validated tool, “Impact of events scale-revised (IES-R),” for symptoms suggestive of PTSD. Subjects whose score was equal to or above the 70(th) percentile (total score 48) were cases and those who had score below or equal to 30(th) percentile (total score 33) were controls. Analysis was done using statistical package for the social sciences to find the risk factors of PTSD among various pre-disaster, within-disaster and post-disaster factors. RESULTS: Multivariate analysis showed that PTSD was related to female gender [odds ratio (OR) 6.35, 95% confidence interval (CI) 3.26-12.39], age 40 years and above (OR 2.38, 95% CI 1.23-4.63), injury to self (OR 2.97, 95% CI 1.55-5.67), injury to family members (OR 2.09, 95% CI 1.05-4.15), residence in urban area (area of maximum destruction) (OR 3.37, 95% CI 1.35-8.41) and death of close relatives (OR 3.83, 95% CI 1.91-7.68). Absence of fear of recurrence of tsunami (OR 0.32, 95% CI 0.17-0.60), satisfaction of services received (OR 0.57, 95% CI 0.36-0.92) and counseling services received more than three times (OR 0.45, 95% CI 0.26-0.78) had protective effect against PTSD. CONCLUSIONS: There is an association of pre-disaster, within-disaster and post-disaster factors with PTSD, which demands specific interventions at all phases of disaster, with a special focus on vulnerable groups. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3339219/ /pubmed/22556437 http://dx.doi.org/10.4103/0019-5545.94645 Text en Copyright: © Indian Journal of Psychiatry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Pyari, T. T.
Kutty, Raman V.
Sarma, P. S.
Risk factors of post-traumatic stress disorder in tsunami survivors of Kanyakumari District, Tamil Nadu, India
title Risk factors of post-traumatic stress disorder in tsunami survivors of Kanyakumari District, Tamil Nadu, India
title_full Risk factors of post-traumatic stress disorder in tsunami survivors of Kanyakumari District, Tamil Nadu, India
title_fullStr Risk factors of post-traumatic stress disorder in tsunami survivors of Kanyakumari District, Tamil Nadu, India
title_full_unstemmed Risk factors of post-traumatic stress disorder in tsunami survivors of Kanyakumari District, Tamil Nadu, India
title_short Risk factors of post-traumatic stress disorder in tsunami survivors of Kanyakumari District, Tamil Nadu, India
title_sort risk factors of post-traumatic stress disorder in tsunami survivors of kanyakumari district, tamil nadu, india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339219/
https://www.ncbi.nlm.nih.gov/pubmed/22556437
http://dx.doi.org/10.4103/0019-5545.94645
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