Cargando…

Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China

BACKGROUND: Several studies indicate that older age is a risk factor for probable post-traumatic stress disorder (PTSD). However, evidence on the prevalence and risk factors for elderly disaster survivors is limited. METHODS: Multi-stage stratified sampling was applied in this cross-sectional study....

Descripción completa

Detalles Bibliográficos
Autores principales: Li, Lan, Reinhardt, Jan D., Van Dyke, Craig, Wang, Heng, Liu, Maoqiong, Yamamoto, Aiko, Chen, Qian, Hu, Xiuying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036222/
https://www.ncbi.nlm.nih.gov/pubmed/32087728
http://dx.doi.org/10.1186/s12888-020-2474-z
_version_ 1783500182227255296
author Li, Lan
Reinhardt, Jan D.
Van Dyke, Craig
Wang, Heng
Liu, Maoqiong
Yamamoto, Aiko
Chen, Qian
Hu, Xiuying
author_facet Li, Lan
Reinhardt, Jan D.
Van Dyke, Craig
Wang, Heng
Liu, Maoqiong
Yamamoto, Aiko
Chen, Qian
Hu, Xiuying
author_sort Li, Lan
collection PubMed
description BACKGROUND: Several studies indicate that older age is a risk factor for probable post-traumatic stress disorder (PTSD). However, evidence on the prevalence and risk factors for elderly disaster survivors is limited. METHODS: Multi-stage stratified sampling was applied in this cross-sectional study. The Revised Version of the Impact of Event Scale (IES-R) was used to evaluate symptoms of PTSD. Chi-squared test was used for univariable analysis of prevalence of probable PTSD by possible determinants. Multivariable logistic regression analysis was utilized to further explore risk factors for PTSD. RESULTS: 427 elderly survivors age 60 or older participated. The prevalence of probable PTSD was 40.5, 36.3, and 21.5% according to a cut off score of the IES-R of 33, 35, and 2 points on average across items, respectively. In multivariable logistic regression, elderly survivors with a higher number of diagnosed chronic illnesses were more likely to be screened positive for PTSD and those with a greater number of family members living in the same home were less likely to be classified as having probable PTSD for all cut off scores. Elderly survivors with improved economic status and those with primary school or lower education were more often estimated to have probable PTSD with a cut off score of 35 and 2 points on average. CONCLUSIONS: Elderly survivors in a high impact area following a major earthquake are at high risk for developing PTSD. Those who live alone and report pre-existing chronic illness are particularly vulnerable.
format Online
Article
Text
id pubmed-7036222
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-70362222020-03-02 Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China Li, Lan Reinhardt, Jan D. Van Dyke, Craig Wang, Heng Liu, Maoqiong Yamamoto, Aiko Chen, Qian Hu, Xiuying BMC Psychiatry Research Article BACKGROUND: Several studies indicate that older age is a risk factor for probable post-traumatic stress disorder (PTSD). However, evidence on the prevalence and risk factors for elderly disaster survivors is limited. METHODS: Multi-stage stratified sampling was applied in this cross-sectional study. The Revised Version of the Impact of Event Scale (IES-R) was used to evaluate symptoms of PTSD. Chi-squared test was used for univariable analysis of prevalence of probable PTSD by possible determinants. Multivariable logistic regression analysis was utilized to further explore risk factors for PTSD. RESULTS: 427 elderly survivors age 60 or older participated. The prevalence of probable PTSD was 40.5, 36.3, and 21.5% according to a cut off score of the IES-R of 33, 35, and 2 points on average across items, respectively. In multivariable logistic regression, elderly survivors with a higher number of diagnosed chronic illnesses were more likely to be screened positive for PTSD and those with a greater number of family members living in the same home were less likely to be classified as having probable PTSD for all cut off scores. Elderly survivors with improved economic status and those with primary school or lower education were more often estimated to have probable PTSD with a cut off score of 35 and 2 points on average. CONCLUSIONS: Elderly survivors in a high impact area following a major earthquake are at high risk for developing PTSD. Those who live alone and report pre-existing chronic illness are particularly vulnerable. BioMed Central 2020-02-22 /pmc/articles/PMC7036222/ /pubmed/32087728 http://dx.doi.org/10.1186/s12888-020-2474-z Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Li, Lan
Reinhardt, Jan D.
Van Dyke, Craig
Wang, Heng
Liu, Maoqiong
Yamamoto, Aiko
Chen, Qian
Hu, Xiuying
Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China
title Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China
title_full Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China
title_fullStr Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China
title_full_unstemmed Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China
title_short Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China
title_sort prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 wenchuan earthquake in china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036222/
https://www.ncbi.nlm.nih.gov/pubmed/32087728
http://dx.doi.org/10.1186/s12888-020-2474-z
work_keys_str_mv AT lilan prevalenceandriskfactorsofposttraumaticstressdisorderamongelderlysurvivorssixmonthsafterthe2008wenchuanearthquakeinchina
AT reinhardtjand prevalenceandriskfactorsofposttraumaticstressdisorderamongelderlysurvivorssixmonthsafterthe2008wenchuanearthquakeinchina
AT vandykecraig prevalenceandriskfactorsofposttraumaticstressdisorderamongelderlysurvivorssixmonthsafterthe2008wenchuanearthquakeinchina
AT wangheng prevalenceandriskfactorsofposttraumaticstressdisorderamongelderlysurvivorssixmonthsafterthe2008wenchuanearthquakeinchina
AT liumaoqiong prevalenceandriskfactorsofposttraumaticstressdisorderamongelderlysurvivorssixmonthsafterthe2008wenchuanearthquakeinchina
AT yamamotoaiko prevalenceandriskfactorsofposttraumaticstressdisorderamongelderlysurvivorssixmonthsafterthe2008wenchuanearthquakeinchina
AT chenqian prevalenceandriskfactorsofposttraumaticstressdisorderamongelderlysurvivorssixmonthsafterthe2008wenchuanearthquakeinchina
AT huxiuying prevalenceandriskfactorsofposttraumaticstressdisorderamongelderlysurvivorssixmonthsafterthe2008wenchuanearthquakeinchina