Symptoms and coping in Sri Lanka 20–21 months after the 2004 tsunami

Background The estimated prevalence of clinically significant psychiatric and somatic symptoms in adults >1 year after the 2004 Asian tsunami is unknown. Aims To estimate the prevalence of psychiatric and somatic symptoms and impairment in Sri Lanka 20–21 months after the 2004 Asian tsunami, and to assess coping strategies used by tsunami-affected individuals that contribute to post-tsunami adjustment. Method Homes from one severely affected area were randomly selected, and adult respondents were sampled utilising a modified Kish method. Instruments were administered in Sinhala to assess exposure, post-traumatic stress disorder (PTSD), depression, anxiety, somatic distress and impairment. Demographic variables and culturally-relevant coping activities were assessed. Results The prevalence of clinically significant PTSD, depression and anxiety was 21%, 16% and 30% respectively. Respondents reported a mean of eight persistent and bothersome somatic complaints, which were associated with psychiatric symptoms and impairment. Thinking that one's life was in danger was the exposure item most strongly associated with symptoms and impairment. The majority of respondents found their own strength, family and friends, a Western-style hospital and their religious practice to be the most helpful coping aids. Conclusions A large minority of adults in one area of Sri Lanka reported significant psychiatric and somatic symptoms and impairment 20–21 months after the tsunami. Accurate data about risk for and resilience to impairing symptoms > 1 year after disasters are necessary in order to develop rational surveillance and interventions.

[1]  L. Kiser Protecting children from the dangers of urban poverty. , 2007, Clinical psychology review.

[2]  K. Wickrama,et al.  Family context of mental health risk in Tsunami-exposed adolescents: findings from a pilot study in Sri Lanka. , 2007, Social science & medicine.

[3]  C. Tang Trajectory of Traumatic Stress Symptoms in the Aftermath of Extreme Natural Disaster: A Study of Adult Thai Survivors of the 2004 Southeast Asian Earthquake and Tsunami , 2007, The Journal of nervous and mental disease.

[4]  Y. Hutin,et al.  RE: “PREVALENCE OF POSTTRAUMATIC STRESS DISORDER IN PRISONERS” , 2018, Epidemiologic reviews.

[5]  D. Ozgediz,et al.  Trauma on trauma. Lessons from the tsunami and civil conflict in Sri Lanka. , 2007, The Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha.

[6]  S. Russell,et al.  The prevalence of posttraumatic stress disorder among children and adolescents affected by tsunami disaster in Tamil Nadu. , 2007, Disaster management & response : DMR : an official publication of the Emergency Nurses Association.

[7]  C. Gotway,et al.  Mental health problems among adults in tsunami-affected areas in southern Thailand. , 2006, JAMA.

[8]  B. L. Cardozo,et al.  Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. , 2006, JAMA.

[9]  J. Westermeyer,et al.  Assessing war trauma in refugees: properties of the Comprehensive Trauma Inventory-104. , 2006, Journal of traumatic stress.

[10]  T. Elbert,et al.  Post-tsunami stress: a study of posttraumatic stress disorder in children living in three severely affected regions in Sri Lanka. , 2006, Journal of traumatic stress.

[11]  Aizhong Liu,et al.  An Epidemiologic Study of Posttraumatic Stress Disorder in Flood Victims in Hunan China , 2006, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[12]  D. Moussaoui,et al.  Syndrome de stress post-traumatique chez les survivants du séisme d'Agadir (Maroc) de 1960 , 2006 .

[13]  Helen S Mayberg,et al.  Posttraumatic stress disorder: a state-of-the-science review. , 2006, Journal of psychiatric research.

[14]  L. Vijayakumar,et al.  Mental health status in children exposed to tsunami , 2006, International review of psychiatry.

[15]  I. Tazi,et al.  [Post-traumatic stress disorder in survivors of the Agadir earthquake (Morocco) in 1960]. , 2006, L'Encephale.

[16]  A. Steinberg,et al.  A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. , 2005, The American journal of psychiatry.

[17]  Greg Miller,et al.  The Tsunami's Psychological Aftermath , 2005, Science.

[18]  Hatice Gunes,et al.  Personal resources, coping self-efficacy, and quake exposure as predictors of psychological distress following the 1999 earthquake in Turkey. , 2005, Journal of traumatic stress.

[19]  M. Trevisan,et al.  Long-Term Follow-Up of Psychological Distress Following Earthquake Experiences Among Working Italian Males: A Cross-Sectional Analysis , 2005, The Journal of nervous and mental disease.

[20]  M. Basoglu,et al.  Earthquake-related psychological distress and associated factors 4 years after the Parnitha earthquake in Greece , 2005, European Psychiatry.

[21]  E. Spitznagel,et al.  The Course of PTSD, Major Depression, Substance Abuse, and Somatization After a Natural Disaster , 2004, The Journal of nervous and mental disease.

[22]  K. Kendler,et al.  The interrelationship of neuroticism, sex, and stressful life events in the prediction of episodes of major depression. , 2004, The American journal of psychiatry.

[23]  C. Kılıç,et al.  Prevalence of Posttraumatic Stress Disorder and Comorbid Depression in Earthquake Survivors in Turkey: An Epidemiological Study , 2004, Journal of traumatic stress.

[24]  J. Newcomer,et al.  Antipsychotic-induced weight gain and metabolic abnormalities: implications for increased mortality in patients with schizophrenia. , 2004, The Journal of clinical psychiatry.

[25]  A. Shalev,et al.  Posttraumatic stress disorder as a result of mass trauma. , 2004, The Journal of clinical psychiatry.

[26]  Ş. Şişmanlar,et al.  [The symptoms of PTSD, depression and anxiety in adolescent students three and a half years after the Marmara earthquake]. , 2004, Turk psikiyatri dergisi = Turkish journal of psychiatry.

[27]  Denis Bard,et al.  Assessment of exposure to a flood disaster in a mental-health study , 2003, Journal of Exposure Analysis and Environmental Epidemiology.

[28]  Dan J Stein,et al.  Trauma and Posttraumatic Stress Disorder in an Urban Xhosa Primary Care Population: Prevalence, Comorbidity, and Service Use Patterns , 2003, The Journal of nervous and mental disease.

[29]  F. Norris,et al.  60,000 Disaster Victims Speak: Part II. Summary and Implications of the Disaster Mental Health Research , 2002, Psychiatry.

[30]  J. Westermeyer,et al.  Measuring trauma and health status in refugees: a critical review. , 2002, JAMA.

[31]  C. North Somatization in survivors of catastrophic trauma: a methodological review. , 2002, Environmental health perspectives.

[32]  S. Wing Social responsibility and research ethics in community-driven studies of industrialized hog production. , 2002, Environmental health perspectives.

[33]  J Briere,et al.  Prevalence, Characteristics, and Long-Term Sequelae of Natural Disaster Exposure in the General Population , 2000, Journal of traumatic stress.

[34]  R. Kessler,et al.  Posttraumatic stress disorder: the burden to the individual and to society. , 2000, The Journal of clinical psychiatry.

[35]  R. Hirschfeld History and evolution of the monoamine hypothesis of depression. , 2000, The Journal of clinical psychiatry.

[36]  G. Ironson,et al.  Psychometric Properties of a Hurricane Coping Self-Efficacy Measure , 1999, Journal of traumatic stress.

[37]  H. K. O'Neill,et al.  Psychological distress during the Red River flood: Predictive utility of the Conservation of Resources model , 1999 .

[38]  Jasmin K. Riad,et al.  Stability and change in stress, resources, and psychological distress following natural disaster: Findings from hurricane Andrew. , 1999, Anxiety, stress, and coping.

[39]  R. Kessler,et al.  Posttraumatic stress disorder in the National Comorbidity Survey. , 1995, Archives of general psychiatry.

[40]  D. Somasundaram,et al.  War Trauma in a Civilian Population , 1994, British Journal of Psychiatry.

[41]  Barbara O. Rothbaum,et al.  Reliability and validity of a brief instrument for assessing post-traumatic stress disorder , 1993 .

[42]  G. Canino,et al.  Somatic symptoms after a natural disaster: a prospective study. , 1992, The American journal of psychiatry.

[43]  G. Wyshak,et al.  Indochinese versions of the Hopkins Symptom Checklist-25: a screening instrument for the psychiatric care of refugees. , 1987, The American journal of psychiatry.

[44]  S. Manson,et al.  The use of self-rating scales in cross-cultural psychiatry. , 1987, Hospital & community psychiatry.

[45]  K. Rickels,et al.  Symptoms of Emotional Distress in a Family Planning Service: Stability over a Four-Week Period , 1984, British Journal of Psychiatry.

[46]  D. Sheehan,et al.  The Anxiety Disease , 1984 .

[47]  S. Horn Sampling for Health Professionals , 1982 .

[48]  S. Lemeshow,et al.  Sampling for Health Professionals , 1980 .

[49]  L. Covi,et al.  The Hopkins Symptom Checklist (HSCL). A measure of primary symptom dimensions. , 1974, Modern problems of pharmacopsychiatry.

[50]  R. Brislin Back-Translation for Cross-Cultural Research , 1970 .