Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys

Research on post-traumatic stress disorder (PTSD) following natural and human-made disasters has been undertaken for more than three decades. Although PTSD prevalence estimates vary widely, most are in the 20-40% range in disaster-focused studies but considerably lower (3-5%) in the few general popu...

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Autores: Bromet, Evelyn J., Atwoli, Lukoye, Kawakami, Norito, Navarro Mateu, Fernando, Piotrowski, P., King, A. J., Aguilar-Gaxiola, Sergio, Alonso, Jordi, Bunting, Brendan, Demyttenaere, Koen, Florescu, Silvia E., Girolamo, Giovanni de, Gluzman, Semyon F., Haro Abad, Josep Maria, Jonge, Peter de, Karam, Elie Georges, Lee, Soon Yeun, Kovess-Masfety, Viviane, Medina Mora, Maria Elena, Mneimneh, Z., Pennell, Beth-Ellen, Posada Villa, José, Salmerón, D., Takeshima, T., Kessler, Ronald C.
Formato: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2017
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/120254
Acesso em linha:https://hdl.handle.net/2445/120254
Access Level:acceso abierto
Palavra-chave:Trastorn per estrès posttraumàtic
Catàstrofes naturals
Post-traumatic stress disorder
Natural disasters
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spelling Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health SurveysBromet, Evelyn J.Atwoli, LukoyeKawakami, NoritoNavarro Mateu, FernandoPiotrowski, P.King, A. J.Aguilar-Gaxiola, SergioAlonso, JordiBunting, BrendanDemyttenaere, KoenFlorescu, Silvia E.Girolamo, Giovanni deGluzman, Semyon F.Haro Abad, Josep MariaJonge, Peter deKaram, Elie GeorgesLee, Soon YeunKovess-Masfety, VivianeMedina Mora, Maria ElenaMneimneh, Z.Pennell, Beth-EllenPosada Villa, JoséSalmerón, D.Takeshima, T.Kessler, Ronald C.Trastorn per estrès posttraumàticCatàstrofes naturalsPost-traumatic stress disorderNatural disastersResearch on post-traumatic stress disorder (PTSD) following natural and human-made disasters has been undertaken for more than three decades. Although PTSD prevalence estimates vary widely, most are in the 20-40% range in disaster-focused studies but considerably lower (3-5%) in the few general population epidemiological surveys that evaluated disaster-related PTSD as part of a broader clinical assessment. The World Mental Health (WMH) Surveys provide an opportunity to examine disaster-related PTSD in representative general population surveys across a much wider range of sites than in previous studies. METHOD: Although disaster-related PTSD was evaluated in 18 WMH surveys, only six in high-income countries had enough respondents for a risk factor analysis. Predictors considered were socio-demographics, disaster characteristics, and pre-disaster vulnerability factors (childhood family adversities, prior traumatic experiences, and prior mental disorders). RESULTS: Disaster-related PTSD prevalence was 0.0-3.8% among adult (ages 18+) WMH respondents and was significantly related to high education, serious injury or death of someone close, forced displacement from home, and pre-existing vulnerabilities (prior childhood family adversities, other traumas, and mental disorders). Of PTSD cases 44.5% were among the 5% of respondents classified by the model as having highest PTSD risk. CONCLUSION: Disaster-related PTSD is uncommon in high-income WMH countries. Risk factors are consistent with prior research: severity of exposure, history of prior stress exposure, and pre-existing mental disorders. The high concentration of PTSD among respondents with high predicted risk in our model supports the focus of screening assessments that identify disaster survivors most in need of preventive interventions.Cambridge University Press2018201820172018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion24 p.application/pdfhttps://hdl.handle.net/2445/120254Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://doi.org/10.1017/S0033291716002026Psychological Medicine, 2017, vol. 47, num. 2, p. 227-241https://doi.org/10.1017/S0033291716002026(c) Cambridge University Press, 2017info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1202542026-05-29T05:05:01Z
dc.title.none.fl_str_mv Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys
title Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys
spellingShingle Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys
Bromet, Evelyn J.
Trastorn per estrès posttraumàtic
Catàstrofes naturals
Post-traumatic stress disorder
Natural disasters
title_short Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys
title_full Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys
title_fullStr Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys
title_full_unstemmed Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys
title_sort Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys
dc.creator.none.fl_str_mv Bromet, Evelyn J.
Atwoli, Lukoye
Kawakami, Norito
Navarro Mateu, Fernando
Piotrowski, P.
King, A. J.
Aguilar-Gaxiola, Sergio
Alonso, Jordi
Bunting, Brendan
Demyttenaere, Koen
Florescu, Silvia E.
Girolamo, Giovanni de
Gluzman, Semyon F.
Haro Abad, Josep Maria
Jonge, Peter de
Karam, Elie Georges
Lee, Soon Yeun
Kovess-Masfety, Viviane
Medina Mora, Maria Elena
Mneimneh, Z.
Pennell, Beth-Ellen
Posada Villa, José
Salmerón, D.
Takeshima, T.
Kessler, Ronald C.
author Bromet, Evelyn J.
author_facet Bromet, Evelyn J.
Atwoli, Lukoye
Kawakami, Norito
Navarro Mateu, Fernando
Piotrowski, P.
King, A. J.
Aguilar-Gaxiola, Sergio
Alonso, Jordi
Bunting, Brendan
Demyttenaere, Koen
Florescu, Silvia E.
Girolamo, Giovanni de
Gluzman, Semyon F.
Haro Abad, Josep Maria
Jonge, Peter de
Karam, Elie Georges
Lee, Soon Yeun
Kovess-Masfety, Viviane
Medina Mora, Maria Elena
Mneimneh, Z.
Pennell, Beth-Ellen
Posada Villa, José
Salmerón, D.
Takeshima, T.
Kessler, Ronald C.
author_role author
author2 Atwoli, Lukoye
Kawakami, Norito
Navarro Mateu, Fernando
Piotrowski, P.
King, A. J.
Aguilar-Gaxiola, Sergio
Alonso, Jordi
Bunting, Brendan
Demyttenaere, Koen
Florescu, Silvia E.
Girolamo, Giovanni de
Gluzman, Semyon F.
Haro Abad, Josep Maria
Jonge, Peter de
Karam, Elie Georges
Lee, Soon Yeun
Kovess-Masfety, Viviane
Medina Mora, Maria Elena
Mneimneh, Z.
Pennell, Beth-Ellen
Posada Villa, José
Salmerón, D.
Takeshima, T.
Kessler, Ronald C.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Trastorn per estrès posttraumàtic
Catàstrofes naturals
Post-traumatic stress disorder
Natural disasters
topic Trastorn per estrès posttraumàtic
Catàstrofes naturals
Post-traumatic stress disorder
Natural disasters
description Research on post-traumatic stress disorder (PTSD) following natural and human-made disasters has been undertaken for more than three decades. Although PTSD prevalence estimates vary widely, most are in the 20-40% range in disaster-focused studies but considerably lower (3-5%) in the few general population epidemiological surveys that evaluated disaster-related PTSD as part of a broader clinical assessment. The World Mental Health (WMH) Surveys provide an opportunity to examine disaster-related PTSD in representative general population surveys across a much wider range of sites than in previous studies. METHOD: Although disaster-related PTSD was evaluated in 18 WMH surveys, only six in high-income countries had enough respondents for a risk factor analysis. Predictors considered were socio-demographics, disaster characteristics, and pre-disaster vulnerability factors (childhood family adversities, prior traumatic experiences, and prior mental disorders). RESULTS: Disaster-related PTSD prevalence was 0.0-3.8% among adult (ages 18+) WMH respondents and was significantly related to high education, serious injury or death of someone close, forced displacement from home, and pre-existing vulnerabilities (prior childhood family adversities, other traumas, and mental disorders). Of PTSD cases 44.5% were among the 5% of respondents classified by the model as having highest PTSD risk. CONCLUSION: Disaster-related PTSD is uncommon in high-income WMH countries. Risk factors are consistent with prior research: severity of exposure, history of prior stress exposure, and pre-existing mental disorders. The high concentration of PTSD among respondents with high predicted risk in our model supports the focus of screening assessments that identify disaster survivors most in need of preventive interventions.
publishDate 2017
dc.date.none.fl_str_mv 2017
2018
2018
2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/120254
url https://hdl.handle.net/2445/120254
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1017/S0033291716002026
Psychological Medicine, 2017, vol. 47, num. 2, p. 227-241
https://doi.org/10.1017/S0033291716002026
dc.rights.none.fl_str_mv (c) Cambridge University Press, 2017
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Cambridge University Press, 2017
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 24 p.
application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812455

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