Obesity

2004 tsunami psychological effects of obesity – Mental Health Problems Among Adults in Tsunami-Affected Areas in Southern Thailand

Indochinese versions of the Hopkins Symptom Checklist a screening instrument for the psychiatric care of refugees. Emergency preparedness and response: South-East Asia earthquake and tsunami: Thailand tsunami situation report.

We determined living conditions by asking 2004 tsunami psychological effects of obesity in the survey and in the survey according to the flow chart. Can community social cohesion prevent posttraumatic stress disorder in the aftermath of a disaster? S2 Table: Comparison of baseline characteristics of the non-participants and participants. Global Facility for Disaster Reduction and Recovery. Even though participants did not differ by sex and age from nonparticipants, other factors may have accounted for differences that could not be assessed or controlled for in this study.

  • Backward stepwise multivariate logistic regression analysis was used to identify independent risk factors for symptoms of PTSD, anxiety, and depression, while adjusting for clustering of venues and calendar dates using Stata version 8. Another possible explanation in the Great East Japan Earthquake was the difference in ease of access to medical services after the disaster.

  • Anxiety and depression symptoms were significantly more common among women whereas PTSD symptoms were more common among those who were Buddhist.

  • Sri Lanka — post-tsunami recovery program preliminary damage and needs assessment.

  • Figure 3.

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In age-adjusted analysis, there was no obesitty difference in body weight between the TH and NTH groups for either sex. In our survey, loss of livelihood was significantly associated with symptoms of PTSD, anxiety, and depression. ScienceDaily, 9 January Hurricane Katrina—related maternal stress, maternal mental health, and early infant temperament. Writing — original draft: ST.

On the positive side, instruments were the same for all subpopulations and did not change over time, allowing comparisons between groups and detection of trends. J Clin Epidemiol. Of 16 camps registered in Phang Nga by February 14,10 were selected. Figure 1. In addition, mental health treatment before and after the tsunami was assessed.

In the present study, we sought to examine long-term prognosis of PTSS and 2004 tsunami psychological effects of obesity symptoms among older individuals who experienced the disaster. Figure 1. The research plan was deliberated and approved by the Ethics Committee of Iwate Medical University approval no. Guidelines for the primary prevention of ischemic heart disease revised version JCS Tokyo: The Japan circulation society, Barriers to improvement of mental health services in low-income and middle-income countries.

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A resulting tsunami damaged the Fukushima-Daiichi Nuclear Power Plant, leading to a major nuclear disaster in addition to other local destruction. Those who lived through the changes highlight how success was achieved, the barriers that affected recovery and where deficiencies remain. As a baby boomer, she keenly follows trends in midlife weight gain, memory loss and the health benefits of red wine. Kazuyoshi Itai for useful advice.

Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. We also reviewed population and health statistics about displaced and nondisplaced persons. Administrative, technical, or material support : Thienkrua, Varangrat, Sabin. Publication types Research Support, Non-U. At 9 months postdisaster, the prevalence rate for symptoms of PTSD was significantly higher among displaced persons and the prevalence rates for symptoms of anxiety and depression were rather similar.

Babbie E. We used the Tsunamo to assess tsunami-specific traumatic events part 1, 13 questions Boxwhich were selected after interviews with key informants in the tsunami-affected area, and PTSD symptoms according effects the Diagnostic and Statistical Manual of Mental Disorders part 3, 16 questions. As a reaction, coping strategies to deal with the psychological pressure such as dysfunctional eating behavior, binge eating and physical inactivity are used. Indochinese versions of the Hopkins Symptom Checklist a screening instrument for the psychiatric care of refugees. Obese people have more difficulties in finding a job, have a lower income, and are less often seen in leadership positions. In every household, consent to participate was requested from individuals aged 15 years or older.

Introduction

Our website uses cookies psycholoogical enhance your experience. A resulting tsunami damaged the Fukushima-Daiichi Nuclear Power Plant, leading to a major nuclear disaster in addition to other local destruction. The interview questions focused on narratives of the day of the tsunami; narratives of health care experiences following the tsunami; reflections on changes in the health system, with and without relation to the tsunami; current health system strengths and weaknesses; and advice for health system strengthening to cope with future disasters.

  • Babbie E.

  • To account for ineligibility, refusal, and absence, we estimated that households were needed to enroll persons.

  • Third, although we assessed psychological distress by the K6 scale, which has been validated as having high screening performance for measurement of mood disorders including depression, we did not asses PTSD.

  • Camp household registration data showed a mean SD household size of 3.

  • Regarding the association of seeing or hearing ghosts with 1 or more mental health problems, it is likely that at least to some extent both phenomena are due to the loss of loved ones during the tsunami. Interpretive validity was limited by the lack of member checks through participant feedback.

In this study psychologica the survivors of the tsunami in southern Thailand, symptoms of depression and anxiety were more common than symptoms of PTSD, which obesity similar to findings from several other postdisaster studies. If household members were present, refusal to participate was rare. Financial Disclosures: None reported. Loss of livelihood as a result of the tsunami was independently and significantly associated with all 3 mental health conditions. Mental health, social functioning and disability in postwar Afghanistan. Publication types Research Support, Non-U.

  • Actually, there was surplus… There was a free flow of drugs at that time.

  • All participants were referred for mental health services available in mobile clinics provided by the Department of Mental Health of the Thailand Ministry of Public Health. In society, responsibility for the weight situation in seen as lying by the individuals affected altogether, leading to chronic stress, problems with self esteem and perception of loss of control.

  • However, following multivariate analysis, displacement status was not independently associated with higher levels of symptoms of mental illness. In this study, we examined the community-level prevalence of mental health disorders as well as the within-individual trajectories of depressive symptoms and PTSS following the Great East Japan earthquake and tsunami.

  • We found that out of 9.

As a consequence, there is an increased risk for developing serious psychological problems such as affective and anxiety disorders. Centers for Disease Control and Prevention. Evidence of anxiety or depressive disorder was found in Displaced persons experienced significantly more traumatic events. Psychol Rep. This Issue.

As the months and years passed, physicians began to recognize the tsunami as an opportunity tsnuami the health sector. Participants may also have been biased 2004 tsunami psychological effects of obesity professional self-interest, possibly contributing to overstating or overestimating their roles in health system recovery. In the third stage, 8 villages with more than households were randomly sampled from each cluster of 3 subdistricts, resulting in 16 villages from the Phang Nga province and 16 villages from the Krabi and Phuket provinces. Meaning In this study, although mental illness symptoms persisted for more than 5 years among half of disaster survivors, the community-wide prevalence of depression remained unchanged, suggesting that the community itself was resilient.

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Table 2. If continuous variables were not normally distributed, nonparametric tests were applied. Instruments and Data Collection. Instruments were not backtranslated but their translation was verified for accuracy by local bilingual mental health experts.

She covers prescription drugs, obesity, nutrition and exercise, and neuroscience, mental health and 2004 tsunami psychological effects of obesity behavior. After removing duplicates, our search yielded 6, articles. Persistent impact of housing loss on cognitive decline after the Great East Japan earthquake and tsunami: evidence from a 6-year longitudinal study. Preventive medicine reports. However, most physicians did not support rebuilding hospitals on the tsunami-affected coastline. Mental health and related factors after the Great East Japan earthquake and tsunami.

J Trauma Stress. Abstract Overweight and obesity is associated with a rsunami variety of stigmatization and discrimination in every day 2015. Citations A more likely explanation for the lack of association between displacement status and mental illness is that the former is a surrogate for the loss of a family member or loved one, loss of home or livelihood, and having been injured as a result ot the tsunami—all of which were significantly associated with 1 or more mental health problems. Predictors of posttraumatic outcomes following the Taiwan earthquake. However, following multivariate analysis, displacement status was not independently associated with higher levels of symptoms of mental illness.

Behav Sci. View Metrics. Data were collected using an interviewer-administered questionnaire on handheld computers. Get free access to newly published articles Create a personal account or sign in to: Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts.

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Conclusions Among survivors of the tsunami in southern Thailand, elevated rates of symptoms of PTSD, anxiety, and depression were reported 8 weeks after the disaster, with higher rates for anxiety and depression than PTSD symptoms. Two of the instruments used in 2004 tsunami psychological effects of obesity study were developed and validated in the Western world and cultural factors may therefore play a role in the underreporting or overreporting for symptoms of PSTD, anxiety, and depression. In addition, our instruments were similar to those used in many other postdisaster surveys, allowing comparison across studies and with the international scientific literature. Accessed August 19, In the fourth stage, we applied a sampling ratio and sampling interval 9 to determine the number of households to be enrolled from each village to get the desired sample size.

First, we examined the overall community prevalence of mental illness symptoms at each survey. Neighborhood ties reduced depressive symptoms in older disaster survivors: Iwanuma study, a natural experiment. We found that the changes in body weight were significantly greater in the TH group than in the NTH group in both sexes. Few studies have followed survivors for more than 3 years. WCS and TB critically revised the manuscript for intellectual content. Obesity and weight gain are important risk factors for mortality and morbidity from vascular diseases such as cardiovascular disease, diabetes mellitus, and hypertension [ 7 — 9 ]. In the multiple linear regression analysis, change in body weight was significantly greater in the TH group than in the NTH group in both sexes.

Keep me logged in. There are a lot of psychiatrists who work there. Article Obesihy. J Diabetes Investig. Despite limited formal inclusion, local physicians developed significant leadership roles that have informed their critical perspectives on the health system recovery. Retrospective analyses of the post-tsunami health system recovery in Sri Lanka lack the perspectives of local stakeholders, including health care providers. Between anda further people remitted, while people experienced delayed onset of depression.

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The protocol of this study was reviewed by the US Centers for Disease Control and Prevention and by the Department of Mental Health, Thailand Ministry of Public Health, and was determined to be an emergency public health response which, consequently, did not require review by an institutional review board. Submit Cancel. P-values were calculated using analysis of covariance. The loss of a family member was significantly associated with depression. To account for ineligibility, refusal, and absence, we estimated that households were needed to enroll persons.

Global Facility for Disaster Reduction and Recovery. On the other hand, the consequence of this bias is likely to be small, given that a total of 34 of the baseline sample of participants died yielding a 0. Psychiatry and clinical neurosciences. By85 of participants

In the second stage, villages were stratified by spychological they were affected or unaffected by the tsunami. S1 Table: Multiple linear regression analysis of variables for obesity rates in children 2015 mean change in body weight stratified by age of 65 years from to They identified instances of poor coordination among partners, corruption trends, local resource mismatches, regional resource disparities and the influence of the Sri Lankan civil war. The mean SD score for role-emotional functioning was lower among displaced persons

  • We used data from 6, participants for analysis.

  • Taehan Kanho Hakhoe Chi. Before conducting the survey, we collected information from key informants persons affected by the tsunami, health care workers, and community leaders about traumatic experiences, cultural-specific coping mechanisms such as seeing ghosts or hearing voices of the deceasedand tsunami-related mental health and subsistence issues.

  • We have previously reported 1314 that personal exposure to trauma loss of relatives, housing damage was associated with new onset depressive symptoms and PTSS. The aim of this study was to determine whether there were differences between body weight changes of people living in temporary housing and those not living in temporary housing in a tsunami-stricken area during the medium-term and long-term recovery phases.

In the first stage, we used the number of tsunami-related deaths to define Phang Nga as a high-impact psychological effects deaths and Krabi and Phuket as a lower-impact cluster and deaths, respectively. Previous assessments among survivors of natural disasters, wars, and conflicts have shown that posttraumatic stress disorder PTSD and other mental health problems are common. A total of As a reaction, coping strategies to deal with the psychological pressure such as dysfunctional eating behavior, binge eating and physical inactivity are used. The HSCL, a screening tool to detect symptoms of anxiety and depression, comprises a item subscale for anxiety and a item subscale for depression. Publication types Research Support, Non-U.

Mulder N. As part of a public health emergency response, we conducted a rapid assessment of the prevalence of symptoms of PTSD, anxiety, and depression and associated factors among random samples of displaced and nondisplaced persons in the 3 Thai provinces of Phang Nga, Krabi, and Phuket, which were the most severely affected by the tsunami Figure 1. Create a free personal account to access your subscriptions, sign up for alerts, and more. We recommend that tourists returning from regions affected by natural disasters be informed about PTSD and that careful screening be given to those found to be at risk of PTSD.

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Screening for serious mental illness in the general population. The loss of a family member was significantly associated with depression. Dietary patterns and changes in body mass index and waist circumference in adults. Table 3.

Post-tsunami psychosocial issues and trauma received increased attention, ultimately resulting in a national mental health plan. Analysis of the lsychological humanitarian interventions in Sri Lanka. The 2004 tsunami psychological effects of obesity in changes in body weight was related to the difference in living conditions. The rights and welfare of the participants in this study were protected by the ethical guidelines outlined in the Declaration of Helsinki. Development and validation of the Japanese version of the Athens Insomnia Scale. Oxford University Press is a department of the University of Oxford.

References 1. Countries affected by the Indian Ocean tsunami have been a testing ground effects obesity innovations in health system recovery. Objective To assess the prevalence of symptoms of posttraumatic stress disorder PTSDanxiety, and depression among individuals residing in areas affected by the tsunami in southern Thailand as part of a public health emergency response and rapid assessment. Turning to the issue of long-term prognosis of mental illness in the aftermath of a disaster, Morina et al 3 conducted a systematic review of remission rates from posttraumatic stress disorder in adults. To account for ineligibility, refusal, and absence, we estimated that households were needed from Phang Nga and from Krabi and Phuket to enroll persons from each of the high-impact and lower-impact clusters. WCS and TB designed the study protocol. PTSS was measured with the Screening Questionnaire for Disaster Mental Health, which was originally developed to screen for posttraumatic stress disorder and depression and subsequently validated for older populations in the Great Hanshin Earthquake in Japan.

However, the estimate of our sample size was rather conservative because we considered the population size of displaced persons to be infinite and doubled our sample size psychologica control for the design effect of cluster sampling. We excluded 2, persons who did not come to the health check-up in2 people aged 17 years old or under, and people who lacked at least one variable that was used for analysis. Keep me logged in. Second, there might be a chance of selection bias due to loss to follow-up during 3 years. References 1.

Having sustained an injury was associated with symptoms efgects both depression and anxiety. Publication types English Abstract Review. Without funeral rites or with improperly performed funeral rites, it is believed that the deceased is reincarnated as a malevolent ghost phii. If continuous variables were not normally distributed, nonparametric tests were applied. The notion of carrying a certain responsibility for the occurrence of the tsunami may make it easier to accept and cope with its consequences. For our survey, we selected four 5-point scales from the SF to assess self-perceived general health, bodily pain, and social and emotional functioning. The HSCL, a screening tool to detect symptoms of anxiety and depression, comprises a item subscale for anxiety and a item subscale for depression.

In our assessment, the prevalence for symptoms of PTSD among displaced persons and others affected by the tsunami was lower than that found among war-affected populations in Kosovo and Afghanistan. Mental health in complex emergencies. Rural Remote Health ; 16 3 : Retrospective analyses of the post-tsunami health system recovery in Sri Lanka lack the perspectives of local stakeholders, including health care providers. Having sustained an injury was associated with symptoms of both depression and anxiety. These findings suggest that over time there is a significant decrease in the prevalence of posttraumatic stress reactions, particularly among the displaced, which were the most severely affected. However, these associations were no longer significant in multivariate analysis.

Mental health, social functioning and disability in postwar Afghanistan. For surveillance purposes, we conducted a follow-up survey 2004 tsunami psychological effects of obesity the prevalence for the symptoms of PTSD, anxiety, and depression among persons enrolled in the first assessment in the Phang Nga province, the high-impact cluster, 9 months posttsunami, using the same instruments. Original Contribution. A total of Indochinese versions of the Hopkins Symptom Checklist a screening instrument for the psychiatric care of refugees.

Mental health consequences of disasters. This Issue. The subjects of our study lived in shelters a few months after the earthquake. Privacy Policy. Original Investigation. The occupational status of the participants following the disaster was categorized into two groups: unemployed and employed.

Software: Y. A total of 10, participants aged 18 years or older who provided written informed consent comprised the original cohort. Create a personal account to register for email alerts with links to free full-text articles. In a previous report, we found that individuals who were severely depressed on the day of the earthquake and tsunami were twice as likely to lose their life, possibly as a result of delayed evacuation. PloS one. Longitudinal association between time-varying social isolation and psychological distress after the Great East Japan Earthquake.

The tsunami victims who had 2004 tsunami psychological effects of obesity directly affected showed significantly more symptoms of anxiety, depression and PTSD, as well as post-traumatic personal growth, than tourists who were indirectly affected or unaffected. Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more. Understanding basic posttsunami mental health indicators is essential for identifying vulnerable populations and developing culturally specific mental health interventions.

  • Thus, the reliability and validity of this measure are reasonably high, and this measure was used in our previous studies. The Sri Lankan civil war limited post-tsunami equity in some instances, but the disaster lifted other barriers created by the civil war.

  • Understanding basic posttsunami mental health indicators is essential for identifying vulnerable populations and developing culturally specific mental health interventions.

  • Resilience in the face of disaster: prevalence and longitudinal course of mental disorders following hurricane Ike.

  • Peripheral hospitals benefited more than central hospitals New buildings came to peripheral… Lot of people got new instruments, and some experts came and worked temporarily, so that was a positive side. Six camps were excluded for reasons of efficiency; they had fewer than 50 households Figure 2.

Most displaced persons had lost a family member, were injured, or had a family member who was injured during the tsunami. Japan Science and Technology Agency. It is well established that disasters are associated with an increase in many psychological problems, including depressive symptoms and posttraumatic stress symptoms PTSS. Soc Sci Med. Finally, we could not investigate details of food consumption and physical activity because we did not ask about details of these factors.

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Risk of mortality during and 2004 tsunami psychological effects of obesity the Oobesity East Japan Earthquake and Tsunami among older coastal residents. Close mobile search navigation Article Navigation. By that time, prevalence rates for symptoms of PTSD, anxiety, and depression in displaced persons had significantly decreased. Geospatial distribution and bypassing health facilities among National Health Insurance Scheme enrollees: implications for universal health coverage in Nigeria. Products provided by the government were also difficult to sustain due to the cost and inconvenience of repair. Physicians emphasized that Sri Lankans needed to take responsibility for sustainability. The numbers of deaths or missing people were in Yamada, 1, in Otsuchi, and 1, in Rikuzentakata, accounting for 4.

  • Conflicts of interest comprise financial interests, activities, obsity relationships within the 2004 tsunami psychological effects of obesity 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. Six camps were excluded for reasons of efficiency; they had fewer than 50 households Figure 2.

  • As part of a public health emergency response, we conducted a rapid assessment of obesity rates in children 2015 prevalence of symptoms of PTSD, anxiety, and tsunwmi and associated factors among random samples of displaced and nondisplaced persons in the 3 Thai provinces of Phang Nga, Krabi, and Phuket, which were the most severely affected by the tsunami Figure 1. In the fourth stage, we applied a sampling ratio and sampling interval 9 to determine the number of households to be enrolled from each village to get the desired sample size.

  • The interview questions focused on narratives of the day of the tsunami; narratives of health care experiences following the tsunami; reflections on changes in the health system, with and without relation to the tsunami; current health system strengths and weaknesses; and advice for health system strengthening to cope with future disasters.

  • Institutional sign in: OpenAthens Shibboleth. Anxiety and depression symptoms were significantly more common among women whereas PTSD symptoms were more common among those who were Buddhist.

The content and design of a 4-point severity scale is acceptable to the Indo-Chinese 2004 tsunami psychological effects of obesity, and reviews in the cultural psychiatry literature consider the measure valid. After excluding people who did not participate in the survey, those aged 17 years or younger, and those who lacked data for at least one variable that was necessary for analysis, we analyzed data for 6, participants 2, males and 4, females; Among nondisplaced persons, rates of symptoms also decreased but the decreases were not statistically significant from 6. Trends in socio-economic, sex and geographic disparities in childhood underweight in Mauritania: evidence from Multiple Indicator Cluster Surveys — Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. This scale was validated to screen major depressive symptoms ie, a score of 5 or more with an area under the receiver operating characteristic curve of 0. Financial Disclosures: None reported.

The aim of the present study was to extend the current knowledge on psychiatric morbidity and potential positive outcomes, as well as subsequent mental health treatment following a natural disaster, based on the results from a sample of home-coming Swiss tourists. Table 4. 2004 tsunami psychological effects of obesity of seeing or hearing ghosts are common among rural Thais and are not confined to periods of disaster or specific events but are a normal part of Thai culture and beliefs. The cross-sectional prevalence rates of symptoms in persons who were displaced at the time of the first assessment significantly decreased from Provincial registration data showed a mean household size of 3. However, in our assessment, refusal to participate was rare and nonparticipation was usually the result of absence or unknown whereabouts of the individual in the chaotic postdisaster environment.

Predictors of depressive symptoms following the Great East Japan earthquake: a prospective study. Post-tsunami psychosocial issues and trauma received increased attention, ultimately resulting in a national mental health plan. Table 4. Supervision: TY.

The subjects of our study were people who had lost their homes in the tsunami and had lived in shelters for several months after the disaster. Shimamoto K. Views 3, Japan Gerontological Evaluation Study. Enter your email address below and we will send you your username.

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Indochinese versions of the Hopkins Symptom Checklist a tsjnami instrument for the psychiatric care of refugees. The SF has been widely translated and used in diverse cultural groups. An additional drawback of the low 2004 tsunami psychological effects of obesity rate is that we did not reach the target sample size of displaced persons in Phang Nga. Each raw score was then transformed on a 0 to scale using a standard formula, with the higher scores representing better functioning. Sign in to customize your interests Sign in to your personal account. The higher prevalences for symptoms of PTSD, anxiety, and depression reported by displaced persons may have been due to the higher levels of impact experienced by this population. To account for ineligibility, refusal, and absence, we estimated that households were needed from Phang Nga and from Krabi and Phuket to enroll persons from each of the high-impact and lower-impact clusters.

  • However, our sensitivity analysis showed similar results as our main findings. New User.

  • Original Contribution.

  • Preventive medicine reports.

  • Oxford Academic. Conflicts of Interest Disclosure Identify all potential conflicts of interest that might be relevant to your comment.

  • In studies investigating trends in mental health problems over time, posttraumatic stress symptoms tended to improve, or in any case not to get worse. Physical performance deterioration of temporary housing residents after the Great East Japan Earthquake.

Purchase access Subscribe now. And they stayed in five-star hotels, ate and drank well. If a household member was not present but would return later, the household was revisited on the same day for a maximum of 2 times. Comments 0.

Without funeral rites or with improperly performed funeral rites, it is believed that the deceased is reincarnated as a malevolent ghost phii. Backward stepwise multivariate logistic regression analysis was used to identify independent 2004 tsunami psychological effects of obesity factors for symptoms of PTSD, anxiety, and depression, while adjusting for clustering of venues and calendar dates using Stata version 8. We used the HTQ to assess tsunami-specific traumatic events part 1, 13 questions Boxwhich were selected after interviews with key informants in the tsunami-affected area, and PTSD symptoms according to the Diagnostic and Statistical Manual of Mental Disorders part 3, 16 questions. Factors associated with higher prevalence of anxiety were being female, age of 35 to 54 years, having a lower educational level, having a religion other than Buddhist, using illicit drugs, seeing ghosts, hearing voices, experiencing injury to self or a family member, loss of home or livelihood, or having a household member contemplate suicide. Table 3.

Analysis after adjustment for life style, psychosocial factors and cardiovascular risk factors found that people living in temporary housing in the tsunami- stricken area had a significant increase in body weight. Rural Remote Health ; 16 3 : Obesity Silver Spring, Md.

Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. Table 4. The results of bivariate analysis for effects of demographic and trauma exposure variables on symptoms of PTSD appear in Table 3 and anxiety and depression appear in Table 4. View Metrics.

  • Depressive Symptoms.

  • At the end of obeeity day, all completed questionnaires were downloaded on a laptop computer using Hotsync process of synchronizing information between handheld computers and desktop computers and electronically transported to the Bangkok-based data management center using the Global Packet Radio Service a wireless telephony network. Anecdotal conversations with tsunami survivors indicate that many individuals believe that overfishing and exploitation of the sea were causes of the tsunami, a revenge of the spirits of the sea.

  • Therefore, we should plan to control body weights of disaster survivors living in temporary housing during the medium-term and long-term recovery phases after the disaster.

  • Method: Tourists who had been potentially affected by the tsunami were assessed using the Post-traumatic Diagnostic Scale, the Hospital Anxiety and Depression Scale, and the Post-traumatic Growth Inventory.

  • In multivariate analysis, loss of livelihood was independently and significantly associated with symptoms of all 3 mental health outcomes PTSD, anxiety, and depression.

Save Preferences. Sign in to customize your interests Sign in to your personal account. Where they are building the infrastructure, the resources are limited and the patients are few. Mean cumulative symptom scores higher than 1. Health Security.

Method: Tourists who had been potentially affected by the tsunami were assessed using the Post-traumatic Diagnostic Scale, the Hospital Anxiety and Depression Scale, and the Post-traumatic Growth Inventory. Frits van Griensven, PhD ; M. World Health Organization. Symptoms of PTSD and depression were more common among those with a prior diagnosis of mental illness. We recommend that tourists returning from regions affected by natural disasters be informed about PTSD and that careful screening be given to those found to be at risk of PTSD.

It has been reported that people with higher psychological stress are more likely to exhibit less healthy dietary behaviors with higher effrcts weight [ 53 ]. Residents in temporary housing lost the local community that they previously belonged to and had no opportunity to participate in community life [ 1314 ]. At the time of the follow-up survey, the prevalence of PTSD remained significantly higher among displaced persons than among nondisplaced persons OR, 3. Lainie Rutkow Search for more papers by this author. Project administration: KS.

Obesoty then randomly sampled a cluster of 3 subdistricts with affected villages and 3 subdistricts with nonaffected villages from both the high-impact and lower-impact clusters a village was classified as affected if it had been flooded by the tsunami. Results: Of the respondents, 55 In the third stage, 8 villages with more than households were randomly sampled from each cluster of 3 subdistricts, resulting in 16 villages from the Phang Nga province and 16 villages from the Krabi and Phuket provinces. Multivariate analysis also showed a number of demographic and trauma exposures that were independently associated with symptoms of PTSD, anxiety, and depression. Our website uses cookies to enhance your experience.

Author information Article notes Copyright and License information Disclaimer. Sleep Med. Psyfhological conducting the survey, we collected information from key informants persons affected by the tsunami, health care workers, and community leaders about traumatic experiences, cultural-specific coping mechanisms such as seeing ghosts or hearing voices of the deceasedand tsunami-related mental health and subsistence issues. Citations 0. Post-disaster needs assessments guidelines: volume B.

  • The findings obtained after adjusting for unfavorable risk factors including life style, psychosocial factors and cardiovascular risk factors identified that both males and females living in temporary housing had a significant increase in body weight.

  • Regarding the association of seeing or hearing ghosts with 1 or more mental health problems, it is likely that at least to some extent both phenomena are due to the loss of loved ones during the tsunami.

  • On March 11,a magnitude 9.

  • Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account.

Trends in obesity rates in children 2015 illness and pwychological after Hurricane Katrina. Anecdotal conversations with tsunami survivors indicate that many individuals believe that overfishing and exploitation of the sea were causes of the tsunami, a revenge of the spirits of the sea. The change in body weight kg from to was calculated as body weight in kg subtracted from body weight in kg. Tsunami survivor reports of seeing ghosts or hearing voices may be explained by the fact that the bodies of many tsunami victims were never found or could not be identified.

Another aspect of the Thai belief system is the notion that every space, be it air or water, has a ruler or spirit, a supernatural power that governs the space. Mental health, social functioning and disability in postwar Afghanistan. Accessed September 7, Household members were not necessarily relatives by blood or marriage.

A surveillance follow-up survey of the displaced and nondisplaced participants in Phang Nga the high-impact cluster was conducted between September 7 and 12,9 months after the disaster. Most og persons had lost a family member, were injured, or had a family member who was injured during the tsunami. Provincial registration data showed a mean household size of 3. However, the estimate of our sample size was rather conservative because we considered the population size of displaced persons to be infinite and doubled our sample size to control for the design effect of cluster sampling.

In the present study, we sought to examine long-term prognosis of PTSS and depressive symptoms among older individuals who experienced the disaster. We chose an inductive content analysis approach 2004 tsunami psychological effects of obesity the study aimed to answer specific research questions rather than generate a substantive theory. Y okoyama. Acta Psychiatr Scand. Do you notice that you are making an effort to try not to think about the event, or are trying to forget it? Public health officials often struggle with water treament systems and tap-water distribution systems that have been overwhelmed or contaminated by ocean water and by oil, gas, pesticides and decaying animals carried inland by the tsunami.

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Financial 0204 None reported. Khasalamwa S. Disclaimer: The findings and conclusions reported in this article are those of the authors and do not necessarily represent the views of the US Centers for Disease Control and Prevention. Since we started our study soon after the disaster, we had to reduce items of the questionnaire due to consideration of ethical aspects. It is possible that the living conditions in that period caused further weight gain. Between anda further people remitted, while people experienced delayed onset of depression. In the survey, we asked participants whether they had relocated from their living place from the date of the survey to the date of the survey.

Sign in to customize your interests Sign in to your personal account. Six camps were excluded for reasons of efficiency; they had fewer than 50 households Figure 2. Med Care. Restoration of persons' livelihoods to prevent and diminish mental morbidity among populations affected by natural disasters is therefore of utmost importance. Thailand does not have a history of natural disasters and the prevalence of PTSD among individuals exposed to traumatic events has not been assessed previously. The tsunami victims who had been directly affected showed significantly more symptoms of anxiety, depression and PTSD, as well as post-traumatic personal growth, than tourists who were indirectly affected or unaffected. In the multivariate analysis, displacement was no longer associated with mental illness or symptoms of PTSD, anxiety, and depression.

  • In addition, our instruments were similar to those used in many other postdisaster surveys, allowing comparison across studies and with the international scientific literature.

  • At the time of the follow-up survey, the prevalence of PTSD remained significantly higher among displaced persons than among nondisplaced persons OR, 3.

  • Objective To assess the prevalence of symptoms of posttraumatic stress disorder PTSDanxiety, and depression among individuals residing in areas affected by the tsunami in southern Thailand as part of a public health emergency response and rapid assessment. Fig 2.

  • Tsunami survivor reports of seeing ghosts or hearing voices may be explained by the fact that the bodies of many tsunami victims were never found or could not be identified. The mean SD score for role-emotional functioning was lower among displaced persons

  • We found that the changes in body weight were significantly greater in the TH group than in the NTH group in both sexes. Many of the survivors lost family members and their homes.

In addition, to consider selection bias 2004 tsunami psychological effects of obesity to missing data, we conducted inverse-probability weighting as a sensitivity analysis. If continuous variables were not normally distributed, nonparametric tests were applied. The cross-sectional prevalence rates of symptoms in persons who were displaced at the time of the first assessment significantly decreased from Conceptualization: ST. It is possible that the living conditions in that period caused further weight gain. Social position, psychological stress, and obesity: a systematic review.

The estimated total financial damage was more than billion dollars [ 5 ]. However, these associations were no longer significant in multivariate analysis. Longitudinal changes in food patterns predict changes in weight and body mass index and the effects are greatest in obese women. The HSCL, 2004 tsunami psychological, and SF have been widely translated and used in diverse cultural groups, validated against clinical diagnoses, and have demonstrated high internal consistency and reliability in studies. Question What is the persistence of mental illness symptoms among individuals affected by the Great East Japan earthquake and tsunami 5. Results While there was no significant difference between body weights in the TH and NTH groups in the survey, there was a significant difference between the mean changes in body weight in both sexes. To account for ineligibility, refusal, and absence, we estimated that households were needed from Phang Nga and from Krabi and Phuket to enroll persons from each of the high-impact and lower-impact clusters.

2004 tsunami psychological effects of obesity non-participants had a more unfavorable lifestyle, large proportions of them being smokers and eating a small number of meals, their body weight may have increased more than that of the participants. Despite limited formal inclusion, local physicians developed significant leadership roles that have informed their critical perspectives on the health system recovery. In an example of reinforced inequity, foreign donors wanted to collaborate with the MOH to build equivalent facilities that would transform a sector of the health system in the east and south. However, our sensitivity analysis showed similar results as our main findings.

  • There was a possibility that our participants were likely to gain body weight because non-participants who were more prevalent in young male who were busy with jobs.

  • Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Respondents who had experienced traumatic events, such as having a family member who died or was missing, injury to self or a family member, loss of home or livelihood, or contemplation of suicide by a household member also had higher prevalence rates for symptoms of PTSD, anxiety, and depression.

  • In the multivariate analysis, displacement was no longer associated with mental illness or symptoms of PTSD, anxiety, and depression.

  • Factors associated with higher prevalence of anxiety were being female, age of 35 to 54 years, having a lower educational level, having a religion other than Buddhist, using illicit drugs, seeing ghosts, hearing voices, experiencing injury to self or a family member, loss of home or livelihood, or having a household member contemplate suicide.

We defined PTSD as a score of 3 or 4 on at least 1 of 4 reoccurring symptoms, at least 3 of 7 avoidance and numbing symptoms, and at least 2 of 5 arousal symptoms. Frits van Griensven, PhD ; M. Sign in to save your search Sign in to your personal account. Health concerns associated with disaster victim identification following a tsunami—Thailand, December March Create a personal account to register for email alerts with links to free full-text articles. The higher prevalences for symptoms of PTSD, anxiety, and depression reported by displaced persons may have been due to the higher levels of impact experienced by this population. J Clin Epidemiol.

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Factors significantly associated 2004 tsunami psychological effects of obesity increased symptoms fo depression were being female, being older, hearing voices, having a family member who died or was missing, loss of livelihood, and being injured as a result of the tsunami. Nine months after the disaster, the rates of those reporting these symptoms decreased but were still elevated. For sampling purposes, these 3 subcamps were considered individual camps and are depicted separately in Figure 1. If individuals died in your family as a result of the tsunami disaster were the bodies found? We recommend that tourists returning from regions affected by natural disasters be informed about PTSD and that careful screening be given to those found to be at risk of PTSD. Abstract Overweight and obesity is associated with a broad variety of stigmatization and discrimination in every day live.

J Nerv Ment Dis. In all 6 provinces combined, individuals died, were unaccounted for, and were injured. However, following multivariate analysis, displacement status was not independently associated with higher levels 2004 tsunami psychological effects of obesity symptoms of mental illness. Almost all The protocol of this study was reviewed by the US Centers for Disease Control and Prevention and by the Department of Mental Health, Thailand Ministry of Public Health, and was determined to be an emergency public health response which, consequently, did not require review by an institutional review board. The tsunami that followed severely affected all 6 southwestern provinces of Thailand, where individuals died, were unaccounted for, and were injured.

Another aspect of the Thai belief system is the notion that every space, pstchological it air or water, has a ruler or spirit, a supernatural psychological effects that governs the space. By that time, prevalence rates for symptoms of PTSD, anxiety, and depression in displaced persons had significantly decreased. On the positive side, instruments were the same for all subpopulations and did not change over time, allowing comparisons between groups and detection of trends. Two of the instruments used in our study were developed and validated in the Western world and cultural factors may therefore play a role in the underreporting or overreporting for symptoms of PSTD, anxiety, and depression. This information is important for directing, strengthening, and evaluating posttsunami mental health needs and interventions. To account for ineligibility, refusal, and absence, we estimated that households were needed to enroll persons.

Kazuyoshi Itai for useful advice. Results from a single-day survey in ten countries. Civil society organizations CSOs and the Sri Lankan government have reported on financing, planning and implementation challenges across multiple sectors of recovery. Off the rails in rural South Carolina: a qualitative study of healthcare provider perspectives on the long-term health impact of the Graniteville train disaster.

  • However, physicians without positions in the MOH were rarely formally consulted in recovery planning, and the processes and outcomes of the health system recovery often concerned them.

  • Some limitations of our assessment need to be mentioned. Privacy Policy Terms of Use.

  • Because interviews were conducted on location, psyhcological were not blinded with respect to displacement status. Questions regarding depressive symptoms were asked in all 3 waves; therefore, following the methods of Raker et al, 12 we categorized the possible trajectories as follows: the never group included individuals without depressive symptoms in any of the 3 waves, and

Physicians highlighted successful projects that efrects fashioned through multilateral collaboration. Those factors might have affected body weight in the TH group during the 2004 tsunami psychological effects of obesity and long-term recovery phases after the disaster. Finally, we could not investigate details of food consumption and physical activity because we did not ask about details of these factors. Table 2. However, this observation is tempered by the fact that the prevalence of depressive symptoms was already quite high before the disaster [ Social position, psychological stress, and obesity: a systematic review. Risk of mortality during and after the Great East Japan Earthquake and Tsunami among older coastal residents.

Purchase access Subscribe to JN Learning for one year. As part of a public health emergency 2004 tsunami psychological effects of obesity, we conducted a rapid assessment of the prevalence of symptoms of PTSD, anxiety, and depression and associated factors among random samples of displaced and nondisplaced persons in the 3 Thai provinces of Phang Nga, Krabi, and Phuket, which were the most severely affected by the tsunami Figure 1. In this analysis, seeing ghosts of individuals who had died, having a family member who died or was missing, loss of livelihood, and having a household member contemplate suicide were independently associated with higher prevalence rates for symptoms of PTSD Table 5. For sampling purposes, these 3 subcamps were considered individual camps and are depicted separately in Figure 1. Taehan Kanho Hakhoe Chi. Table 1. Citations

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