Psychological and psychopathological reactions in Honduras following Hurricane Mitch: implications for service planning Reacciones psicológicas y psicopatológicas en Honduras después del huracán Mitch: implicaciones para la planificación de los servicios
BACKGROUND: Posttraumatic stress disorder (PTSD) and other psychopathological outcomes have not been sufficiently studied in community-based samples in Latin America. This study explored various psychopathological reactions and their respective risk factors two months after Hurricane Mitch struck Ho...
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ftdoajarticles:oai:doaj.org/article:93e117119066496890fdcbd5869d194e 2023-05-15T15:17:12+02:00 Psychological and psychopathological reactions in Honduras following Hurricane Mitch: implications for service planning Reacciones psicológicas y psicopatológicas en Honduras después del huracán Mitch: implicaciones para la planificación de los servicios Robert Kohn Itzhak Levav Irma Donaire Miguel Machuca Rita Tamashiro 2005-11-01T00:00:00Z https://doaj.org/article/93e117119066496890fdcbd5869d194e EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892005000900009 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/93e117119066496890fdcbd5869d194e Revista Panamericana de Salud Pública, Vol 18, Iss 4-5, Pp 287-295 (2005) Desastres salud mental trastornos mentales trastornos por estrés postraumático Honduras Disasters mental health mental disorders stress disorders post-traumatic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2005 ftdoajarticles 2022-12-31T14:28:03Z BACKGROUND: Posttraumatic stress disorder (PTSD) and other psychopathological outcomes have not been sufficiently studied in community-based samples in Latin America. This study explored various psychopathological reactions and their respective risk factors two months after Hurricane Mitch struck Honduras in October 1998. METHODS: In the Honduran capital of Tegucigalpa, 800 respondents age 15 and older were selected from residential areas of high, middle, or low socioeconomic status that had suffered either high or low impact from the devastating effects of the hurricane. The Composite International Diagnostic Interview was used to diagnose PTSD. Depression, alcohol misuse, and grief reaction were examined using screening instruments, and the Self-Reporting Questionnaire was used to measure demoralization. The Impact of Event Scale was administered to ascertain the severity of the posttraumatic reaction. RESULTS: PTSD was present in 10.6% of the sample. Respondents from the high-impact residential areas were more distressed, had higher scores on the grief inventory, and showed greater severity in PTSD symptoms. The respondents from the high-impact residential areas also had higher prevalence rates of major depression, alcoholism, and prior emotional problems. The best explanatory model for the risk of developing PTSD included the degree of exposure based on reported traumatic events, and associated increased demoralization. Among the persons with PTSD, its severity was predicted by being female and by the degree of exposure to hurricane-related traumatic events. CONCLUSIONS: Out of a total population of 3.3 million adults (age 15 and older) in Honduras, it is estimated that over 492 000 of them may have developed PTSD due to Hurricane Mitch. Adequate health disaster preparedness and response requires full acknowledgement of the multiple psychological effects that victims experience. OBJETIVOS: En América Latina no se han estudiado suficientemente los trastornos por estrés postraumático (TSP) y otras afecciones ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
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English Spanish Portuguese |
topic |
Desastres salud mental trastornos mentales trastornos por estrés postraumático Honduras Disasters mental health mental disorders stress disorders post-traumatic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Desastres salud mental trastornos mentales trastornos por estrés postraumático Honduras Disasters mental health mental disorders stress disorders post-traumatic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Robert Kohn Itzhak Levav Irma Donaire Miguel Machuca Rita Tamashiro Psychological and psychopathological reactions in Honduras following Hurricane Mitch: implications for service planning Reacciones psicológicas y psicopatológicas en Honduras después del huracán Mitch: implicaciones para la planificación de los servicios |
topic_facet |
Desastres salud mental trastornos mentales trastornos por estrés postraumático Honduras Disasters mental health mental disorders stress disorders post-traumatic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND: Posttraumatic stress disorder (PTSD) and other psychopathological outcomes have not been sufficiently studied in community-based samples in Latin America. This study explored various psychopathological reactions and their respective risk factors two months after Hurricane Mitch struck Honduras in October 1998. METHODS: In the Honduran capital of Tegucigalpa, 800 respondents age 15 and older were selected from residential areas of high, middle, or low socioeconomic status that had suffered either high or low impact from the devastating effects of the hurricane. The Composite International Diagnostic Interview was used to diagnose PTSD. Depression, alcohol misuse, and grief reaction were examined using screening instruments, and the Self-Reporting Questionnaire was used to measure demoralization. The Impact of Event Scale was administered to ascertain the severity of the posttraumatic reaction. RESULTS: PTSD was present in 10.6% of the sample. Respondents from the high-impact residential areas were more distressed, had higher scores on the grief inventory, and showed greater severity in PTSD symptoms. The respondents from the high-impact residential areas also had higher prevalence rates of major depression, alcoholism, and prior emotional problems. The best explanatory model for the risk of developing PTSD included the degree of exposure based on reported traumatic events, and associated increased demoralization. Among the persons with PTSD, its severity was predicted by being female and by the degree of exposure to hurricane-related traumatic events. CONCLUSIONS: Out of a total population of 3.3 million adults (age 15 and older) in Honduras, it is estimated that over 492 000 of them may have developed PTSD due to Hurricane Mitch. Adequate health disaster preparedness and response requires full acknowledgement of the multiple psychological effects that victims experience. OBJETIVOS: En América Latina no se han estudiado suficientemente los trastornos por estrés postraumático (TSP) y otras afecciones ... |
format |
Article in Journal/Newspaper |
author |
Robert Kohn Itzhak Levav Irma Donaire Miguel Machuca Rita Tamashiro |
author_facet |
Robert Kohn Itzhak Levav Irma Donaire Miguel Machuca Rita Tamashiro |
author_sort |
Robert Kohn |
title |
Psychological and psychopathological reactions in Honduras following Hurricane Mitch: implications for service planning Reacciones psicológicas y psicopatológicas en Honduras después del huracán Mitch: implicaciones para la planificación de los servicios |
title_short |
Psychological and psychopathological reactions in Honduras following Hurricane Mitch: implications for service planning Reacciones psicológicas y psicopatológicas en Honduras después del huracán Mitch: implicaciones para la planificación de los servicios |
title_full |
Psychological and psychopathological reactions in Honduras following Hurricane Mitch: implications for service planning Reacciones psicológicas y psicopatológicas en Honduras después del huracán Mitch: implicaciones para la planificación de los servicios |
title_fullStr |
Psychological and psychopathological reactions in Honduras following Hurricane Mitch: implications for service planning Reacciones psicológicas y psicopatológicas en Honduras después del huracán Mitch: implicaciones para la planificación de los servicios |
title_full_unstemmed |
Psychological and psychopathological reactions in Honduras following Hurricane Mitch: implications for service planning Reacciones psicológicas y psicopatológicas en Honduras después del huracán Mitch: implicaciones para la planificación de los servicios |
title_sort |
psychological and psychopathological reactions in honduras following hurricane mitch: implications for service planning reacciones psicológicas y psicopatológicas en honduras después del huracán mitch: implicaciones para la planificación de los servicios |
publisher |
Pan American Health Organization |
publishDate |
2005 |
url |
https://doaj.org/article/93e117119066496890fdcbd5869d194e |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 18, Iss 4-5, Pp 287-295 (2005) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892005000900009 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/93e117119066496890fdcbd5869d194e |
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1766347473403510784 |