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The importance of secondary trauma exposure for post-disaster mental disorder

Kessler, R. C. ; McLaughlin, K. A. ; Koenen, K. C. ; Petukhova, M. ; Hill, E. D.

Epidemiology and psychiatric sciences, 2012-03, Vol.21 (1), p.35-45 [Periódico revisado por pares]

Cambridge, UK: Cambridge University Press

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Título:
The importance of secondary trauma exposure for post-disaster mental disorder
Autor: Kessler, R. C. ; McLaughlin, K. A. ; Koenen, K. C. ; Petukhova, M. ; Hill, E. D.
Assuntos: Adaptation, Psychological ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Data Collection ; Disasters ; Epidemiology ; Female ; Humans ; Interview, Psychological ; Life Change Events ; Male ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental health care ; Middle Aged ; Recurrence ; Risk Factors ; Socioeconomic Factors ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; Stress Disorders, Traumatic, Acute - diagnosis ; Stress Disorders, Traumatic, Acute - epidemiology ; Stress Disorders, Traumatic, Acute - psychology ; Trauma ; Young Adult
É parte de: Epidemiology and psychiatric sciences, 2012-03, Vol.21 (1), p.35-45
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Members of The WHO World Mental Health Survey Consortium are given in the Appendix.
Descrição: Interventions to treat mental disorders after natural disasters are important both for humanitarian reasons and also for successful post-disaster physical reconstruction that depends on the psychological functioning of the affected population. A major difficulty in developing such interventions, however, is that large between-disaster variation exists in the prevalence of post-disaster mental disorders, making it difficult to estimate need for services in designing interventions without carrying out a post-disaster mental health needs assessment survey. One of the daunting methodological challenges in implementing such surveys is that secondary stressors unique to the disaster often need to be discovered to understand the magnitude, type, and population segments most affected by post-disaster mental disorders. This problem is examined in the current commentary by analyzing data from the WHO World Mental Health (WMH) Surveys. We analyze the extent to which people exposed to natural disasters throughout the world also experienced secondary stressors and the extent to which the mental disorders associated with disasters were more proximally due to these secondary stressors than to the disasters themselves. RESULTS. Lifetime exposure to natural disasters was found to be high across countries (4.4-7.5%). 10.7-11.4% of those exposed to natural disasters reported the occurrence of other related stressors (e.g. death of a loved one and destruction of property). A monotonic relationship was found between the number of additional stressors and the subsequent onset of mental disorders CONCLUSIONS. These results document the importance of secondary stressors in accounting for the effects of natural disasters on mental disorders. Implications for intervention planning are discussed.
Editor: Cambridge, UK: Cambridge University Press
Idioma: Inglês;Italiano

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The importance of secondary trauma exposure for post-disaster mental disorder

Kessler, R. C. ; McLaughlin, K. A. ; Koenen, K. C. ; Petukhova, M. ; Hill, E. D.

Cambridge, UK: Cambridge University Press

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