Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea

Han, Kook Nam; Kim, Kyoung Hoon; Lee, Mi-Kyung; Lee, Sang Min; Ko, Young Hoon; Paik, Jong Woo

doi:10.1016/j.jad.2017.05.026

Cited by 16 publications

(25 citation statements)

References 29 publications

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“…The researchers also showed that sedatives use is higher in those who had lost a loved one in the Bam earthquake. This finding is consistent with previous studies, showing a rise in sedatives and anti-depressant medications post-disaster [ 35 – 37 ]. This could be due to the social context of the earthquake; when many people lose their families, it disrupts the integrity of the social network and causes loss of spirits, irregularity, and disintegration, which negatively affects mental health and, in turn, increases the use of sedatives [ 35 , 38 ].…”

Section: Discussionsupporting

confidence: 94%

The long-term impact of the earthquake on substance use

et al. 2022

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Earthquake is associated with several health conditions such as posttraumatic stress disorder (PTSD), depression, and cardiovascular disease. However, the association between earthquakes and substance use has been less studied to date. We conducted a historical cohort study 17 years after the Bam earthquake by enrolling 818 households using multi-stage cluster sampling. The sample consisted of earthquake-exposed and non-exposed citizens. The ASSIST screening test was used to determine substance use. Logistic regression analysis was used to evaluate the association of variables of interest with substance use. Nearly 60% of the study subjects were female and the mean ± SD age of the sample was 46.6 ± 11.5 years. The prevalence of tobacco, alcohol, and other drug use in the exposed group was 19.5%, 24.9%, and 21.6%, respectively. The corresponding figures in the non-exposed group were 15.6%, 19.3%, and 20.1%, respectively (P > 0.05). The logistic regression model found no association between the history of earthquake exposure and the risk of any current drug use. Our results showed those 17 years after the Bam earthquake, there was no relationship between earthquake exposure and substance use.

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Section: Discussionsupporting

confidence: 94%

The long-term impact of the earthquake on substance use

et al. 2022

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“…Em uma coorte de trabalhadores franceses, o uso de antidepressivos esteve associado a menor distância da explosão de fábrica de produtos químicos 12 . Aumento da prescrição de antidepressivos foi também observado em populações atingidas por ciclone 8 , terremoto 9 e desastre marítimo 7 .…”

Section: Discussionunclassified

“…A realização de estudos farmacoepidemiológicos pós--desastres é percebida como uma possibilidade de avaliar o impacto desses eventos sobre a saúde mental das populações atingidas. A literatura científica internacional tem fornecido evidências de aumento do consumo de antidepressivos [6][7][8][9] , de ansiolíticos/hipnóticos 10,11 ou de ambos os psicofármacos 12 após a ocorrência de desastres. No entanto, não foi possível identificar nas principais bases bibliográficas eletrônicas nenhum artigo farmacoepidemiológico brasileiro, de base populacional, que tenha abordado essa questão.…”

Section: Introductionunclassified

Uso de psicofármacos por população em área atingida pelo rompimento de barragem de rejeitos: Projeto Saúde Brumadinho

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Mambrini

et al. 2022

Rev. bras. epidemiol.

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RESUMO: Objetivo: Descrever o consumo de psicofármacos pela população adulta residente em Brumadinho, Minas Gerais, após o rompimento da barragem da Vale, ocorrido em 2019. Métodos: Trata-se de um estudo transversal, inserido no Projeto Saúde Brumadinho, desenvolvido em 2021, junto a uma amostra representativa da população adulta (18 anos ou mais) residente no município de mesmo nome. Foram incluídos na análise 2.805 indivíduos com informações sobre o uso autorreferido de psicofármacos (antidepressivos e ansiolíticos-hipnóticos/sedativos) nos últimos 15 dias. A prevalência do uso de psicofármacos foi estimada e os psicofármacos mais utilizados foram identificados. O teste do qui-quadrado de Pearson (com correção de Rao-Scott) foi utilizado para testar as associações entre exposições e o uso de psicofármacos, considerando-se o nível de significância de p<0,05. Resultados: O uso de antidepressivos (14,2%) foi mais comum do que o uso de ansiolíticos ou hipnóticos/sedativos (5,2%), sendo a sertralina e a fluoxetina os antidepressivos mais utilizados. O uso de ansiolíticos e hipnóticos/sedativos foi maior entre os moradores que residiam em área diretamente atingida pela lama da barragem, e o uso de algum psicofármaco foi maior entre aqueles que perderam algum parente/amigo no desastre e que avaliaram que sua saúde piorou após o desastre bem como entre mulheres. Conclusão: Os resultados do estudo corroboram o observado em outras populações expostas a tragédias semelhantes no que concerne às associações identificadas e ao padrão de utilização desses psicofármacos.

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“…When the ferry MV Sewol sank in 2014, many students from Danwon High School were drowned to death. A research team that attempted to empirically compare the psychological impact between the Danwon area and a remote community found that medical doctors prescribed antidepressants at a 5.6% higher rate to residents in the Danwon area compared with those in the remote community (Han et al 2017).…”

Section: Literature Reviewmentioning

confidence: 99%

Mitigating Psychological Impact: The Experience of Korean Disaster Management

2020

Community Ment Health J

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The psychological impact of disasters has not been adequately addressed in Korea. This research aims to evaluate how Korea should improve its management of the psychological impact of disasters toward the ultimate goal of effective disaster management. Qualitative content analysis is the main method applied. Nonprofessional management is compared with professional management by considering governments, psychology specialists, disaster victims, and local communities. The main finding is that Korea must change its current management style from nonprofessional to professional. Neighboring nations need to implement supplementary measures toward adopting a systematic approach that considers all phases of the disaster management cycle, emergency planning, and a long-term approach. The value of this study lies in its comprehensive examination of the issue of psychological impact from the perspective of disaster management in Korea.

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Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea

Abstract: Pharmaco-epidemiological studies on psychotropic medication prescription after a disaster provide important information about population-level mental health. Our results suggest that the Sewol Ferry disaster exerted a harmful effect on the mental health status of the affected community.

Cited by 16 publications

References 29 publications

The long-term impact of the earthquake on substance use

The long-term impact of the earthquake on substance use

Uso de psicofármacos por população em área atingida pelo rompimento de barragem de rejeitos: Projeto Saúde Brumadinho

Mitigating Psychological Impact: The Experience of Korean Disaster Management

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