Posttraumatic Stress and Change in Lifestyle among the Hanshin-Awaji Earthquake Victims

Fukuda, Sanae; Morimoto, Kanehisa; Mure, Kanae; Maruyama, Soichiro

doi:10.1006/pmed.1999.0528

Cited by 46 publications

(43 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6 Whereas the initial traumatic experience of Hurricane Katrina may be considered a point-source exposure, the difficulties incurred in the aftermath of Hurricane Katrina may be on-going for the residents of the New Orleans metropolitan area and the Mississippi Gulf Coast. [16][17][18] Specifically, even among residents who have been able to return to the area, many roadblocks exist that prevent their ability to return to normal routines. These include waiting for revised Federal Emergency Management Agency_s flood maps that dictate residents_ rights to rebuild their houses, negotiating with insurance companies, the limited availability of public transportation, and the 2006 hurricane season.…”

Section: Discussionmentioning

confidence: 99%

Symptoms of Posttraumatic Stress Disorder in a New Orleans Workforce Following Hurricane Katrina

et al. 2007

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Symptoms of Posttraumatic Stress Disorder in a New Orleans Workforce Following Hurricane Katrina

et al. 2007

View full text Add to dashboard Cite

“…Stress negatively affects either people with diabetes [24,29,35,36] or without [17][18][19][20][21][22]. Positive life events were associated with improved glycemic control; on the other hand, recent severe stressors were associated with poorer glycemic control [35].…”

Section: Discussionmentioning

confidence: 99%

“…The impact of the earthquake affects many patients in various ways [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22], with morbidity and mortality from chronic diseases increasing following an earthquake [5-9, 12, 23]. Diabetes mellitus is affected negatively after a lengthy duration in an unfavorable environment [5].…”

mentioning

confidence: 99%

Lessons Learnt from Influences of the Marmara Earthquake on Glycemic Control and Quality of Life in People with Type 1 Diabetes

Şengül¹,

Özer

Salman

et al. 2004

Endocr J

View full text Add to dashboard Cite

Abstract. To examine the short-and long-term influences of the Marmara earthquake, which occurred on August 17, 1999 in Turkey, on glycemic control and quality of life (QOL), HbA 1c, insulin requirement and QOL of 88 people with type 1 diabetes living in the quake zone were evaluated one year before (PreE), 3 months after (PostE) and one year after (FE) the earthquake. HbA 1c levels and daily insulin requirements increased significantly at PostE (HbA 1c from 7.4 ± 1.3% to 8.5 ± 1.8%, p<0.05; insulin from 0.58 ± 0.2 IU/kg/day to 0.77 ± 0.2 IU/kg/day, p<0.05). Mean total QOL scores at PostE were significantly lower than the scores obtained at PreE (62.7 ± 17.3 vs 74.2 ± 13.4, p<0.001). There were no significant differences between HbA 1c levels and total QOL scores at PreE and FE. People with type 1 diabetes living in the same house after the earthquake and not having enough food supply were reported to have lower QOL than people moving to another house and having enough food supply after the earthquake (p = 0.014, p<0.0001, respectively). The Marmara Earthquake had a negative impact on the glycemic control and QOL of the subjects with type 1 diabetes for the short term but prequake scores might be achieved after a long period.

show abstract

“…Moreover, the clinical status of most patients with Graves' or Hashimoto's diseases did not deteriorate. In addition, the PTSD score was much lower than that following the HAE [11,12], although the PTSD score in the patients with CDI or Hashimoto's disease was higher than in the other patients.…”

Section: Discussionmentioning

confidence: 76%

“…Subscoring was used for the combination of categories A and B to evaluate environmental effects and for category C to evaluate the patient's mental condition. This same approach has been used to assess the psychological impact of the HAE [11,12].…”

Section: -2 Assessment By Questionnairementioning

confidence: 99%

Effect of the 2004 Mid Niigata Prefecture Earthquake on Patients with Endocrine Disorders

et al. 2006

View full text Add to dashboard Cite

Abstract. A major earthquake (Richter scale magnitude 6.8) struck the Chuetsu district of Niigata Prefecture, Japan, a rural area with mountain villages, on October 23, 2004. Strong aftershocks (Grade 5-6 on the Japanese intensity scale, JIS) continued for 2 months. We analyzed the earthquake's impact on 229 patients with various endocrine disorders [6 central diabetes insipidus (CDI), 16 adrenal insufficiency (AI) including 5 panhypopituitarism, 10 ACTH isolated deficiency and 1 Addison's disease, 145 Graves' disease and 62 Hashimoto's disease]. The status of patients with CDI or AI was not adversely affected by the earthquake. Twenty-eight (19%) patients with Graves' disease developed more severe hyperthyroidism; the incidence of developing more severe hyperthyroidism increased with greater degrees of hyperthyroidism. Three (5%) patients with Hashimoto's disease developed increased TSH concentrations. Most patients stayed in their own houses following the first shock. The median PTSD total score for all patients was low. However, the PTSD total score in patients with CDI or Hashimoto's disease was significantly higher than in other patients, while the subscore of mental status in patients with AI was significantly much lower than in other patients. In patients with Hashimoto's disease, patients whose hypothyroidism worsened had higher total and environmental effects score than patients whose hypothyroidism remained stable. Comparing patients whose hyperthyroidism became more severe to those in whom it remained stable, as well as on multiple logistic regression analysis, serum TRAb was found to be a risk factor for developing more severe hyperthyroidism. In conclusion, our findings indicate that Graves' disease patients need to maintain their euthyroid state with a low serum TRAb titer to prevent the development of further thyroid dysfunction after an earthquake, and that all patients should continue to take their medication, since it is likely that their lives will be interrupted by environmental effects owing to earthquake-shock, especially patients with CDI or Hashimoto's disease. Due to the risk of medical facility closure during a disaster, all patients should always have a note or copy of their medical records, including medical history and medications used, to avoid relying on patients remembering their drug names and doses. Furthermore, appropriate information should be provided by all means possible, including the mass media, to affected individuals, particularly those with AI, to decrease the occurrence of adverse consequences.

show abstract

Posttraumatic Stress and Change in Lifestyle among the Hanshin-Awaji Earthquake Victims

Cited by 46 publications

References 27 publications

Symptoms of Posttraumatic Stress Disorder in a New Orleans Workforce Following Hurricane Katrina

Symptoms of Posttraumatic Stress Disorder in a New Orleans Workforce Following Hurricane Katrina

Lessons Learnt from Influences of the Marmara Earthquake on Glycemic Control and Quality of Life in People with Type 1 Diabetes

Effect of the 2004 Mid Niigata Prefecture Earthquake on Patients with Endocrine Disorders

Contact Info

Product

Resources

About