Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics

Yang, Yen Kuang; Yeh, Tzung Lieh; Chen, Chwen Cheng; Lee, Chih Kuei; Lee, I. Hui; Lee, Li Ching; Jeffries, Keith J.

doi:10.1016/s0163-8343(03)00022-7

Cited by 96 publications

(76 citation statements)

References 28 publications

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“…In recent years, it has become increasingly evident that individuals with a history of trauma are likely to be seen in primary care [15][16][17][18][19][20][21][22][23][24]. In one primary care study, PTSD was the most common anxiety disorder, with 17% of the sample meeting criteria for PTSD [25].…”

Section: Introductionmentioning

confidence: 99%

Posttraumatic stress disorder in primary care one year after the 9/11 attacks

Neria

Gross

Olfson

et al. 2006

General Hospital Psychiatry

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Objective-To screen for posttraumatic stress disorder (PTSD) in primary care patients 7-16 months after 9/11 attacks and to examine its comorbidity, clinical presentation and relationships with mental health treatment and service utilization.Method-A systematic sample (n = 930) of adult primary care patients who were seeking primary care at an urban general medicine clinic were interviewed using the PTSD Checklist: the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Health Questionnaire and the Medical Outcome Study 12-Item Short Form Health Survey (SF-12). Health care utilization data were obtained by a cross linkage to the administrative computerized database.Results-Prevalence estimates of current 9/11-related probable PTSD ranged from 4.7% (based on a cutoff PCL-C score of 50 and over) to 10.2% (based on the DSM-IV criteria). A comorbid mental disorder was more common among patients with PTSD than patients without PTSD (80% vs. 30%). Patients with PTSD were more functionally impaired and reported increased use of mental health medication as compared to patients without PTSD (70% vs. 18%). Among patients with PTSD there was no increase in hospital and emergency room (ER) admissions or outpatient care during the first year after the attacks. Conclusions-In an urban general medicine setting, 1 year after 9/11, the frequency of probable PTSD appears to be common and clinically significant. These results suggest an unmet need for mental health care in this clinical population and are especially important in view of available treatments for PTSD. NIH Public Access

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Section: Introductionmentioning

confidence: 99%

Posttraumatic stress disorder in primary care one year after the 9/11 attacks

Neria

Gross

Olfson

et al. 2006

General Hospital Psychiatry

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“…[15][16][17][18][19] This practice alone proves insufficient to alleviate the concerns natural disaster victims, who are commonly found to experience distress and grief, 21 anxiety disorders, 19,20 PTSD, 20,21 and major depressive disorder 20 among others. Thanks to a growing body of literature supporting the link between disaster and mental health, patterns of humanitarian aid have shifted in response.…”

Section: Application To Hurricane Matthewmentioning

confidence: 99%

Mental health promotion in the wake of natural disaster

Robinson¹,

Su²

2017

UWOMJ

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Significant psychological trauma to victims is an unavoidable by-product of severe natural disasters, and Hurricane Matthew is no exception. Making landfall on the 4th of October 2016, it swept across Haiti and eastern Cuba before reaching coastal regions of Florida, Georgia, and South Carolina. Despite Matthew's far-reaching impact, it was in Haiti where the Category Four hurricane made its greatest mark. Infrastructure damage led to water contamination and cholera outbreaks, sparking major concern amongst the World Health Organization and Haitian Ministry of Health. Consequently, physical health impact related to cholera control through clean water access was prioritized over psychological repercussions. In this article, we aim to provide recommendations for local organizations to deliver effectively psychological intervention to Haitian victims of Matthew. We focused on Global Trauma Research, one of few humanitarian agencies with an established framework for implementing psychological trauma relief efforts, and wish to use it as the basis of our suggestions. In order to do so, we chose to review mental health promotion in the context of a relevant historical precedent, Hurricane Katrina. We uncovered a two-pronged approach taken by Hurricane Katrina responders: identification of at-risk groups followed by provision of targeted-relief efforts, and widespread delivery of care to all affected populations, with an emphasis on community reintegration. Based on these general principles, we recommend that Global Trauma Research identify groups at risk of long-term emotional disturbance, provide relief in a targeted fashion on the basis of relative need, and place emphasis on Haitian citizen support through relocation and community integration.

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“…It is very likely that individuals with PTSD are seen in primary care (Bruce et al, 2001;Dickinson et al, 1998;Samson et al, 1999;Staub et al, 2001;Stein et al, 2000;Taubman-Ben-Ari et al, 2001;Yang et al, 2003). Of those diagnosed with PTSD, about half reported healthcare use (half treated by general practitioners).…”

Section: Detection and Management Of Ptsd In Primary Carementioning

confidence: 99%

Diagnosing Mental Health Disorders in Primary Care: Evaluation of a New Training Tool

Satter

2012

PsycEXTRA Dataset

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Major Depressive Disorder (MDD) and Posttraumatic Stress Disorder (PTSD) are highly prevalent illnesses that can result in profound impairment (Alegria et al., 2006; CTPTSD, 2007). While many patients with these disorders present in primary care, research suggests that physicians under-detect and suboptimally manage MDD and PTSD in their patients Satter et al., 2012). The development of more effective training interventions to aid primary care providers in diagnosing mental health disorders is of the utmost importance. This research focuses on evaluating computer-based training tools

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Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics

Cited by 96 publications

References 28 publications

Posttraumatic stress disorder in primary care one year after the 9/11 attacks

Posttraumatic stress disorder in primary care one year after the 9/11 attacks

Mental health promotion in the wake of natural disaster

Diagnosing Mental Health Disorders in Primary Care: Evaluation of a New Training Tool

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