Demoralization and the longitudinal course of PTSD following Hurricane Mitch
Eur. j. psychiatry
; 27(1): 18-26, ene.-mar. 2013. tab
Artigo
em Inglês
| IBECS
| ID: ibc-112414
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Background and Objectives:
Numerous studies of disasters have used measures of non-specific distress as outcome measures. The utility of these measures as predictive of the long-term outcome of disasters has remained unclear, in particular the relationship with PTSD. This study examines whether demoralization is predictive and a useful concept to examine the long-term outcome of disaster related PTSD.Methods:
The 1998 Hurricane Mitch that impacted Honduras was examined two-months(n = 800) and two-years following the disaster in a longitudinal community-based sample of604 adults. Respondents were selected from a stratified sample in Tegucigalpa based on exposure and social economic status. PTSD diagnosed using the CIDI module at both periods of time. Demoralization was measured using the PERI-D at 2-months post-disaster.Results:
The PERI-D, increased demoralization, was significantly associated with PTSD at two-month and two-years. In addition, increased demoralization was associated with increased risk of PTSD chronicity. Decreased demoralization was associated with PTSD remission. New onset PTSD was associated increased demoralization; however, the finding was not appreciated after controlling for potential confounders.Conclusions:
Demoralization can be measured using a simple screening questionnaire that may be a useful in identifying individuals who may be at increased risk for PTSD in the short-term, as well as in the long-term following a disaster (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Transtornos Psicofisiológicos
/
Transtornos de Estresse Pós-Traumáticos
/
Transtornos do Humor
/
Desastres Naturais
Tipo de estudo:
Estudo prognóstico
/
Pesquisa qualitativa
/
Fatores de risco
Limite:
Humanos
País/Região como assunto:
América Central
/
Honduras
Idioma:
Inglês
Revista:
Eur. j. psychiatry
Ano de publicação:
2013
Tipo de documento:
Artigo
Instituição/País de afiliação:
The Warren Alpert Medical School of Brown University/s. p