Skip to main content
Top
Published in: Community Mental Health Journal 7/2019

01-10-2019 | Post-Traumatic Stress Disorder | Original Paper

Association Between Earthquake Exposures and Mental Health Outcomes in Phulpingdanda Village After the 2015 Nepal Earthquakes

Authors: Jessica S. Schwind, Stephanie A. Norman, Rebecca Brown, Rebecca Hoffmann Frances, Elisabeth Koss, Dibesh Karmacharya, Susan L. Santangelo

Published in: Community Mental Health Journal | Issue 7/2019

Login to get access

Abstract

In 2015, two strong earthquakes, as well as continuous, high magnitude aftershocks, struck Nepal. Phulpingdanda village was greatly impacted due to its lack of infrastructure and environmental remoteness. Adults from sampled households were surveyed 1-year later to examine the association between earthquake exposures and indicators of depression, post-traumatic stress disorder (PTSD), and resilience. Results showed 33% of surveyed residents screened positive for depression, 9% screened positive for severe PTSD, and 46% displayed moderate to high resilience. Additionally, participants experienced resource loss (100%), damaged home and goods (99%), and exposure to the grotesque (82%). Traumatic earthquake experiences related to personal harm were associated with symptoms of depression and PTSD and resource loss was associated with depressive symptoms. Earthquake experiences associated with less damage to home and goods, but greater exposure to the grotesque were associated with increased resilience. This research adds to our knowledge of the relationship between traumatic exposures and indicators of psychological distress and resilience following a disaster.
Literature
go back to reference Adhikari, J., & Hobley, M. (2015). Everyone is leaving. Who will sow our fields?: The livelihood effects on women of male migration from Khotang and Udaypur districts, Nepal, to the gulf countries and Malaysia. Himalaya, 35(1), 11–23. Adhikari, J., & Hobley, M. (2015). Everyone is leaving. Who will sow our fields?: The livelihood effects on women of male migration from Khotang and Udaypur districts, Nepal, to the gulf countries and Malaysia. Himalaya, 35(1), 11–23.
go back to reference Basnyat, B., Tabin, C., Nutt, C., & Farmer, P. (2015). Post-earthquake Nepal: the way forward. The Lancet Global Health, 3(12), e731–e732.CrossRefPubMed Basnyat, B., Tabin, C., Nutt, C., & Farmer, P. (2015). Post-earthquake Nepal: the way forward. The Lancet Global Health, 3(12), e731–e732.CrossRefPubMed
go back to reference Basoglu, M., Kilic, C., Salcioglu, E., & Livanou, M. (2004). Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: An epidemiological study. Journal of Traumatic Stress, 17, 133–141.CrossRefPubMed Basoglu, M., Kilic, C., Salcioglu, E., & Livanou, M. (2004). Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: An epidemiological study. Journal of Traumatic Stress, 17, 133–141.CrossRefPubMed
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio: Psychological Corporation.
go back to reference Benedek, D. M., Fullerton, C., & Ursano, R. J. (2007). First responders: mental health consequences of natural and man-made disasters for public health and public safety workers. Annual Review of Public Health, 28, 55–68.CrossRefPubMed Benedek, D. M., Fullerton, C., & Ursano, R. J. (2007). First responders: mental health consequences of natural and man-made disasters for public health and public safety workers. Annual Review of Public Health, 28, 55–68.CrossRefPubMed
go back to reference Berkowitz, S., Bryant, R., Brymer, M., Hamblen, J., Jacobs, A., Layne, C., et al. (2010). Skills for psychological recovery: Field operations guide. Washington, DC: National Center for PTSD (US Department of Veterans Affairs) and National Child Traumatic Stress Network. Berkowitz, S., Bryant, R., Brymer, M., Hamblen, J., Jacobs, A., Layne, C., et al. (2010). Skills for psychological recovery: Field operations guide. Washington, DC: National Center for PTSD (US Department of Veterans Affairs) and National Child Traumatic Stress Network.
go back to reference Blaikie, P., Cannon, T., Davis, I., & Wisner, B. (2014). At risk: Natural hazards, people’s vulnerability and disasters. Routledge: Psychology Press. Blaikie, P., Cannon, T., Davis, I., & Wisner, B. (2014). At risk: Natural hazards, people’s vulnerability and disasters. Routledge: Psychology Press.
go back to reference Bonanno, G. A., Galea, S., Bucciarelli, A., & Vlahov, D. (2007). What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. Journal of Consulting and Clinical Psychology, 75(5), 671–682.CrossRefPubMed Bonanno, G. A., Galea, S., Bucciarelli, A., & Vlahov, D. (2007). What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. Journal of Consulting and Clinical Psychology, 75(5), 671–682.CrossRefPubMed
go back to reference Carmassi, C., Bertelloni, C. A., Gesi, C., Conversano, C., Stratta, P., Massimetti, G., et al. (2016). New DSM-5 PTSD guilt and shame symptoms among Italian earthquake survivors: Impact on maladaptive behaviors. Psychiatry Research, 251, 142–147.CrossRefPubMed Carmassi, C., Bertelloni, C. A., Gesi, C., Conversano, C., Stratta, P., Massimetti, G., et al. (2016). New DSM-5 PTSD guilt and shame symptoms among Italian earthquake survivors: Impact on maladaptive behaviors. Psychiatry Research, 251, 142–147.CrossRefPubMed
go back to reference Carr, V. J., Lewin, T. J., Webster, R. A., & Kenardy, J. A. (1997). A synthesis of the findings from the Quake Impact Study: A two-year investigation of the psychosocial sequelae of the 1989 Newcastle earthquake. Social Psychiatry, 32, 123–136. Carr, V. J., Lewin, T. J., Webster, R. A., & Kenardy, J. A. (1997). A synthesis of the findings from the Quake Impact Study: A two-year investigation of the psychosocial sequelae of the 1989 Newcastle earthquake. Social Psychiatry, 32, 123–136.
go back to reference Center for Bureau Statistics. (2014). Government of Nepal, Population Monograph of Nepal (Vol. 2). Kathmandu: Ramshah Path. Center for Bureau Statistics. (2014). Government of Nepal, Population Monograph of Nepal (Vol. 2). Kathmandu: Ramshah Path.
go back to reference Dai, W., Kaminga, A. C., Tan, H., Wang, J., Lai, Z., Wu, X., et al. (2017). Long-term psychological outcomes of flood survivors of hard-hit areas of the 1998 Dongting Lake Flood in China: Prevalence and risk factors. PLoS ONE, 12(2), e0171557.CrossRefPubMedPubMedCentral Dai, W., Kaminga, A. C., Tan, H., Wang, J., Lai, Z., Wu, X., et al. (2017). Long-term psychological outcomes of flood survivors of hard-hit areas of the 1998 Dongting Lake Flood in China: Prevalence and risk factors. PLoS ONE, 12(2), e0171557.CrossRefPubMedPubMedCentral
go back to reference Dell’Osso, L., Carmassi, C., Massimetti, G., Daneluzzo, E., Di Tommaso, S., & Rossi, A. (2011). Full and partial PTSD among young adult survivors 10 months after the L’Aquila 2009 earthquake: Gender differences. Journal of Affective Disorders, 131(1), 79–83.CrossRefPubMed Dell’Osso, L., Carmassi, C., Massimetti, G., Daneluzzo, E., Di Tommaso, S., & Rossi, A. (2011). Full and partial PTSD among young adult survivors 10 months after the L’Aquila 2009 earthquake: Gender differences. Journal of Affective Disorders, 131(1), 79–83.CrossRefPubMed
go back to reference Desjarlais, R., Eisenberg, L., Good, B., & Kleinman, A. (1995). The global context of wellbeing, in World Mental health: Problems and Priorities in low income countries. New York: Oxford University Press. Desjarlais, R., Eisenberg, L., Good, B., & Kleinman, A. (1995). The global context of wellbeing, in World Mental health: Problems and Priorities in low income countries. New York: Oxford University Press.
go back to reference Diaz, J. O. P., Murthy, R. S., & Lakshminarayana, R. (2006). Advances in disaster mental health and psychological support. New Delhi: Voluntary Health Association of India Press. Diaz, J. O. P., Murthy, R. S., & Lakshminarayana, R. (2006). Advances in disaster mental health and psychological support. New Delhi: Voluntary Health Association of India Press.
go back to reference Elal, G., & Slade, P. (2005). Traumatic exposure severity scale (TESS): A measure of exposure to major disasters. Journal of Traumatic Stress, 18(3), 213–220.CrossRefPubMed Elal, G., & Slade, P. (2005). Traumatic exposure severity scale (TESS): A measure of exposure to major disasters. Journal of Traumatic Stress, 18(3), 213–220.CrossRefPubMed
go back to reference Forbes, D., Fletcher, S., Wolfgang, B., Varker, T., Creamer, M., Brymer, M. J., et al. (2010). Practitioner perceptions of skills for psychological recovery: A training programme for health practitioners in the aftermath of the Victorian bushfires. Australian and New Zealand Journal of Psychiatry, 44(12), 1105–1111.CrossRefPubMed Forbes, D., Fletcher, S., Wolfgang, B., Varker, T., Creamer, M., Brymer, M. J., et al. (2010). Practitioner perceptions of skills for psychological recovery: A training programme for health practitioners in the aftermath of the Victorian bushfires. Australian and New Zealand Journal of Psychiatry, 44(12), 1105–1111.CrossRefPubMed
go back to reference Frankenberg, E., Sikoki, B., Sumantri, C., Suriastini, W., & Thomas, D. (2013). Education, vulnerability, and resilience after a natural disaster. Ecology and Society: A Journal of Integrative Science for Resilience and Sustainability, 18(2), 16.CrossRefPubMed Frankenberg, E., Sikoki, B., Sumantri, C., Suriastini, W., & Thomas, D. (2013). Education, vulnerability, and resilience after a natural disaster. Ecology and Society: A Journal of Integrative Science for Resilience and Sustainability, 18(2), 16.CrossRefPubMed
go back to reference Galea, S., Nandi, A., & Vlahov, D. (2005). The epidemiology of post-traumatic stress disorder after disasters. Epidemiologic Reviews, 27(1), 78–91.CrossRefPubMed Galea, S., Nandi, A., & Vlahov, D. (2005). The epidemiology of post-traumatic stress disorder after disasters. Epidemiologic Reviews, 27(1), 78–91.CrossRefPubMed
go back to reference Hand, E., & Pulla, P. (2015). Nepal disaster presages a coming megaquake. Science, 348(6234), 484–485.CrossRefPubMed Hand, E., & Pulla, P. (2015). Nepal disaster presages a coming megaquake. Science, 348(6234), 484–485.CrossRefPubMed
go back to reference Harville, E. W., Jacobs, M., & Boynton-Jarrett, R. (2015). When is exposure to a natural disaster traumatic? Comparison of a trauma questionnaire and disaster exposure inventory. PLoS ONE, 10(4), e0123632.CrossRefPubMedPubMedCentral Harville, E. W., Jacobs, M., & Boynton-Jarrett, R. (2015). When is exposure to a natural disaster traumatic? Comparison of a trauma questionnaire and disaster exposure inventory. PLoS ONE, 10(4), e0123632.CrossRefPubMedPubMedCentral
go back to reference Hosmer DW Jr, Lemeshow S, Sturdivant RS (2013) Applied logistic regression. 398. New Jersey: John Wiley & Sons Hosmer DW Jr, Lemeshow S, Sturdivant RS (2013) Applied logistic regression. 398. New Jersey: John Wiley & Sons
go back to reference Jha, A., & Shakya, S. (2015). Rational for conducting PTSD research and challenges of recruiting and training volunteers to screen and treat PTSD among the Nepal 2015 earthquake survivors. Journal of the Nepal Medical Association, 53(199), 202–207.CrossRefPubMed Jha, A., & Shakya, S. (2015). Rational for conducting PTSD research and challenges of recruiting and training volunteers to screen and treat PTSD among the Nepal 2015 earthquake survivors. Journal of the Nepal Medical Association, 53(199), 202–207.CrossRefPubMed
go back to reference Jhingan, H. P., Shyangwa, P., Sharma, A., Prasad, K. M. R., & Khandelwal, S. K. (2003). Prevalence of alcohol dependence in a town in Nepal as assessed by the CAGE questionnaire. Addiction, 98(3), 339–343.CrossRefPubMed Jhingan, H. P., Shyangwa, P., Sharma, A., Prasad, K. M. R., & Khandelwal, S. K. (2003). Prevalence of alcohol dependence in a town in Nepal as assessed by the CAGE questionnaire. Addiction, 98(3), 339–343.CrossRefPubMed
go back to reference Kane, J. C., Luitel, N. P., Jordans, M. J., Kohrt, B. A., Weissbecker, I., & Tol, W. A. (2017). Mental health and psychosocial problems in the aftermath of the Nepal earthquakes: Findings from a representative cluster sample survey. Epidemiology and Psychiatric Sciences, 27(3), 301–310.CrossRefPubMedPubMedCentral Kane, J. C., Luitel, N. P., Jordans, M. J., Kohrt, B. A., Weissbecker, I., & Tol, W. A. (2017). Mental health and psychosocial problems in the aftermath of the Nepal earthquakes: Findings from a representative cluster sample survey. Epidemiology and Psychiatric Sciences, 27(3), 301–310.CrossRefPubMedPubMedCentral
go back to reference Kapucu, N., & Liou, K. T. (2014). Disaster and development examining global issues and cases. Cham: Springer International Publishing. Kapucu, N., & Liou, K. T. (2014). Disaster and development examining global issues and cases. Cham: Springer International Publishing.
go back to reference Kohrt, B. A., & Hruschka, D. J. (2010). Nepali concepts of psychological trauma: The role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma. Culture, Medicine and Psychiatry, 34(2), 322–352.CrossRefPubMed Kohrt, B. A., & Hruschka, D. J. (2010). Nepali concepts of psychological trauma: The role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma. Culture, Medicine and Psychiatry, 34(2), 322–352.CrossRefPubMed
go back to reference Kohrt, B. A., Jordans, M. J., Tol, W. A., Luitel, N. P., Maharjan, S. M., & Upadhaya, N. (2011). Validation of cross-cultural child mental health and psychosocial research instruments: Adapting the depression self-rating scale and child PTSD symptom scale in Nepal. BMC Psychiatry, 11(1), 127.CrossRefPubMedPubMedCentral Kohrt, B. A., Jordans, M. J., Tol, W. A., Luitel, N. P., Maharjan, S. M., & Upadhaya, N. (2011). Validation of cross-cultural child mental health and psychosocial research instruments: Adapting the depression self-rating scale and child PTSD symptom scale in Nepal. BMC Psychiatry, 11(1), 127.CrossRefPubMedPubMedCentral
go back to reference Lamichhane, J. (2015). Health consequences of the blockade in Nepal. Bulletin of the World Health Organization, 93, 670–671.CrossRef Lamichhane, J. (2015). Health consequences of the blockade in Nepal. Bulletin of the World Health Organization, 93, 670–671.CrossRef
go back to reference Luitel, N. P., Jordans, M. J., Adhikari, A., Upadhaya, N., Hanlon, C., Lund, C., et al. (2015). Mental health care in Nepal: Current situation and challenges for development of a district mental health care plan. Conflict and Health, 9(1), 3.CrossRefPubMedPubMedCentral Luitel, N. P., Jordans, M. J., Adhikari, A., Upadhaya, N., Hanlon, C., Lund, C., et al. (2015). Mental health care in Nepal: Current situation and challenges for development of a district mental health care plan. Conflict and Health, 9(1), 3.CrossRefPubMedPubMedCentral
go back to reference McFarlane, A. C., & Van Hooff, M. (2009). Impact of childhood exposure to a natural disaster on adult mental health: 20-year longitudinal follow-up study. The British Journal of Psychiatry, 195(2), 142–148.CrossRefPubMed McFarlane, A. C., & Van Hooff, M. (2009). Impact of childhood exposure to a natural disaster on adult mental health: 20-year longitudinal follow-up study. The British Journal of Psychiatry, 195(2), 142–148.CrossRefPubMed
go back to reference Neria, Y., Nandi, A., & Galea, S. (2008). Post-traumatic stress disorder following disasters: A systematic review. Psychological Medicine, 38(4), 467–480.CrossRefPubMed Neria, Y., Nandi, A., & Galea, S. (2008). Post-traumatic stress disorder following disasters: A systematic review. Psychological Medicine, 38(4), 467–480.CrossRefPubMed
go back to reference Osman, A., Downs, W. R., Barrios, F. X., Kopper, B. A., Gutierrez, P. M., & Chiros, C. E. (1997). Factor structure and psychometric characteristics of the beck depression Inventory-II. Journal of Psychopathology Behavioral Assessment, 19(4), 359–376.CrossRef Osman, A., Downs, W. R., Barrios, F. X., Kopper, B. A., Gutierrez, P. M., & Chiros, C. E. (1997). Factor structure and psychometric characteristics of the beck depression Inventory-II. Journal of Psychopathology Behavioral Assessment, 19(4), 359–376.CrossRef
go back to reference Ruzek, J. I., Brymer, M. J., Jacobs, A. K., Layne, C. M., Vernberg, E. M., & Watson, P. J. (2007). Psychological first aid. Journal of Mental Health Counseling, 29(1), 17–49.CrossRef Ruzek, J. I., Brymer, M. J., Jacobs, A. K., Layne, C. M., Vernberg, E. M., & Watson, P. J. (2007). Psychological first aid. Journal of Mental Health Counseling, 29(1), 17–49.CrossRef
go back to reference Schwind, J. S., Formby, C. B., Santangelo, S. L., Norman, S. A., Brown, R., Frances, R. H., et al. (2018). Earthquake exposures and mental health outcomes in children and adolescents from Phulpingdanda village, Nepal: A cross-sectional study. Child and Adolescent Psychiatry and Mental Health, 12(1), 54.CrossRefPubMedPubMedCentral Schwind, J. S., Formby, C. B., Santangelo, S. L., Norman, S. A., Brown, R., Frances, R. H., et al. (2018). Earthquake exposures and mental health outcomes in children and adolescents from Phulpingdanda village, Nepal: A cross-sectional study. Child and Adolescent Psychiatry and Mental Health, 12(1), 54.CrossRefPubMedPubMedCentral
go back to reference Shinfuku, N., Wang, X. D., & Sugiyama, M. (1998). Reevaluation of psychopathology after disaster: The manifestation and changes over time. Report of Research Center for Urban Safety and Security. Kobe: Kobe University. Shinfuku, N., Wang, X. D., & Sugiyama, M. (1998). Reevaluation of psychopathology after disaster: The manifestation and changes over time. Report of Research Center for Urban Safety and Security. Kobe: Kobe University.
go back to reference Shrestha, R. (2015). Post-traumatic stress disorder among medical personnel after Nepal earthquake, 2015. Journal of Nepal Health Research Council, 13(30), 144–148.PubMed Shrestha, R. (2015). Post-traumatic stress disorder among medical personnel after Nepal earthquake, 2015. Journal of Nepal Health Research Council, 13(30), 144–148.PubMed
go back to reference Tang, B., Liu, X., Liu, Y., Xue, C., & Zhang, L. (2014). A meta-analysis of risk factors for depression in adults and children after natural disasters. BMC Public Health, 14(1), 623.CrossRefPubMedPubMedCentral Tang, B., Liu, X., Liu, Y., Xue, C., & Zhang, L. (2014). A meta-analysis of risk factors for depression in adults and children after natural disasters. BMC Public Health, 14(1), 623.CrossRefPubMedPubMedCentral
go back to reference Thapa, S. B., & Hauff, E. (2005). Psychological distress among displaced persons during an armed conflict in Nepal. Social Psychiatry and Psychiatric Epidemiology, 40(8), 672–679.CrossRefPubMed Thapa, S. B., & Hauff, E. (2005). Psychological distress among displaced persons during an armed conflict in Nepal. Social Psychiatry and Psychiatric Epidemiology, 40(8), 672–679.CrossRefPubMed
go back to reference Tol, W. A., Kohrt, B. A., Jordans, M. J., Thapa, S. B., Pettigrew, J., Upadhaya, N., et al. (2010). Political violence and mental health: A multi-disciplinary review of the literature on Nepal. Social Science and Medicine, 70(1), 35–44.CrossRefPubMed Tol, W. A., Kohrt, B. A., Jordans, M. J., Thapa, S. B., Pettigrew, J., Upadhaya, N., et al. (2010). Political violence and mental health: A multi-disciplinary review of the literature on Nepal. Social Science and Medicine, 70(1), 35–44.CrossRefPubMed
go back to reference van Griensven, F., Chakkraband, M. L., Thienkrua, W., Pengjuntr, W., Lopes Cardozo, B., Tantipiwatanaskul, P., et al. (2006). Mental health problems among adults in tsunami-affected areas in southern Thailand. Journal of the American Medical Association, 296, 537–548.CrossRefPubMed van Griensven, F., Chakkraband, M. L., Thienkrua, W., Pengjuntr, W., Lopes Cardozo, B., Tantipiwatanaskul, P., et al. (2006). Mental health problems among adults in tsunami-affected areas in southern Thailand. Journal of the American Medical Association, 296, 537–548.CrossRefPubMed
go back to reference Wang, X., Gao, L., Shinfuku, N., Zhang, H., Zhao, C., & Shen, Y. (2000). Longitudinal study of earthquake-related PTSD in a randomly selected community sample in north China. American Journal of Psychiatry, 157(8), 1260–1266.CrossRefPubMed Wang, X., Gao, L., Shinfuku, N., Zhang, H., Zhao, C., & Shen, Y. (2000). Longitudinal study of earthquake-related PTSD in a randomly selected community sample in north China. American Journal of Psychiatry, 157(8), 1260–1266.CrossRefPubMed
go back to reference Weathers, Litz, Huska, & Keane National Center for PTSD - Behavioral Science Division (1994). Weathers, Litz, Huska, & Keane National Center for PTSD - Behavioral Science Division (1994).
go back to reference Weems, C. F., Taylor, L. K., Cannon, M. F., Marino, R. C., Romano, D. M., Scott, B. G., et al. (2010). Posttraumatic stress, context, and the lingering effects of the Hurricane Katrina disaster among ethnic minority youth. Journal of Abnormal Child Psychology, 38(1), 49–56.CrossRefPubMed Weems, C. F., Taylor, L. K., Cannon, M. F., Marino, R. C., Romano, D. M., Scott, B. G., et al. (2010). Posttraumatic stress, context, and the lingering effects of the Hurricane Katrina disaster among ethnic minority youth. Journal of Abnormal Child Psychology, 38(1), 49–56.CrossRefPubMed
Metadata
Title
Association Between Earthquake Exposures and Mental Health Outcomes in Phulpingdanda Village After the 2015 Nepal Earthquakes
Authors
Jessica S. Schwind
Stephanie A. Norman
Rebecca Brown
Rebecca Hoffmann Frances
Elisabeth Koss
Dibesh Karmacharya
Susan L. Santangelo
Publication date
01-10-2019
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 7/2019
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00404-w

Other articles of this Issue 7/2019

Community Mental Health Journal 7/2019 Go to the issue