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BMC Psychiatry

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Open Access 01-12-2021 | Natural Disasters | Research

Full and partial posttraumatic stress disorders in adults exposed to super typhoon Lekima: a cross-sectional investigation

Authors: Rui Zhen, Junjie Zhang, Hongwei Pang, Lingling Ruan, Xuanwen Liu, Xiao Zhou

Published in: BMC Psychiatry | Issue 1/2021

Abstract

Background

Super typhoon Lekima had a maximum wind force of 16 (52 m/s) and hit Wenling city, Zhejiang province in China on August 10, 2019. The typhoon left many victims showing symptoms of posttraumatic stress disorder (PTSD).

Objective

This study aimed to assess the prevalence of full and partial PTSD to inform targeted interventions for adult victims.

Method

In total, four thousand seven hundred and forty-six adults who are parents of students in local primary and middle schools were recruited to participate in this study. Participants completed a trauma exposure scale and the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition PTSD Checklist. Logistic regression analysis was used to examine the factors of full and partial PTSD.

Results

Nine hundred and ten (19.2%) adults had full PTSD and 1775 (37.4%) had partial PTSD. Adults with a monthly income > 10,000 RMB (about 1530 dollars) and a high education level (bachelor’s degree or above) were less likely to have full or partial PTSD than those with lower income and lower education levels. In addition, married adults were less likely to have full PTSD than divorced or widowed ones. Higher rates of PTSD were observed among those aged ≥40 years, who were injured/trapped, whose family members/friends were injured/trapped, and who lost property.

Conclusions

Partial and full PTSD were common among adults following super typhoon Lekima, and high income, high education level, and married status were protective factors, whereas trauma exposure was a risk factor of PTSD. Target psychological intervention should be provided to these victims who are in low income and education level, divorced and widowed, and experienced more serious trauma.

Hall BJ, Xiong YX, Yip PS, Lao CK, Shi W, Sou EK, et al. The association between disaster exposure and media use on post-traumatic stress disorder following typhoon Hato in Macao, China. Eur J Psychotraumatol. 2019;10(1):1558709. https://doi.org/10.1080/20008198.2018.1558709.CrossRefPubMedPubMedCentral

Mordeno IG, Carpio JGE, Nalipay MJN, Saavedra RLJ. PTSD’s underlying dimensions in typhoon Haiyan survivors: assessing DSM-5 symptomatology-based PTSD models and their relation to posttraumatic cognition. Psychiatry Q. 2017;88(1):9–23. https://doi.org/10.1007/s11126-016-9429-z.CrossRef

Wang Z, Wu X, Dai W, Kaminga AC, Wu X, Pan X, et al. The prevalence of posttraumatic stress disorder among survivors after a typhoon or hurricane: a systematic review and meta-analysis. Disaster Med Public Health Preparedness. 2019;13(5-6):1–9. https://doi.org/10.1017/dmp.2019.26.CrossRef

Guo JC, Tian ZL, Wang XD, Guo M, Gao YS, Jiang X-L, et al. Post-traumatic stress disorder after typhoon disaster and its correlation with platelet 5-HT concentrations. Asian Pac J Trop Med. 2016;9(9):913–5. https://doi.org/10.1016/j.apjtm.2016.07.011.CrossRefPubMed

Lenane Z, Peacock E, Joyce C, Frohlich ED, Re RN, Muntner P, et al. Association of post-traumatic stress disorder symptoms following hurricane Katrina with incident cardiovascular disease events among older adults with hypertension. Am J Geriatr Psychiatr. 2019;27(3):310–21. https://doi.org/10.1016/j.jagp.2018.11.006.CrossRef

Allen E, Knopp K, Rhoades G, Stanley S, Markman H. Between- and within-subject associations of PTSD symptom clusters and marital functioning in military couples. J Fam Psychol. 2018;32(1):134–44. https://doi.org/10.1037/fam0000363.CrossRefPubMedPubMedCentral

Zhou X, Wu X. Posttraumatic stress disorder and aggressive behavior in adolescents: a longitudinal and interpersonal functional approach. Child Youth Serv Rev. 2020;114:105027. https://doi.org/10.1016/j.childyouth.2020.105027.CrossRef

Allan NP, Ashrafioun L, Kolnogorova K, Raines AM, Hoge CW, Stecker T. Interactive effects of PTSD and substance use on suicidal ideation and behavior in military personnel: increased risk from marijuana use. Depression Anxiety. 2019;36(11):1072–9. https://doi.org/10.1002/da.22954.CrossRefPubMed

Zhou X, Wu X, Chen Q, Zhen R. Why did adolescents have sleep problems after earthquakes? Understanding the role of traumatic exposure, fear, and PTSD. Scand J Psychol. 2017a;58(3):221–7. https://doi.org/10.1111/sjop.12366.CrossRefPubMed

10.

Carmassi C, Corsi M, Bertelloni CA, Carpita B, Gesi C, Pedrinelli V, et al. Mothers and fathers of children with epilepsy: gender differences in post-traumatic stress symptoms and correlations with mood spectrum symptoms. Neuropsychiatr Dis Treat. 2018;14:1371–9. https://doi.org/10.2147/NDT.S158249.CrossRefPubMedPubMedCentral

11.

Motreff Y, Baubet T, Pirard P, Rabet G, Petitclerc M, Stene LE, et al. Factors associated with PTSD and partial PTSD among first responders following the Paris terror attacks in November 2015. J Psychiatr Res. 2020;121:143–50. https://doi.org/10.1016/j.jpsychires.2019.11.018.CrossRefPubMed

12.

Carmassi C, Corsi M, Gesi C, Bertelloni C, Faggioni F, Calderani E, et al. Full and partial DSM-5 PTSD in parents of children with epilepsy: exploring gender differences. Eur Psychiatr. 2017;41(S1):S722. https://doi.org/10.1016/j.eurpsy.2017.01.1307.CrossRef

13.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association; 2013. https://doi.org/10.1176/appi.books.9780890425596.CrossRef

14.

McLaughlin KA, Koenen KC, Friedman MJ, Ruscio AM, Karam EG, Shahly V, et al. Subthreshold posttraumatic stress disorder in the World Health Organization world mental health surveys. Biol Psychiatry. 2015;77(4):375–84. https://doi.org/10.1016/j.biopsych.2014.03.028.CrossRefPubMed

15.

Breslau N, Lucia VC, Davis GC. Partial PTSD versus full PTSD: an empirical examination of associated impairment. Psychol Med. 2004;34(7):1205–14. https://doi.org/10.1017/S0033291704002594.CrossRefPubMed

16.

Jeon HJ, Suh T, Lee HJ, Hahm BJ, Lee JY, Cho SJ, et al. Partial versus full PTSD in the Korean community: prevalence, duration, correlates, comorbidity, and dysfunctions. Depression Anxiety. 2007;24(8):577–85. https://doi.org/10.1002/da.20270.CrossRefPubMed

17.

Norris FH, VanLandingham MJ, Vu L. PTSD in Vietnamese Americans following hurricane Katrina: prevalence, patterns, and predictors. J Trauma Stress. 2009;22(2):91–101. https://doi.org/10.1002/jts.20389.CrossRefPubMedPubMedCentral

18.

Dell'Osso L, Carmassi C, Massimetti G, Daneluzzo E, Di Tommaso S, Rossi A. Full and partial PTSD among young adult survivors 10 months after the L'Aquila 2009 earthquake: gender differences. J Affect Disord. 2011;131(1-3):79–83. https://doi.org/10.1016/j.jad.2010.11.023.CrossRefPubMed

19.

Fan F, Long K, Zhou Y, Zheng Y, Liu X. Longitudinal trajectories of post-traumatic stress disorder symptoms among adolescents after the Wenchuan earthquake in China. Psychol Med. 2015;45(13):2885–96. https://doi.org/10.1017/S0033291715000884.CrossRefPubMed

20.

Freedy JR, Resnick HS, Kilpatrick DG. Conceptual framework for evaluating disaster impact: implications for clinical intervention. In: Austin LS, editor. Responding to disaster: a guide for mental health professionals. Washington, DC: American Psychiatric Press; 1992. p. 6–14.

21.

Johnson H, Thompson A. The development and maintenance of post-traumatic stress disorder (PTSD) in civilian adult survivors of war trauma and torture: a review. Clin Psychol Rev. 2008;28(1):36–47. https://doi.org/10.1016/j.cpr.2007.01.017.CrossRefPubMed

22.

Roberts B, Ocaka KF, Browne J, Oyok T, Sondorp E. Factors associated with post-traumatic stress disorder and depression amongst internally displaced persons in northern Uganda. BMC Psychiatry. 2008;8(1):38. https://doi.org/10.1186/1471-244X-8-38.CrossRefPubMedPubMedCentral

23.

Schwartz RM, Rasul R, Gargano LM, Lieberman-Cribbin W, Brackbill RM, Taioli E. Examining associations between hurricane Sandy exposure and posttraumatic stress disorder by community of residence. J Trauma Stress. 2019;32(5):677–87. https://doi.org/10.1002/jts.22445.CrossRefPubMed

24.

Janoff-Bulman R. Shattered assumptions: towards a new psychology of trauma. New York: Free Press; 1992.

25.

Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38(4):319–45. https://doi.org/10.1016/S0005-7967(99)00123-0.CrossRefPubMed

26.

Cook JM, Simiola V. Trauma and PTSD in older adults: prevalence, course, concomitants and clinical considerations. Curr Opin Psychol. 2017;14:1–4. https://doi.org/10.1016/j.copsyc.2016.08.003.CrossRefPubMed

27.

McDermott BM, Cobham VE. Family functioning in the aftermath of a natural disaster. BMC Psychiatry. 2012;12(1):55. https://doi.org/10.1186/1471-244X-12-55.CrossRefPubMedPubMedCentral

28.

Gil-Rivas V, Kilmer RP, Hypes AW, Roof KA. The caregiver–child relationship and children’s adjustment post-hurricane Katrina. In: Kilmer RP, Gil-Rivas V, Tedeschi RG, Calhoun LG, editors. Helping families and communities recover from disaster: lessons learned from hurricane Katrina and its aftermath. Washington, DC: American Psychological Association; 2010. p. 55–76. https://doi.org/10.1037/12054-002.CrossRef

29.

Pfefferbaum B, North CS. Chidlren and families in the context of disasters: implication for preparedeness and response. Fam Psychol. 2008;24:6–10.PubMedPubMedCentral

30.

Jones RT, Ribbe DP, Cunningham PB, Weddle JD, Langley AK. Psychological impact of fire disaster on children and their parents. Behav Modif. 2002;26(2):163–86. https://doi.org/10.1177/0145445502026002003.CrossRefPubMed

31.

Chan CS, Rhodes JE. Measuring exposure in hurricane Katrina: a meta-analysis and an integrative data analysis. PLoS One. 2014;9(4):e92899. https://doi.org/10.1371/journal.pone.0092899.CrossRefPubMedPubMedCentral

32.

Weems CF, Watts SE, Marsee MA, Taylor LK, Costa NM, Cannon MF, et al. The psychosocial impact of hurricane Katrina: contextual differences in psychological symptoms, social support, and discrimination. Behav Res Ther. 2007;45(10):2295–306. https://doi.org/10.1016/j.brat.2007.04.013.CrossRefPubMed

33.

Zhou X, Wu X, Zhen R. Assessing the latent structure of DSM-5 PTSD among Chinese adolescents after the Ya'an earthquake. Psychiatry Res. 2017b;254:33–9. https://doi.org/10.1016/j.psychres.2017.04.029.CrossRefPubMed

34.

Weathers, F. W. (2013). The PTSD checklist for DSM–5 (PCL-5): development and initial psychometric analysis. Paper presented at the 29th annual meeting of the International Society for Traumatic Stress Studies, Philadelphia, PA.

35.

Livanou M, Kasvikis Y, Başoğlu M, Mytskidou P, Sotiropoulou V, Spanea E, et al. Earthquake-related psychological distress and associated factors 4 years after the Parnitha earthquake in Greece. Eur Psychiatr. 2005;20(2):137–44. https://doi.org/10.1016/j.eurpsy.2004.06.025.CrossRef

36.

Hobfoll SE. The influence of culture, community, and the nested-self in the stress process: advancing conservation of resources theory. Appl Psychol. 2001;50(3):337–421. https://doi.org/10.1111/1464-0597.00062.CrossRef

37.

Wang L, Zhang Y, Wang W, Shi Z, Shen J, Li M, et al. Symptoms of posttraumatic stress disorder among adult survivors three months after the Sichuan earthquake in China. J Trauma Stress. 2009;22(5):444–50. https://doi.org/10.1002/jts.20439.CrossRefPubMed

38.

Monk JK, Nelson Goff BS. Military couples’ trauma disclosure: moderating between trauma symptoms and relationship quality. Psychol Trauma Theory Res Pract Policy. 2014;6(5):537–45. https://doi.org/10.1037/a0036788.CrossRef

39.

Finkenauer C, Hazam H. Disclosure and secrecy in marriage: do both contribute to marital satisfaction? J Soc Pers Relat. 2000;17(2):245–63. https://doi.org/10.1177/0265407500172005.CrossRef

40.

Lyons RF, Mickelson KD, Sullivan MJL, Coyne JC. Coping as a communal process. J Soc Pers Relat. 1998;15(5):579–605. https://doi.org/10.1177/0265407598155001.CrossRef

41.

Hobfoll SE. Conservation of resources: a new attempt at conceptualizing stress. Am Psychol. 1989;44(3):513–24. https://doi.org/10.1037/0003-066X.44.3.513.CrossRefPubMed

42.

Calhoun PS, Beckham JC, Bosworth HB. Caregiver burden and psychological distress in partners of veterans with chronic posttraumatic stress disorder. J Trauma Stress. 2002;15(3):205–12. https://doi.org/10.1023/A:1015251210928.CrossRefPubMed

43.

Qi J, Yang X, Tan R, Wu X, Zhou X. Prevalence and predictors of posttraumatic stress disorder and depression among adolescents over 1 year after the Jiuzhaigou earthquake. J Affect Disord. 2020;261:1–8. https://doi.org/10.1016/j.jad.2019.09.071.CrossRefPubMed

44.

Zhou X, Kang L, Sun X, Song H, Mao W, Huang X, et al. Prevalence and risk factors of post-traumatic stress disorder among adult survivors six months after the Wenchuan earthquake. Compr Psychiatry. 2013;54(5):493–9. https://doi.org/10.1016/j.comppsych.2012.12.010.CrossRefPubMed

45.

Zhou, X., Zhen, R., & Wu, X. (2019). Shared and unique mechanisms underlying the association of trauma exposure with posttraumatic stress symptoms and growth among adolescents following the Jiuzhaigou earthquake. Psychological Trauma: Theory, Research, Practice, and Policy. https://doi.org/10.1037/tra0000526

46.

Janoff-Bulman R. Shattered assumptions. New York: Simon and Schuster; 2010.

47.

Zhou X, Wu X, Li X, Zhen R. The role of posttraumatic fear and social support in the relationship between trauma severity and posttraumatic growth among adolescent survivors of the Yaan earthquake. Int J Psychol. 2018a;53(2):150–6. https://doi.org/10.1002/ijop.12281.CrossRefPubMed

48.

Quan L, Zhen R, Yao B, Zhou X. Traumatic exposure and posttraumatic stress disorder among flood victims: testing a multiple mediating model. J Health Psychol. 2020;25(3):283–97. https://doi.org/10.1177/1359105317707568.CrossRefPubMed

Title: Full and partial posttraumatic stress disorders in adults exposed to super typhoon Lekima: a cross-sectional investigation
Authors: Rui Zhen
Junjie Zhang
Hongwei Pang
Lingling Ruan
Xuanwen Liu
Xiao Zhou
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Natural Disasters
Published in: BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-021-03528-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Full and partial posttraumatic stress disorders in adults exposed to super typhoon Lekima: a cross-sectional investigation

Abstract

Background

Objective

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objective

Method

Results

Conclusions

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