Mental health in Sumatra after the tsunami.

Authors:
Elizabeth Frankenberg
Elizabeth Frankenberg
Duke University
Jed Friedman
Jed Friedman
Sanford Institute of Public Policy
United States
Thomas Gillespie
Thomas Gillespie
University of Florida
United States
Nicholas Ingwersen
Nicholas Ingwersen
Sanford Institute of Public Policy
United States
Robert Pynoos
Robert Pynoos
University of California
United States
Iip Umar Rifai
Iip Umar Rifai
Sanford Institute of Public Policy
United States
Bondan Sikoki
Bondan Sikoki
Duke University
United States

Am J Public Health 2008 Sep 16;98(9):1671-7. Epub 2008 Jul 16.

Duke University, Sanford Institute of Public Policy, 286 Rubenstein Hall, 302 Towerview Dr, Durham, NC 27708-0239, USA.

Objectives: We assessed the levels and correlates of posttraumatic stress reactivity (PTSR) of more than 20,000 adult tsunami survivors by analyzing survey data from coastal Aceh and North Sumatra, Indonesia.

Methods: A population-representative sample of individuals interviewed before the tsunami was traced in 2005 to 2006. We constructed 2 scales measuring PTSR by using 7 symptom items from the Post Traumatic Stress Disorder (PTSD) Checklist-Civilian Version. One scale measured PTSR at the time of interview, and the other measured PTSR at the point of maximum intensity since the disaster.

Results: PTSR scores were highest for respondents from heavily damaged areas. In all areas, scores declined over time. Gender and age were significant predictors of PTSR; markers of socioeconomic status before the tsunami were not. Exposure to traumatic events, loss of kin, and property damage were significantly associated with higher PTSR scores.

Conclusions: The tsunami produced posttraumatic stress reactions across a wide region of Aceh and North Sumatra. Public health will be enhanced by the provision of counseling services that reach not only people directly affected by the tsunami but also those living beyond the area of immediate impact.

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http://dx.doi.org/10.2105/AJPH.2007.120915DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2509591PMC
September 2008
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