Prevalence and predictors of acute stress disorder after earthquake: findings from Wenchuan earthquake in China.
- Author:
Guo-qiu ZHAO
1
;
Yong-guang WANG
;
Yi-qiang WANG
;
Su-Fen FU
;
Ri-fang CAO
;
Ning-xiang MA
;
Sheng-lin LIANG
;
Jian-zhong LUO
;
Yan-hua CHENG
;
Mei-yuan LI
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Aged, 80 and over; Child; China; Disasters; Earthquakes; Female; Humans; Male; Middle Aged; Prevalence; Risk Factors; Stress Disorders, Traumatic, Acute; epidemiology; Surveys and Questionnaires
- From: Chinese Journal of Preventive Medicine 2008;42(11):802-805
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the prevalence and predictors of acute stress disorder (ASD) in the victims affected by Wenchuan earthquake in China.
METHODSA random clustered sampling method was used. Of 891 victims enrolled in the study, 874 were completely assessed with the ASD constructive questionnaire and diagnosed with DSM-IV criteria. Sociodemographic variables were obtained. Also, the major symptoms of ASD (i.e., general symptoms to a traumatic event; dissociative symptoms; re-experiencing symptoms; hyper-arousal symptoms; avoidance symptoms) were recorded.
RESULTSThe incidence rate of ASD was 12.59% (110/874). The incidence rates of ASD for female and male were 15.16% (72/475) and 9.52% (38/399) respectively. There was a significant difference between female and male on the incidence rate of ASD (chi(2) = 6.26, P = 0.01). Logistic regression indicated that the ASD diagnosis was predicted by gender (beta = 0.58, P = 0.01, OR = 1.79), the condition of casualties of family members (beta = 0.60, P = 0.01, OR = 1.82), and the condition of sharp properties loss (beta = 1.02, P = 0.01, OR = 2.76).
CONCLUSIONThe major earthquake should have great influence on mental health of victims. The efforts to reduce casualties and property loss might help to prevent ASD. Further research is needed on gender difference among traumatic events.