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Earthquake-related psychological distress and associated factors 4 years after the Parnitha earthquake in Greece

Published online by Cambridge University Press:  16 April 2020

Maria Livanou*
Affiliation:
Division of Psychological Medicine, Section of Trauma Studies, Institute of Psychiatry, 38, Carver Road, LondonSE24 9LT, UK
Yiannis Kasvikis
Affiliation:
Behaviour Therapy Unit, Centre of Mental Health, Vassileos Irakleiou 8, Athens, Greece
Metin Başoğlu
Affiliation:
Division of Psychological Medicine, Section of Trauma Studies, Institute of Psychiatry, 38, Carver Road, LondonSE24 9LT, UK
Pashalia Mytskidou
Affiliation:
Behaviour Therapy Unit, Centre of Mental Health, Vassileos Irakleiou 8, Athens, Greece
Vivi Sotiropoulou
Affiliation:
Behaviour Therapy Unit, Centre of Mental Health, Vassileos Irakleiou 8, Athens, Greece
Efrosyni Spanea
Affiliation:
Behaviour Therapy Unit, Centre of Mental Health, Vassileos Irakleiou 8, Athens, Greece
Titika Mitsopoulou
Affiliation:
Behaviour Therapy Unit, Centre of Mental Health, Vassileos Irakleiou 8, Athens, Greece
Nikoletta Voutsa
Affiliation:
Behaviour Therapy Unit, Centre of Mental Health, Vassileos Irakleiou 8, Athens, Greece
*
*Corresponding author. E-mail address: m.livanou@iop.kcl.ac.uk (M. Livanou).
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Abstract

Exposure to earthquakes has been associated with psychological distress and in particular the development of post-traumatic stress disorder (PTSD). Earthquake-related psychological distress can be longstanding. The present study involved 157 Greek survivors of the 1999 Parnitha earthquake assessed approximately 4 years after the earthquake. Assessments were based on the Traumatic Stress Symptom Checklist (TSSC). Using stringent calibrations for the estimation of symptom presence 25% of the survivors endorsed at least 5 and 12% at least 10 TSSC symptoms. Approximately 22% of the survivors reported subjective distress and 15% impaired adjustment due to their symptoms. Intensity of fear during the earthquake and participation in rescue operations related to greater post-earthquake psychological distress. The results suggest that the psychological consequences of earthquakes can be serious and long-standing even when the magnitude of the earthquake is moderate. Psychological treatments that have been proven to reduce fear and PTSD symptoms need to be made available to the survivors. Such treatments may also increase the survivors' psychological preparedness and emotional resilience in view of future earthquakes.

Type
Original article
Copyright
Copyright © Elsevier SAS 2005

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References

Armenian, HK, Morikawa, M, Melkonian, AK, Hovanesian, AP, Haroutunian, N, Saigh, PAet al.Loss as a determinant of PTSD in a cohort of adult survivors of the 1988 earthquake in Armenia: implications for policy. Acta Psychiatr Scand 2000;102:5864.CrossRefGoogle Scholar
Başoğlu, M, Kılıç, C, Şalcıoğlu, E, Livanou, MPrevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: an epidemiological study. J Trauma Stress 2004;17:133141.Google ScholarPubMed
Başoğlu, M, Livanou, M, Şalcıoğlu, EA single session exposure treatment of traumatic stress in earthquake survivors using an earthquake simulator. Am J Psychiatry 2003;160:788790.CrossRefGoogle ScholarPubMed
Başoğlu, M, Livanou, M, Şalcıoğlu, E, Kalender, DA brief behavioural treatment of chronic posttraumatic stress disorder in earthquake survivors: results from an open clinical trial. Psychol Med 2003;33:647654.CrossRefGoogle ScholarPubMed
Başoğlu, M, Mineka, SThe role of uncontrollable and unpredictable stress in posttraumatic stress responses in torture survivors. Başoğlu, MTorture and its consequences: current treatment approaches. Cambridge: UK: Cambridge University Press;1992.182225.Google Scholar
Başoğlu, M, Mineka, S, Paker, M, Aker, T, Livanou, M, Gök, Ş.Psychological preparedness for trauma as a protective factor in survivors of torture. Psychol Med 1997;27:14211433.CrossRefGoogle ScholarPubMed
Başoğlu, M, Şalcioğlu, E, Livanou, MTraumatic stress responses in earthquake survivors in Turkey. J Trauma Stress 2002;15:269276.Google ScholarPubMed
Başoğlu, M, Şalcıoğlu, E, Livanou, M, Ozeren, M, Aker, T, Kılıç, Cet al.A study of the validity of a screening instrument for traumatic stress in earthquake survivors in Turkey. J Trauma Stress 2001;14:491509.Google ScholarPubMed
Bergiannaki, JD, Psarros, C, Varsou, E, Paparrigopoulos, T, Soldatos, CRProtracted acute stress reaction following an earthquake. Acta Psychiatr Scand 2003;107:1824.CrossRefGoogle ScholarPubMed
Bergiannaki, JD, Soldatos, CR, Markides, M, Kontaxakis, V, Sofia, K, Voskidou, et al.Seismophobia: predisposing factors and biopsychobehavioural correlates. Stefanis, CN, Soldatos, CR, Rabavilas, ADPsychiatry: a world perspective,4. New York:Elsevier Science Publishers; 1990 421427.Google Scholar
Bland, SH, O'Leary, ES, Farinaro, E, Jossa, F, Trevisan, MLong-term psychological effects of natural disasters. Psychosom Med 1996;58:1824.CrossRefGoogle ScholarPubMed
Carlier, IVE, Lamberts, RD, Van Uchelen, A, Gersons, BPRClinical utility of a brief diagnostic test for posttraumatic stress disorder. Psychosom Med 1998;60:4247.CrossRefGoogle ScholarPubMed
Carr, VJ, Lewin, TJ, Webster, RA, Hazell, PL, Kenardy, JA, Carter, GLPsychosocial sequelae of the 1989 Newcastle earthquake: I. Community disaster experiences and psychological morbidity 6 months post-disaster. Psychol Med 1995;25:539555.CrossRefGoogle ScholarPubMed
Carr, VJ, Lewin, TJ, Webster, RA, Kenardy, JA, Hazell, PL, Carter, GLPsychosocial sequelae of the 1989 Newcastle earthquake: II. Exposure and morbidity profiles during the first two years post-disaster. Psychol Med 1997;27:167178.CrossRefGoogle Scholar
De la Fuente, RThe mental health consequences of the 1985 earthquakes in Mexico. Int J Mental Health 1990;19:2129.CrossRefGoogle Scholar
Durkin, MEMajor depression and post-traumatic stress disorder following the Coalinga and Chile earthquakes: a cross-cultural comparison. J Soc Behav Personal 1993;8:405420.Google Scholar
Frank, O, Snijders, TEstimating the size of hidden populations using snowball sampling. J Off Stat 1994;10:5367.Google Scholar
Freedy, JR, Saladin, ME, Kilpatrick, DG, Resnick, HS, Saunders, BEUnderstanding acute psychological distress following natural disaster. J Trauma Stress 1994;7:257273.CrossRefGoogle ScholarPubMed
Goenjian, AK, Najarian, LM, Pynoos, RS, Steinberg, AM, Manoukian, G, Tavosian, Aet al.Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia. Am J Psychiatry 1994;151:895901.Google ScholarPubMed
Goenjian, AK, Steinberg, AM, Najarian, LM, Fairbanks, LA, Tashjian, M, Pynoos, RSProspective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. Am J Psychiatry 2000;157:911916.CrossRefGoogle ScholarPubMed
Karanci, AN, Rustemli, APsychological consequences of the 1992 Erzincan (Turkey) earthquake. Disasters 1995;19:818.CrossRefGoogle ScholarPubMed
Lima, BR, Chavez, H, Samaniego, N, Pompei, MS, Pai, S, Santacruz, Het al.Disaster severity and emotional disturbance: implications for primary mental health care in developing countries. Acta Psychiatr Scand 1989;79:7482.CrossRefGoogle Scholar
Livanou, MPsychological treatments for post-traumatic stress disorder: an overview. Int Rev Psychiatry 2001;13:181188.CrossRefGoogle Scholar
Livanou, M, Başoğlu, M, Şalcıoğlu, E, Kalender, DTraumatic stress responses in treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis 2002;190:816823.CrossRefGoogle ScholarPubMed
Maj, M, Starace, F, Crepet, P, Lobrace, S, Veltro, F, De Marco, F, Kemali, DPrevalence of psychiatric disorders among subjects exposed to a natural disaster. Acta Psychiatr Scand 1989;79:544549.CrossRefGoogle ScholarPubMed
March, JSWhat constitutes a stressor? The ‘Criterion A’ issue. Davidson, JRT, Foa, EBPosttraumatic stress disorder: DSM-IV and beyond. Washington (DC): American Psychiatric Press;1993Google Scholar
McCaughey, BG, Hoffman, KJ, Llewellyn, CHThe human experience of earthquakes. Ursano, RJ, McCaughey, BGIndividual and community responses to trauma and disaster: the structure of human chaos. New York: Cambridge University Press; 1994 136153.CrossRefGoogle Scholar
McMillen, JC, North, CS, Smith, EMWhat parts of PTSD are normal: intrusion, avoidance, or arousal? Data from the Northridge, California, earthquake. J Trauma Stress 2000;13:5775.CrossRefGoogle ScholarPubMed
National Earthquake Information Center. Earthquakes with 1000 or more deaths from 1900. Retrieved May 14, 2000, from World Data Center on the World Wide Web. Available from: http://wwwneic.cr.usgs.gov/neis/eqlists/eqsmajr.html.Google Scholar
Noji, EKEarthquakes. Noji, EKThe public health consequences of disasters.New York: Oxford University Press; 1997 135178.Google Scholar
Organisation of Antiseismic Planning Protection Activities report 1999–2001. Greek Ministry of Environment and Public Works2001Google Scholar
Papadatos, Y, Nikou, K, Potamianos, GEvaluation of psychiatric morbidity following an earthquake. Int J Soc Psychiatry 1990; 36:131136.CrossRefGoogle ScholarPubMed
Pynoos, RS, Goenjian, A, Tashjian, M, Karakashian, M, Manjikian, R, Manoukian, Get al.Post-traumatic stress reactions in children after the 1988 Armenian earthquake. Br J Psychiatry 1993; 163:239247.CrossRefGoogle ScholarPubMed
Rubonis, AV, Bickman, LPsychological impairment in the wake of disaster: the disaster-psychopathology relationship. Psychol Bull 1991; 109:384399.CrossRefGoogle ScholarPubMed
Şalcıoğlu, E, Başoğlu, M, Livanou, MLong-term psychological outcome in non-treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis 2003; 191:154160.CrossRefGoogle ScholarPubMed
Sharan, P, Chaudhary, G, Kavathekar, SA, Saxena, SPreliminary report of psychiatric disorders in survivors of a severe earthquake. Am J Psychiatry 1996; 153:556558.Google ScholarPubMed
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