Details

Autor(en) / Beteiligte

• Dirkzwager, Anja J. E
• Grievink, Linda
• Van der Velden, Peter G
• Yzermans, C. Joris

Titel

Risk factors for psychological and physical health problems after a man-made disaster: Prospective study

Ist Teil von

• British journal of psychiatry, 2006-08, Vol.189 (2), p.144-149

Ort / Verlag

England: RCP

Erscheinungsjahr

2006

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• There are few prospective studies on risk factors for health problems after disasters in which actual pre-disaster health data are available. To examine whether survivors' personal characteristics, and pre-disaster psychological problems, and disaster-related variables, are related to their post-disaster health. Two studies were combined: a longitudinal survey using the electronic medical records of survivors' general practitioners (GPs), from 1 year before to 1 year after the disaster, and a survey in which questionnaires were filled in by survivors, 3 weeks and 18 months after the disaster. Data from both surveys and the electronic medical records were available for 994 survivors. After adjustment for demographic and disaster-related variables, pre-existing psychological problems were significantly associated with post-disaster self-reported health problems and post-disaster problems presented presented to the to the GP. This association was found for both psychological and physical post-disaster problems. In trying to prevent long-term health consequences after disaster, early attention to survivors with pre-existing psychological problems, and to those survivors who are forced to relocate or are exposed to many stressors during the disaster, appears appropriate.