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Prevalence and Determinants of Chronic Post-Traumatic Stress Disorder After Floods

  • Long Chen (a1), Hongzhuan Tan (a1), Reuben Cofie (a1), Shimin Hu (a1), Yan Li (a1), Jia Zhou (a1), Tubao Yang (a1), Xuemin Tang (a1), Guanghui Cui (a2) and Aizhong Liu (a1)...

Abstract

Objective

To explore the prevalence and determinants of chronic post-traumatic stress disorder (PTSD) among flood victims.

Methods

A cross-sectional survey was carried out in 2014 among individuals who had experienced the 1998 floods and had been diagnosed with PTSD in 1999 in Hunan, China. Cluster sampling was used to select subjects from the areas that had been surveyed in 1999. PTSD was diagnosed according to DSM-IV criteria, social support was measured according to a Social Support Rating Scale, coping style was measured according to a Simplified Coping Style Questionnaire, and personality was measured by use of the revised Eysenck Personality Questionnaire Short Scale for Chinese. Data were collected through face-to-face interviews by use of a structured questionnaire. Multivariate logistic regression analysis was used to reveal the determinants of chronic PTSD.

Results

A total of 123 subjects were interviewed, 17 of whom (14.4%) were diagnosed with chronic PTSD. Chronic PTSD was significantly associated with disaster stressors (odds ratio [OR]: 1.74; 95% confidence interval [CI]: 1.22-2.47), nervousness (OR: 1.09; 95% CI: 1.01-1.17), and social support (OR: 0.85; 95 CI%: 0.74-0.98).

Conclusions

Chronic PTSD in flood victims is significantly associated with disaster stressors, nervousness, and social support. These factors may play important roles in identifying persons at high risk of chronic PTSD. (Disaster Med Public Health Preparedness. 2015;9:504–508)

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Copyright

Corresponding author

Correspondence and reprint requests to Prof Aizhong Liu, 110 Xiangya Road, Changsha, Hunan, PR China (e-mail: lazroy@live.cn).

References

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