A Cross-Sectional Study on the Mental Status of 780 Survivors after Wenchuan Earthquake_Chinese Journal of Evidence-Based Medicine

Authors：

ZHAO Gaofeng ¹ , YANG Yanchun ¹ , ZHANG Shusen ¹ ,  DENG Hong ¹ , ZHU Yan ² , REN Zhengjia ¹ , ZHANG Wei ¹ , SUN Xueli ¹ , LI Haimin ¹ , LIU Chuanxin ³ , WANG Mei ⁴ , YUE Lili ¹ , LIU Shanming ¹ , ZHANG Zhuoqiu ¹ , TAO Qinglan ¹ , CHEN Ying ¹ , XU Jiajun ¹ , BI Jianqiang ¹ , HE Yingying ¹

1. Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China;2. The Fourth People’s Hospital of Chengdu, Chengdu 610036, China;3. Jining Medical College, Jining 272013, China; 4. Chengdu Railway Bureau, Chengdu 610081, China;

Corresponding author：

DENG Hong, Email: rhdeng88@hotmail.com

Keywords：

Wenchuan earthquake; Mental status; Acute stress disorder; Post-traumatic stress disorder (PTSD) checklist-civilian version

DOI：

10.7507/1672-2531.20080182

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To evaluate the mental status of survivors after Wenchuan earthquake, so as to provide relevant information for psychological and medical intervention.
Methods 　Demographic data was recorded and the post-traumatic stress disorder (PTSD) Checklist-Civilian Version (PCL-C) was evaluated. The acute stress disorder (ASD) were assessed with the DSM-IV criteria in the survivors from the central earthquake area who are now living in two shelters in Chengdu.
Results 　Among the 780 retrieved questionnaires, 729 baseline registration forms and 450 PCL-C were valid. In the 729 baseline registration forms, male to female ratio was 1:1.31 and the mean age was 36.73±20.82. 9.5% of subjects suffered from physical diseases, 9.7% needed assistance in daily activities, 70.7% were passive and didn’t participate in community activities, 9.1% suffered from severe psychological problems. In the present study, 30.9% of subjects were found to meet the DSM-IV criteria for ASD. 41.3%, 22.2% and 18.4% of subjects had a PCL-C score ≥ 38, ≥ 45 and ≥50, respectively. Consistency check showed there was no significant difference between the screening result of PCL-C score ≥45 and clinical diagnosis (Kappa=0.780, P=0.033). There was significant difference in the age of subjects between ASD and non-ASD groups (P lt;0.05).
Conclusion 　 The earthquake survivors suffered from psychological problems after the disaster in the early stage. Thus, in addition to life rescue, we should pay more attention to psychological intervention.

Citation： ZHAO Gaofeng,YANG Yanchun,ZHANG Shusen,DENG Hong,ZHU Yan,REN Zhengjia,ZHANG Wei,SUN Xueli,LI Haimin,LIU Chuanxin,WANG Mei,YUE Lili,LIU Shanming,ZHANG Zhuoqiu,TAO Qinglan,CHEN Ying,XU Jiajun,BI Jianqiang,HE Yingying. A Cross-Sectional Study on the Mental Status of 780 Survivors after Wenchuan Earthquake. Chinese Journal of Evidence-Based Medicine, 2008, 08(10): 815-819. doi: 10.7507/1672-2531.20080182 Copy

1.	Kessler RC, Sonnega A, Bromer E, et al. Posttraumatic stressdisorder in the national comorbidity survey. Arch Gen Psychiatry, 1995, 52(12): 1048-1060.
2.	Goenjian AK, Najarian LM, Pynoos RS, et al. Posttraumatic stressdisorder in elderly and younger adults after the 1988 earthquake inArmenia. Am J Psychiatry, 1994, 151: 895-901.
3.	David D, Mellman TA, Mendoza LM, et al. Psychiatric morbidityfollowing Hurricane Andrew. J Trauma Stress, 1996, 9: 607-612.
4.	Madakasira S, O’Brien KF. Acute posttraumatic stress disorder invictims of a natural disaster. J Nerv Ment Dis, 1987, 175: 286-290.
5.	American Psychiatric Association. Chief Editor. Diagnosticand Statistical Manual of Mental Disorders (DSM-Ⅳ), 4th ed., Washington, DC: American Psychiatric Press, 1994: 424-429.
6.	American Psychiatric Association.Chief Editor. Diagnosticand Statistical Manual of Mental Disorders(DSM-Ⅳ), 4th ed., Washington, DC: American Psychiatric Press, 1994.
7.	姜荣环, 马弘. 急性应激障碍的研究现状. 国际精神病学杂志, 2007, 34(3): 147-149.
8.	汪向东, 赵丞智, 新福尚隆, 等. 地震后创伤性应激障碍的发生率及其影响因素. 中国心理卫生杂志, 1999, 13(1): 28-30.
9.	Tang CS. Trajectory of Traumatic Stress Symptom in the Aftermathof Extreme Natural Disaster. J Nerv Ment Dis, 2007, 195(1): 54-59.
10.	Soldatos CR. Paparrigopoulos TJ, Pappa, DA, et al. Early posttraumaticstress disorder in relation to acute stress reaction: An ICD-10 study among help seekers following an earthquake. Psychiatry Res, 2006, 143: 245-253.
11.	Brauchle G. Incidence and reaction related predictors of the acuteand posttraumatic stress disorder in disaster workers. J Z PsychosomMed Psychother, 2006, 52: 52-62.
12.	Harvey AG, Bryant RA. Acute stress disorder across traumapopulations. J Nerv Ment Dis, 1999, 187: 443-446.
13.	Harvey AG, Bryant RA. Two 2 year prospective evaluation of therelationship between acute stress disorder and posttraumatic stressdisorder following mild traumatic brain injury. Am J Psychiatry, 2000, 157: 626-628.
14.	Walker EA, Newman E, Dobie DJ, et al. Validation of the PTSDchecklist in an HMO sample of women. J Ann Gen Hosp Psychiatry, 2002, 24(6): 375-380.
15.	Dobie DJ, Kivlahan DR, Maynard C, et al. Posttraumatic stressdisorder in female veterans: association with self-reported healthproblems and functional impairment. Arch Intern Med, 2004, 164(4): 394-400.
16.	Lang A riel J, Laffaye Charlene, Satz Leslie E, et al. Sensitivity andspecificity of the PTSD checklist in detecting PTSD in femaleveterans in primary care. J Trauma Stress, 2003, 16(3): 257-264.
17.	Dobie DJ, Kivlahan DR, Maynard C, et al. Screening for posttraumaticstress disorder in female Veteran’s Affairs patients: validation of the PTSD checklist. Gen Hosp Psychiatry, 2002, 24(6):367-374.

1. Kessler RC, Sonnega A, Bromer E, et al. Posttraumatic stressdisorder in the national comorbidity survey. Arch Gen Psychiatry, 1995, 52(12): 1048-1060.
2. Goenjian AK, Najarian LM, Pynoos RS, et al. Posttraumatic stressdisorder in elderly and younger adults after the 1988 earthquake inArmenia. Am J Psychiatry, 1994, 151: 895-901.
3. David D, Mellman TA, Mendoza LM, et al. Psychiatric morbidityfollowing Hurricane Andrew. J Trauma Stress, 1996, 9: 607-612.
4. Madakasira S, O’Brien KF. Acute posttraumatic stress disorder invictims of a natural disaster. J Nerv Ment Dis, 1987, 175: 286-290.
5. American Psychiatric Association. Chief Editor. Diagnosticand Statistical Manual of Mental Disorders (DSM-Ⅳ), 4th ed., Washington, DC: American Psychiatric Press, 1994: 424-429.
6. American Psychiatric Association.Chief Editor. Diagnosticand Statistical Manual of Mental Disorders(DSM-Ⅳ), 4th ed., Washington, DC: American Psychiatric Press, 1994.
7. 姜荣环, 马弘. 急性应激障碍的研究现状. 国际精神病学杂志, 2007, 34(3): 147-149.
8. 汪向东, 赵丞智, 新福尚隆, 等. 地震后创伤性应激障碍的发生率及其影响因素. 中国心理卫生杂志, 1999, 13(1): 28-30.
9. Tang CS. Trajectory of Traumatic Stress Symptom in the Aftermathof Extreme Natural Disaster. J Nerv Ment Dis, 2007, 195(1): 54-59.
10. Soldatos CR. Paparrigopoulos TJ, Pappa, DA, et al. Early posttraumaticstress disorder in relation to acute stress reaction: An ICD-10 study among help seekers following an earthquake. Psychiatry Res, 2006, 143: 245-253.
11. Brauchle G. Incidence and reaction related predictors of the acuteand posttraumatic stress disorder in disaster workers. J Z PsychosomMed Psychother, 2006, 52: 52-62.
12. Harvey AG, Bryant RA. Acute stress disorder across traumapopulations. J Nerv Ment Dis, 1999, 187: 443-446.
13. Harvey AG, Bryant RA. Two 2 year prospective evaluation of therelationship between acute stress disorder and posttraumatic stressdisorder following mild traumatic brain injury. Am J Psychiatry, 2000, 157: 626-628.
14. Walker EA, Newman E, Dobie DJ, et al. Validation of the PTSDchecklist in an HMO sample of women. J Ann Gen Hosp Psychiatry, 2002, 24(6): 375-380.
15. Dobie DJ, Kivlahan DR, Maynard C, et al. Posttraumatic stressdisorder in female veterans: association with self-reported healthproblems and functional impairment. Arch Intern Med, 2004, 164(4): 394-400.
16. Lang A riel J, Laffaye Charlene, Satz Leslie E, et al. Sensitivity andspecificity of the PTSD checklist in detecting PTSD in femaleveterans in primary care. J Trauma Stress, 2003, 16(3): 257-264.
17. Dobie DJ, Kivlahan DR, Maynard C, et al. Screening for posttraumaticstress disorder in female Veteran’s Affairs patients: validation of the PTSD checklist. Gen Hosp Psychiatry, 2002, 24(6):367-374.

Chinese Journal of Evidence-Based Medicine

A Cross-Sectional Study on the Mental Status of 780 Survivors after Wenchuan Earthquake

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