Depression and Anxiety Rates and Most Prominent Risk Factors Among Women Survivors of “Disaster of the Century” A Cross-Sectional Study
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https://doi.org/10.5281/zenodo.1004763Keywords:
Anxiety, Depression, EarthquakeAbstract
Purpose: This study investigated depression and anxiety rates and associated risk factors among women who lived through the 2023 Kahramanmaraş earthquake in Türkiye, described as the ‘disaster of the century.
Materials and Methods: A cross-sectional survey was performed two months after the earthquake. Beck Anxiety Inventory and Beck Depression Inventory were administered to all participants. Individuals volunteering to participate in the study were asked how the questions on the scales should be completed. Data were collected within 30-day period. The study was planned to be conducted with 500 women presenting to a Public Hospital obstetrics clinic for various reasons.
Results: Four hundered sixty patients were included in this study. Anxiety was identified 358 (68.8%). Depression was identified in 452 (87%) participants. Participants with poor income levels registered higher anxiety scores than those with average income, whereas their depression scores were similar (p=0.034). A significant difference was observed in the depression and anxiety scores in terms of the level of damage to the home (p<0.001 for both). Participants who had lost a first-degree relative registered higher anxiety scores than those who had lost no relatives and those who had lost second- or third-degree relatives (p=0.02, p=0.028, and p=0.017, respectively). Anxiety scores were zero in 102 (19.6%) participants, mild in 130 (25%), moderate in 113 (21.7%), and severe in 115 (22.1%). Depression scores were zero in eight (1.5%) participants, mild in 139 (26.7%), minimal in 136 (26.2%), moderate in 135 (26%), and severe in 42 (8.1%).
Conclusion: Measures designed to reduce anxiety and depression in populations affected by the Kahramanmaraş earthquake should focus on individuals with low incomes, who suffered severe damage to their homes, and who lost first-degree relatives.
References
Altındag, A., Ozen, S., & Sir, A. (2005). One-year follow-up study of posttraumatic stress disorder among earthquake survivors in Turkey. Compr Psychiatry, 46:328-333. doi: 10.1016/j.comppsych.2005.01.005.
Anthonia, O.A., Moses, O.E., Ifeanyichukwu, B.A., Nneka, A.O., Ogechi, N., Anthonia, N.N., . . . Joy, O.B. (2023). Examining the impact of randomized control intervention on depressive symptoms in schoolchildren with atypical behaviors. Medicine, 102(7):e32964. doi: 10.1097/MD.0000000000032964.
Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, G. (1961). An inventory for measuring depression. Arch Gen Psychiatry,4:53-63. doi: 10.1001/archpsyc.1961.01710120031004.
Bromet, E., Andrade, L.H., Hwang, I., Sampson, N.A., Alonso, J., de Girolamo G., . . . Kessler R. C. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Med, 9:90. doi: 10.1186/1741-7015-9-90.
Cárdenas, L., del Carmen Cabezas, M., Muñoz, A., Proaño, J.L., Miño, C., & Aguirre, N. (2022). Prevalence and risk factors of depression, anxiety, and stress in an Ecuadorian outpatient population with type II diabetes mellitus: A cross-sectional study (STROBE). Medicine, 101(39):e30697. doi: 10.1097/MD.0000000000030697
Cadichon, J.M., Lignier, B., Cénat, J.M., & Derivois, D. (2017) Symptoms of PTSD among adolescents and young adult survivors six years after the 2010 Haiti earthquake. J Loss Trauma, 22:646–659. doi.org/10.1080/15325024.2017.1360585.
Chen, X.Y., Chen, J., Shi, X., Jiang, M, Li, Y., Zhou, Y., Cecilia, L. W. C. (2020). Trajectories of maternal symptoms of posttraumatic stress disorder predict long-term mental health of children following the Wenchuan earthquake in China: A 10-year follow-up study. J Affect Disord, 266:201-206. doi: 10.1016/j.jad.2020.01.084.
Chen, Z., Jiang, J., Hu, T., Luo, L., Chen, C., & Xiang, W. (2022). The effect of mindfulness-based stress reduction therapy on maternal anxiety, depression, and sleep quality: A protocol for systematic review and meta-analysis. Medicine, 101(8):e28849. doi:10.1097/MD.0000000000028849
Cénat, J.M., Derivois, D., Hébert, M., Eid, P., & Mouchenik, Y. (2015). Psychometric properties of the Haitian Creole version of the Resilience Scale with a sample of adult survivors of the 2010 earthquake. Compr Psychiatry, 63:96-104. doi:10.1016/j.comppsych.2015.09.002
Cénat, J.M., Derivois, D., & Karray, A., (2017). Psychopathologie de la mort et de la survivance en Haïti Le séisme et la culture comme analyseurs. Psychotherapies, 37:7-17.
da Silva Dantas, B.A., Cavalcante, A.C.V., de Miranda, J.M.A., da Silva Toscano, G.A., Nobre TTX, Mendes FRP, . . . Gilson, d. V. T. (2021). Depression and quality of life in Brazilian and Portuguese older people communities: Analysis of association. Medicine (Baltimore), 100(46):e27830. doi: 10.1097/MD.0000000000027830.
Derivois, D., Cénat, J.M., & Mérisier, G.G. (2014). Multi-natural disasters in Gonaïves Haiti: long-term outcomes among child and adolescents and social support. Int J Emerg Ment Health, 16:79-83. doi: 10.4172/1522-4821.1000115
Guo, J., Wu, P., Tian, D., Wang, X., Zhang, W., Zhang X, . . . Zhiyong, Q. (2014). Post-traumatic stress disorder among adult survivors of the Wenchuan earthquake in China: a repeated cross-sectional study. J Anxiety Disord, 28:75-82. doi:10.1016/j.janxdis.2013.12.001.
Guo, Z.G., Li, R., & Lu, S. (2022). Leisure-time physical activity and risk of depression: A dose-response meta-analysis of prospective cohort studies. Medicine, 101(30):e29917. doi: 10.1097/MD.0000000000029917.
Heim, C., & Binder, E.B. (2012). Current research trends in early life stress and depression: review of human studies on sensitive periods, gene-environment interactions, and epigenetics. Exp Neurol, 233:102-111. doi: 10.1016/j.expneurol.2011.10.032
Henry, N., Sofa, D.A., Rizky, A., & Melisa, I.B., (2023). BDNF val66met genotype is not associated with psychological distress A cross-sectional study in Indonesian Pharmacy young adults. Medicine, 102(12):e32987. doi: 10.1097/MD.0000000000029481
Kun, P., Tong, X., Liu, Y., Pei, X., & Luo, H. (2013). What are the determinants of post-traumatic stress disorder: age, gender, ethnicity or other? Evidence from 2008 Wenchuan earthquake. Public Health, 127:644-652. doi: 10.1016/j.puhe.2013.04.018
Lee, C.T., Chiang, Y.C., Huang, J.Y., Tantoh, D.M., Nfor, O.N., Lee, J.F., . . .Yung, P.L. (2016). Incidence of Major Depressive Disorder: Variation by Age and Sex in Low-Income Individuals: A Population-Based 10-Year Follow-Up Study. Medicine, 95:e3110. doi: 10.1097/MD.0000000000003110
Livanou, M., Başoğlu, M., Salcioğlu, E., & Kalendar, D. (2002). Traumatic stress responses in treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis, 190:816-823. doi: 10.1097/01.NMD.0000041958.58852.1D
Lu, W.T., Zhao, X.C., Wang, R., Li, N., Song, M., Wang L, . . . Xue, Y.W. (2023). Long-term effects of early stress due to earthquake exposure on depression symptoms in adulthood: a cross-sectional study. Injury, 54:207-213. doi: 10.1016/j.injury.2022.07.047
Moustafa, A.H., Hady, Z., Karen, A.C., Maria, A., Eveline, H., Maya, B., . . . (2022). Assessing the psychological impact of Beirut Port blast: A cross-sectional study. Medicine, 101(41):e31117. doi:10.1097/MD.0000000000031117.
Mukherji, A., Ganapati, N.E., & Rahill, G., (2014). Expecting the unexpected: field research in post-disaster settings. Nat Hazards, 73:805-828. doi:10.1007/s11069-014-1105-8.
Pan, X., Liu, W.Z., Deng, G.H., Liu, T.S., Yan, J., Tang, Y,X,, . . . (2015). Symptoms of posttraumatic stress disorder, depression, and anxiety among junior high school students in worst-hit areas 3 years after the wenchuan earthquake in China. Asia Pac J Public Health, 27:1985-1894. doi: 10.1177/1010539513488625.
Pham, N.T.T., Nong, D., & Garschagen, M., (2021). Natural hazard's effect and farmers' perception: Perspectives from flash floods and landslides in remotely mountainous regions of Vietnam. Sci Total Environ, 10;759:142656. doi: 10.1016/j.scitotenv.2020.142656.
Rahill, G.J., Joshi, M., Lescano, C., & Holbert, D., (2015). Symptoms of PTSD in a sample of female victims of sexual violence in post-earthquake. Haiti J Affect Disord, 173:232-238. doi: 10.1016/j.jad.2014.10.067.
Reynolds, C.F., & Frank, E., (2016). US preventive services task force recommendation statement on screening for depression in adults: not good enough. JAMA Psychiatry, 73:189-190. doi: 10.1001/jamapsychiatry.2015.3281
Salcioglu, E., Basoglu, M., & Livanou, M., (2003). Long-term psychological outcome for non-treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis, 191:154-160. doi: 10.1097/01.NMD.0000054931.12291.50
Streb, M., Häller, P., & Michael, T., (2014). PTSD in paramedics: resilience and sense of coherence. Behav Cogn Psychother, 42:452-463. doi: 10.1017/S1352465813000337.
Tian, Q., Han, H., Zhang, D., Ma, Y., Zhao, J. , & Li, S., (2018). Earthquake Trauma, Overgeneral Autobiographical Memory, and Depression Among Adolescent Survivors of the Wenchuan Earthquake. Front Psychol, 9:2505. doi: 10.3389/fpsyg.2018.02505.
Touloumis, C., (2021). The burden and the challenge of treatment-resistant depression. Psychiatriki, 32:11-14. doi: 10.22365/jpsych.2021.046.
Zhang, J., Deng, X., Liu, H., Xu, X., & Fang, R. (2021). Evaluation of the mental health status of community healthcare workers during the COVID-19 outbreak. Medicine, 100(6):e24739. doi: 10.1097/MD.0000000000024739.
Zhang, J., Zhang, Y., Du, C., Zhu, S., Huang, Y., Tian, Y., . . . Gu, Y. (2016). Prevalence and risk factors of posttraumatic stress disorder among teachers 3 months after the Lushan earthquake: A cross-sectional study. Medicine, 95(29):e4298. doi: 10.1097/MD.0000000000004298.
Zhang, X., Gao, Y., Dai, X., Zhou, J., Yan, L., Hou, F., . . . Wen, J. (2021). Health-related quality of life among survivors in minority area 2 years after Jiuzhaigou earthquake: A cross-sectional study. Medicine. 100(10):e25089. doi: 10.1097/MD.0000000000025089.
Zhang, Z., Shi, Z., Wang, L., & Liu, M., (2011). One year later: mental health problems among survivors in hard-hit areas of the Wenchuan earthquake. Public Health, 125:293-300. doi: 10.1016/j.puhe.2010.12.008.
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