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Int J Environ Res Public Health. 2017 Dec 8;14(12). pii: E1537. doi: 10.3390/ijerph14121537.

A Meta-Analysis of Risk Factors for Post-Traumatic Stress Disorder (PTSD) in Adults and Children after Earthquakes.

Author information

1
Department of Health Service, College of Health Service, Second Military Medical University, Shanghai 200433, China. mangotangbihan@126.com.
2
Department of Health Service, College of Health Service, Second Military Medical University, Shanghai 200433, China. smmudqy@163.com.
3
Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, CA 90095, USA. dglik@ucla.edu.
4
Department of Health Service, College of Health Service, Second Military Medical University, Shanghai 200433, China. DJQdxyz@163.com.
5
Department of Health Service, College of Health Service, Second Military Medical University, Shanghai 200433, China. zllrmit@163.com.

Abstract

PTSD is considered the most common negative psychological reactions among survivors following an earthquake. The present study sought to find out the determinants of PTSD in earthquake survivors using a systematic meta-analysis. Four electronic databases (PubMed, Embase, Web of Science, and PsycInfo) were used to search for observational studies about PTSD following earthquakes. The literature search, study selection, and data extraction were conducted independently by two authors. 52 articles were included in the study. Summary estimates, subgroup analysis, and publication bias tests were performed on the data. The prevalence of PTSD after earthquakes ranged from 4.10% to 67.07% in adults and from 2.50% to 60.00% in children. For adults, the significant predictors were being female, low education level or socio-economic status, prior trauma; being trapped, experiencing fear, injury, or bereavement during the disaster. For children, the significant predictors were being older age, high education level; being trapped, experiencing fear, injury, or bereavement, witnessing injury/death during the earthquakes. Our study provides implications for the understanding of risk factors for PTSD among earthquake survivors. Post-disaster mental health recovery programs that include early identification, on-going monitoring, and sustained psychosocial support are needed for earthquake survivors.

KEYWORDS:

PTSD; adults; children; earthquakes; risk factors

PMID:
29292778
PMCID:
PMC5750955
DOI:
10.3390/ijerph14121537
[Indexed for MEDLINE]
Free PMC Article

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