Post-Traumatic Stress Disorder in Indonesia children 5 years after tsunami

Irwanto (2015) Post-Traumatic Stress Disorder in Indonesia children 5 years after tsunami. In: Gender and Disaster Reduction. Kobe University, Jepang, Kobe, pp. 60-66.

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Abstract

Children are at risk for developing posttraumatic stress disorder (PTSD)due to experiencing or living in a disaster area. The factors that increase the likelihood of a child developing PTSD need further clarification. We studied the factors associated with PTSD among children who experienced the tsunami in Sumatra, Indonesia. We conducted a cross sectional study in 2 subdistricts of Sumatra 5 years after experiencing a tsunami. Children aged 7-13 years were enrolled using stratified cluster sampling. A tsunami-modified version of The PsySTART Rapid Triage System was used to question children about their tsunami-specific trau matic experiences. Trauma symptoms were evaluated using the Trauma Symptom Checklist For Children (TSCC). The diagnosis of PTSD was made using the Child PTSD Symptom Scale (CPSS) and DSM-IV criteria. The data were analyzed with chi-square tests and multivariate logistic regression analysis with 95% confidence intervals (CI). A total of 262 children were enrolled in this study. The prevalence of PTSD in these children was 20.6%. On multivariate analysis, having experienced a delay in evacuation (PR=4.5; 95%CI: 2.794-13.80; p <0.001) and being unable to escape (PR=13.07; 95%CI: 5.884-64; p <0.001) were significantly associated with PTSD 5 years after the tsunami. Children who experienced a traumatic event in which they were unable to escape or when there is a delay in evacuation are at risk of developing PTSD and need appropriate treatment.

Item Type: Book Section
Uncontrolled Keywords: children, tsunami, posttraumatic stress disorder, trauma experiences
Subjects: H Social Sciences > HV Social pathology. Social and public welfare > HV1-9960 Social pathology. Social and public welfare. Criminology > HV551.2-639 Emergency management > HV553-639 Relief in case of disasters > HV599-639 Special types of disasters
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: 01. Fakultas Kedokteran > Ilmu Kesehatan Anak
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Creators:
CreatorsEmail
Irwantoirwanto.idris@gmail.com
Depositing User: Bayu Yulianti
Date Deposited: 11 Jan 2017 16:29
Last Modified: 11 Jan 2017 16:29
URI: http://repository.unair.ac.id/id/eprint/49951
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