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Erschienen in: Archives of Women's Mental Health 1/2012

01.02.2012 | Original Article

Posttraumatic stress disorder and depression among new mothers at 8 months later of the 2008 Sichuan earthquake in China

verfasst von: Zhiyong Qu, Xiaohua Wang, Donghua Tian, You Zhao, Qin Zhang, Huan He, Xiulan Zhang, Fan Xu, Suran Guo

Erschienen in: Archives of Women's Mental Health | Ausgabe 1/2012

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Abstract

On May 12, 2008, a magnitude 8.0 earthquake struck China's southwestern Sichuan province. Recent studies have identified mental health problems among the survivors, but little is known about the impact of the Sichuan earthquake on the mental health of new mothers in the area. The main objective was to assess the impact of the Sichuan earthquake on the posttraumatic stress disorders (PTSD) and depression of new mothers. A total of 317 new mothers were interviewed in the hospital from January 2009 to March 2009. Symptoms of PTSD were measured using the impact of event scale-revised, and symptoms of postpartum depression were measured using the Center for Epidemiologic Studies Depression scale. The prevalence rates of PTSD and postpartum depression were 19.9% and 29.0%, respectively. Women with high earthquake exposure had higher risks of PTSD (odds ratio (OR), 5.91; 95% confidence interval (CI), 1.75–19.97; P < 0.001) and postpartum depression (OR, 7.28; 95% CI, 2.51–21.08; P < 0.001) than women without earthquake experience. In addition, women with low monthly family income and farm workers had a higher risk of having PTSD; women who were unemployed or with lower monthly family income and poor sleep had a higher risk of having depression. Earthquake experience increased the risks of having PTSD and depression among new mothers at 8 months later of the earthquake.
Literatur
Zurück zum Zitat American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders: DSM-IV. American Psychiatric, Washington DC American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders: DSM-IV. American Psychiatric, Washington DC
Zurück zum Zitat Callaghan WM, Rasmussen SA, Jamieson DJ, Ventura SJ, Farr SL, Sutton PD, Mathews TJ, Hamilton BE, Shealy KR, Brantley D, Posner SF (2007) Health concerns of women and infants in times of natural disasters: lessons learned from Hurricane Katrina. Matern Child Health J 11:307–5. doi:10.1007/s10995-007-0177-4 PubMedCrossRef Callaghan WM, Rasmussen SA, Jamieson DJ, Ventura SJ, Farr SL, Sutton PD, Mathews TJ, Hamilton BE, Shealy KR, Brantley D, Posner SF (2007) Health concerns of women and infants in times of natural disasters: lessons learned from Hurricane Katrina. Matern Child Health J 11:307–5. doi:10.​1007/​s10995-007-0177-4 PubMedCrossRef
Zurück zum Zitat Chan CL, Wang CW, Qu Z, Lu BQ, Ran MS, Ho AH, Yuan Y, Zhang BQ, Wang X, Zhang X (2011) Posttraumatic stress disorder symptoms among adult survivors of the 2008 Sichuan earthquake in China. J Trauma Stress 24(3):295–302. doi:10.1002/jts.20645 PubMedCrossRef Chan CL, Wang CW, Qu Z, Lu BQ, Ran MS, Ho AH, Yuan Y, Zhang BQ, Wang X, Zhang X (2011) Posttraumatic stress disorder symptoms among adult survivors of the 2008 Sichuan earthquake in China. J Trauma Stress 24(3):295–302. doi:10.​1002/​jts.​20645 PubMedCrossRef
Zurück zum Zitat Cheng ST, Chan AC (2005) The Center for Epidemiologic Studies Depression Scale in older Chinese: thresholds for long and short forms. Int J Geriatr Psychiatry 20(5):465–470. doi:10.1002/gps.1314 PubMedCrossRef Cheng ST, Chan AC (2005) The Center for Epidemiologic Studies Depression Scale in older Chinese: thresholds for long and short forms. Int J Geriatr Psychiatry 20(5):465–470. doi:10.​1002/​gps.​1314 PubMedCrossRef
Zurück zum Zitat Chiu S, Webber MP, Zeig-Owens R, Gustave J, Lee R, Kelly KJ, Rizzotto L, Prezant DJ (2010) Validation of the Center for Epidemiologic Studies Depression Scale in screening for major depressive disorder among retired firefighters exposed to the World Trade Center disaster. J Affect Disord 121(3):212–219. doi:10.1016/j.jad.2009.05.028 PubMedCrossRef Chiu S, Webber MP, Zeig-Owens R, Gustave J, Lee R, Kelly KJ, Rizzotto L, Prezant DJ (2010) Validation of the Center for Epidemiologic Studies Depression Scale in screening for major depressive disorder among retired firefighters exposed to the World Trade Center disaster. J Affect Disord 121(3):212–219. doi:10.​1016/​j.​jad.​2009.​05.​028 PubMedCrossRef
Zurück zum Zitat Coffey SF, Gudmundsdottir B, Beck JG, Palyo SA, Miller L (2006) Screening for PTSD in motor vehicle accident survivors using the PSS-SR and IES. J Trauma Stress 19(1):119–128. doi:10.1002/jts.20106 PubMedCrossRef Coffey SF, Gudmundsdottir B, Beck JG, Palyo SA, Miller L (2006) Screening for PTSD in motor vehicle accident survivors using the PSS-SR and IES. J Trauma Stress 19(1):119–128. doi:10.​1002/​jts.​20106 PubMedCrossRef
Zurück zum Zitat Creamer M, Bell R, Failla S (2003) Psychometric properties of the Impact of Event Scale—Revised. Behav Res Ther 41(12):1489–1496PubMedCrossRef Creamer M, Bell R, Failla S (2003) Psychometric properties of the Impact of Event Scale—Revised. Behav Res Ther 41(12):1489–1496PubMedCrossRef
Zurück zum Zitat Glynn LM, Wadhwa PD, Dunkel-Schetter C, Chicz-Demet A, Sandman CA (2001) When stress happens matters: effects of earthquake timing on stress responsivity in pregnancy. Am J Obstet Gynecol 184(4):637–642. doi:10.1067/mob.2001.111066 PubMedCrossRef Glynn LM, Wadhwa PD, Dunkel-Schetter C, Chicz-Demet A, Sandman CA (2001) When stress happens matters: effects of earthquake timing on stress responsivity in pregnancy. Am J Obstet Gynecol 184(4):637–642. doi:10.​1067/​mob.​2001.​111066 PubMedCrossRef
Zurück zum Zitat Irmansyah I, Dharmono S, Maramis A, Minas H (2010) Determinants of psychological morbidity in survivors of the earthquake and tsunami in Aceh and Nias. Int J Ment Heal Syst 4(1):8. doi:10.1186/1752-4458-4-8 CrossRef Irmansyah I, Dharmono S, Maramis A, Minas H (2010) Determinants of psychological morbidity in survivors of the earthquake and tsunami in Aceh and Nias. Int J Ment Heal Syst 4(1):8. doi:10.​1186/​1752-4458-4-8 CrossRef
Zurück zum Zitat Jia Z, Tian W, Liu W, Cao Y, Yan J, Shun Z (2010) Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Publ Health 10:172. doi:10.1186/1471-2458-10-172 CrossRef Jia Z, Tian W, Liu W, Cao Y, Yan J, Shun Z (2010) Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Publ Health 10:172. doi:10.​1186/​1471-2458-10-172 CrossRef
Zurück zum Zitat Karamustafalioglu OK, Zohar J, Güveli M, Gal G, Bakim B, Fostick L, Karamustafalioglu N, Sasson Y (2006) Natural course of posttraumatic stress disorder: a 20-month prospective study of Turkish earthquake survivors. J Clin Psychiatry 67(6):882–889PubMedCrossRef Karamustafalioglu OK, Zohar J, Güveli M, Gal G, Bakim B, Fostick L, Karamustafalioglu N, Sasson Y (2006) Natural course of posttraumatic stress disorder: a 20-month prospective study of Turkish earthquake survivors. J Clin Psychiatry 67(6):882–889PubMedCrossRef
Zurück zum Zitat Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 52(12):1048–1060PubMedCrossRef Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 52(12):1048–1060PubMedCrossRef
Zurück zum Zitat Misri S, Oberlander TF, Fairbrother N, Carter D, Ryan D, Kuan AJ, Reebye P (2004) Relation between prenatal maternal mood and anxiety and neonatal health. Can J Psychiatry 49(10):684–689PubMed Misri S, Oberlander TF, Fairbrother N, Carter D, Ryan D, Kuan AJ, Reebye P (2004) Relation between prenatal maternal mood and anxiety and neonatal health. Can J Psychiatry 49(10):684–689PubMed
Zurück zum Zitat Radlof LS (1977) The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1(3):385–401CrossRef Radlof LS (1977) The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1(3):385–401CrossRef
Zurück zum Zitat Sayil M, Güre A, Uçanok Z (2006) First time mothers' anxiety and depressive symptoms across the transition to motherhood: associations with maternal and environmental characteristics. Women Health 44(3):61–77. doi:10.1300/J013v44n03_04 PubMed Sayil M, Güre A, Uçanok Z (2006) First time mothers' anxiety and depressive symptoms across the transition to motherhood: associations with maternal and environmental characteristics. Women Health 44(3):61–77. doi:10.​1300/​J013v44n03_​04 PubMed
Zurück zum Zitat Unützer J, Patrick DL, Marmon T, Simon GE, Katon WJ (2002) Depressive symptoms and mortality in a prospective study of 2,558 older adults. Am J Geriatr Psychiatry 10(5):521–530PubMed Unützer J, Patrick DL, Marmon T, Simon GE, Katon WJ (2002) Depressive symptoms and mortality in a prospective study of 2,558 older adults. Am J Geriatr Psychiatry 10(5):521–530PubMed
Zurück zum Zitat Van Griensven F, Chakkraband ML, Thienkrua W, Pengjuntr W, Lopes Cardozo B, Tantipiwatanaskul P, Mock PA, Ekassawin S, Varangrat A, Gotway C, Sabin M, Tappero JW (2006) Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA 296(5):537–548. doi:10.1001/jama.296.5.537 PubMedCrossRef Van Griensven F, Chakkraband ML, Thienkrua W, Pengjuntr W, Lopes Cardozo B, Tantipiwatanaskul P, Mock PA, Ekassawin S, Varangrat A, Gotway C, Sabin M, Tappero JW (2006) Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA 296(5):537–548. doi:10.​1001/​jama.​296.​5.​537 PubMedCrossRef
Zurück zum Zitat Wang XD (1999) Psychological assessment scale manual. Chinese Mental Health Journal, Beijing, pp 200–202 Wang XD (1999) Psychological assessment scale manual. Chinese Mental Health Journal, Beijing, pp 200–202
Zurück zum Zitat Wang L, Zhang Y, Wang W, Shi Z, Shen J, Li M, Xin Y (2009) Symptoms of posttraumatic stress disorder among adult survivors three months after the Sichuan earthquake in China. J Trauma Stress 22(5):444–450. doi:10.1002/jts.20439 PubMedCrossRef Wang L, Zhang Y, Wang W, Shi Z, Shen J, Li M, Xin Y (2009) Symptoms of posttraumatic stress disorder among adult survivors three months after the Sichuan earthquake in China. J Trauma Stress 22(5):444–450. doi:10.​1002/​jts.​20439 PubMedCrossRef
Zurück zum Zitat Weiss DS, Marmar CR (1997) The Impact of Event Scale—Revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a practitioner's handbook. Guilford, New York, pp 399–411 Weiss DS, Marmar CR (1997) The Impact of Event Scale—Revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a practitioner's handbook. Guilford, New York, pp 399–411
Zurück zum Zitat Xiong X, Harville EW, Mattison DR, Elkind-Hirsch K, Pridjian G, Buekens P (2010) Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women. Am J Disaster Med 5(3):181–187PubMedCrossRef Xiong X, Harville EW, Mattison DR, Elkind-Hirsch K, Pridjian G, Buekens P (2010) Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women. Am J Disaster Med 5(3):181–187PubMedCrossRef
Zurück zum Zitat Yang J, Shi S, Chen Y, Yu W, Zhu Y, Tang Y, Lu W, Wang Q, Luo J, Cheng L (2009) Effect of maternal antepartum psychological therapy upon early infant temperament. Zhonghua Yi Xue Za Zhi 89(29):2038–2041PubMed Yang J, Shi S, Chen Y, Yu W, Zhu Y, Tang Y, Lu W, Wang Q, Luo J, Cheng L (2009) Effect of maternal antepartum psychological therapy upon early infant temperament. Zhonghua Yi Xue Za Zhi 89(29):2038–2041PubMed
Zurück zum Zitat Zhang J, Wu Z, Fang G, Li J, Han B, Chen Z (2010) Development of the Chinese age norms of CES-D in urban area. Chin Ment Heal J 24(2):139–5 Zhang J, Wu Z, Fang G, Li J, Han B, Chen Z (2010) Development of the Chinese age norms of CES-D in urban area. Chin Ment Heal J 24(2):139–5
Metadaten
Titel
Posttraumatic stress disorder and depression among new mothers at 8 months later of the 2008 Sichuan earthquake in China
verfasst von
Zhiyong Qu
Xiaohua Wang
Donghua Tian
You Zhao
Qin Zhang
Huan He
Xiulan Zhang
Fan Xu
Suran Guo
Publikationsdatum
01.02.2012
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 1/2012
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-011-0255-x

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