Browse > Article
http://dx.doi.org/10.5932/JKPHN.2019.33.2.214

Prevalence and Correlates of Symptoms of Post-Traumatic Stress Disorders in Korean Older Adults Exposed to Natural Disaster  

Cho, Myong Sun (Ewha Research Institute of Nursing Science, Ewha Womans University)
Publication Information
Journal of Korean Public Health Nursing / v.33, no.2, 2019 , pp. 214-227 More about this Journal
Abstract
Purpose: This study examined the socio-demographic factors, the disaster related factors, the physical health related factors and the psychological factors of older adults exposed to natural disaster and these factors may possibly cause the occurrence of PTSD. Methods: A cross-sectional study was designed using the secondary data from the 3rd Disaster Victims Panel Survey (2012-2017). The data from 1,397 disaster victims were analyzed using descriptive statistics and logistic regression analysis. Results: Compared with the younger adult disaster victims, the elderly were more likely to have symptoms of PTSD (15.0% vs. 12.1%). Factors such as the number of years since being exposed to the disaster, anxiety, depression and social adjustment were significantly associated with occurrence of PTSD for both older and younger adults. Female gender was the additional risk factors for the older adults, while marital status, income, having witnessed another person's injury or death, and having lost a home were associated with the occurrence of PTSD. Conclusion: The elderly were more likely to develop PTSD as compared with younger adults. More targeted post-disaster mental health services to the elderly with the symptoms of depressive, anxiety and impaired social adjustments, should be provided to improve their mental health.
Keywords
Natural disaster; Post-Traumatic Stress Disorder (PTSD); Depression; Anxiety; Social Adjustments;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Korea institute for Health and Social Affairs. (2017, November). National elderly survey 2017. Sejong: Korea institute for Health and Social Affairs.
2 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(7), 644-652. https://doi.org/10.1016/j.puhe.2013.04.018   DOI
3 Lee, N. B., & Ahn, H. N. (2016). A meta analysis study of predictors of disaster Victims’post-traumatic stress response based on ecological model. Korean Journal of Psychology, 35(4), 525-562. https://doi.org/10.22257/kjp.2016.12.35.4.525
4 Lee, O. (2014). Trends of nursing research on disasters in korea. Journal of Korean Public Health Nursing, 28(3), 432-444.   DOI
5 Lohr, J. B., Palmer, B. W., Eidt, C. A., Aailaboyina, S., Mausbach, B. T., Wolkowitz, O. M., ... & Jeste, D. V. (2015). Is post-traumatic stress disorder associated with premature senescence? A review of the literature. The American Journal of Geriatric Psychiatry, 23(7), 709-725. https://doi.org/10.1016/j.jagp.2015.04.001   DOI
6 Ministry of the Interior and Safety. (2018). 2018 disaster management statistical yearbook. Sejong: Ministry of the Interior and Safety.
7 Monson, C. M., Macdonald, A., Vorstenbosch, V., Shnaider, P., Goldstein, E. S., Ferrier-Auerbach, A. G., & Mocciola K. (2012). Changes in social adjustment with cognitive processing therapy: Effects of treatment and association with PTSD symptom change. Journal of Traumatic Stress, 25(5), 519-526. https://doi.org/10.1002/jts.21735   DOI
8 Mundt, J. C., Marks, I. M., Shear, M. K., & Greist, J. M. (2002). The work and social adjustment scale: A simple measure of impairment in functioning. The British Journal of Psychiatry, 180(5), 461-464.   DOI
9 Musa, R., Draman, S., Jeffrey, S., Jeffrey, I., Abdullah, N., Halim, N. A. M., ... & Sidi, H. (2014). Post tsunami psychological impact among survivors in aceh and west sumatra, Indonesia Comprehensive Psychiatry, 55, S13-S16. https://doi.org/10.1016/j.comppsych.2012.12.002   DOI
10 National Disaster Management Research Institute. (2016, December). Research of the factors of life change in disaster victims and development of technology for relief services. Ulsan: National Disaster Management Research Institute.
11 National Disaster Management Research Institute. (2017, December). Long-term investigation of disaster victims and development of life-friendly relief policy technology. Ulsan: National Disaster Management Research Institute.
12 North, C. S., Oliver, J., & Pandya, A. (2012). Examining a comprehensive model of disaster-related posttraumatic stress disorder in systematically studied survivors of 10 disasters. American Journal of Public Health, 102(10), e40-e48. https://doi.org/10.2105/AJPH.2012.300689
13 Parker, G., Lie, D., Siskind, D. J., Martin-Khan, M., Raphael, B., Crompton, D., & Kisely, S.(2016). Mental health implications for older adults after natural disasters-a systematic review and meta-analysis. International Psychogeriatrics, 28(1), 11-20. https://doi.org/10.1017/S1041610215001210   DOI
14 Rho, I. S., & Won, J. S. (2009). The relations of depression, anxiety, post-traumatic stress, self-esteem, and social adjustment among north korean refugees. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 18(1), 69-77.
15 Sohn, J. (2008). A study on PTSD, depression, anger, and suicidal ideation in victimized community residences after the hebei spirit oil spill. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 17(4), 411-420.
16 Cenat, J. M., & Derivois, D. (2014). Assessment of prevalence and determinants of posttraumatic stress disorder and depression symptoms in adults survivors of earthquake in haiti after 30 months. Journal of Affective Disorders, 159, 111-117. https://doi.org/10.1016/j.jad.2014.02.025   DOI
17 Yaffe, K., Vittinghoff, E., Lindquist, K., Barnes, D., Covinsky, K. E., Neylan, T., Kluse M., & Marmar, C.(2010). Posttraumatic stress disorder and risk of dementia among US veterans. Archives of General Psychiatry, 67(6), 608-613. https://doi.org/10.1001/archgenpsychiatry.2010.61   DOI
18 American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
19 An, J., & Choi, H. Y. (2018). Trend of influencing factors on health-related quality of life in korean elderly. Journal of Korean Public Health Nursing, 32(2), 275-287. https://doi.org/10.5932/JKPHN.2018.32.2.275   DOI
20 An, J., Seo, E., Lim, K., Shin, J., &Kim, J. (2013). Standardization of the korean version of screening tool for depression (patient health questionnaire-9, PHQ-9). Journal of Korean Academy of Psychiatric and Mental Health Nursing, 19(1), 47-56.
21 Chen, Y., Lai, C., Chen, W., Hsu, W., Wu, Y., Wang, P., & Chen C. (2011). Risk factors for PTSD after typhoon morakot among elderly people in taiwanese aboriginal communities. International Psychogeriatrics, 23(10), 1686-1691. https://doi.org/10.1017/S1041610211000986   DOI
22 Cho, M. S. (2019) Factors associated with quality of life among disaster victims: an analysis of the 3rd nationwide panel survey of disaster victims. Korean Academy of Community Health Nursing, 30(2):217-225. https://doi.org/10.12799/jkachn.2019.30.2.217   DOI
23 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 Public Health, 10(1), 172. https://doi.org/10.1186/1471-2458-10-172   DOI
24 Choi, N., Byun, J., Han, D., & Im, S. (2007). Psychological impact and depressive response of sufferers of natural disaster, a torrential downpour. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 16(2), 139-149.
25 Dai, W., Chen, L., Lai, Z., Li, Y., Wang, J., & Liu, A. (2016). The incidence of post-traumatic stress disorder among survivors after earthquakes: A systematic review and meta-analysis. BMC Psychiatry, 16(1), 188. https://doi.org/10.1186/s12888-016-0891-9   DOI
26 Eun, H. J., Kwon, T. W., Lee, S. M., Kim, T. H., Choi, M. R., & Cho, S. J. (2005). A study on reliability and validity of the Korean version of impact of event scale-revised. Journal of Korean Neuropsychiatric Association, 44(3), 303-310.
27 Farooqui, M., Quadri, S. A., Suriya, S. S., Khan, M. A., Ovais, M., Sohail, Z., ... & Hassan, M. (2017). Posttraumatic stress disorder: A serious post-earthquake complication. Trends in Psychiatry and Psychotherapy, 39(2), 135-143. https://doi.org/10.1590/2237-6089-2016-0029   DOI
28 Han, S. J., & Kwon, M. S. (2019). A comparative study on the disaster preparedness, ego-resilience and disaster stress by disaster-related characteristics of korean adults. Journal of Korean Public Health Nursing, 33(1), 5-19. https://doi.org/10.5932/JKPHN.2019.33.1.5   DOI
29 Kim, J. B., Ryu, S. Y., & Ahn, H. (2005). A review of korean mental health studies related to trauma and disasters. Psychiatry Investigation, 2(2), 22.
30 Korea Center for Disease Control and Prevention. (2015, February). Community survey for socio-psychological health and perceived social safety(TRKO201600016002). Sejong: Korea Center for Disease Control and Prevention.