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The Impact of Recurrent Disasters on Mental Health: A Study on Seasonal Floods in Northern India

  • Tim R. Wind (a1) (a2) (a3), Pooran C. Joshi (a4), Rolf J. Kleber (a2) (a3) and Ivan H. Komproe (a1) (a3)
Abstract
AbstractIntroduction

Very little is known on the impact of recurrent disasters on mental health.

Aim

The present study examines the immediate impact of a recurrent flood on mental health and functioning among an affected population in the rural district of Bahraich, Uttar Pradesh, India, compared with a population in the same region that is not affected by floods.

Methods

The study compared 318 affected respondents with 308 individuals who were not affected by floods. Symptoms of anxiety and depression were assessed by the Hopkins Symptom Checklist-25 (HSCL-25). Psychological and physical functioning was assessed by using the Short Form-12 (SF-12).

Results

The affected group showed large to very large differences with the comparison group on symptoms of anxiety (D = .92) and depression (D = 1.22). The affected group scored significantly lower on psychological and physical functioning than the comparison group (respectively D = .33 and D = .80). However, hierarchical linear regressions showed no significant relationship between mental health and the domains of functioning in the affected group, whereas mental health and the domains of functioning were significantly related in the comparison group.

Conclusion

This study found a large negative impact of the recurrent floods on mental health outcomes and psychological and physical functioning. However, in a context with recurrent floods, disaster mental health status is not a relevant predictor of functioning. The findings suggest that the observed mental health status and impaired functioning in this context are also outcomes of another mechanism: Both outcomes are likely to be related to the erosion of the social and environmental and material context. As such, the findings refer to a need to implement psychosocial context-oriented interventions to address the erosion of the context rather than specific mental health interventions.

WindTR, JoshiPC, KleberRJ, KomproeIH. The Impact of Recurrent Disasters on Mental Health: A Study on Seasonal Floods in Northern India. Prehosp Disaster Med. 2013;28(3):1-7.

Copyright
Corresponding author
Correspondence: Tim R. Wind, MSc Department of Research and Development World Health Organization Collaborating Centre HealthNet TPO 1074VJ, Amsterdam, the Netherlands E-mail twind@healthnettpo.org
References
Hide All
1.World Food Programme. Response to recurrent natural disasters and seasonal food insecurity. http://www.wfp.org/content/response-recurrent-natural-disasters-and-seasonal-food-insecurity. Accessed August 15, 2012.
2.United Nations Information Centres. Monsoon, 2009. http://www.unic.org.pk/pdf/Monsoon%20fact%20sheet-final%2023%20July.pdf. Accessed September 2, 2010.
3.Aron JL, Patz A. Ecosystem Change and Public Health. A Global Perspective. Washington, DC: Johns Hopkins University Press; 2001.
4.Galea S, Brewin CR, Gruber M, et al. Exposure to hurricane-related stressors and mental illness after Hurricane Katrina. Arch Gen Psychiatry. 2007;64(12):1427-1434.
5.Norris FH, Friedman MJ, Watson PJ, Byrne CM, Diaz E, Kaniasty K. 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry. 2002;65(3):207-239.
6.Norris FH, Friedman MJ, Watson PJ. 60,000 disaster victims speak: Part II. Summary and implications of the disaster mental health research. Psychiatry. 2002;65(3):240-260.
7.Briere J, Elliott D. Prevalence, characteristics, and long-term sequelae of natural disaster exposure in the general population. J Trauma Stress. 2000;13(4):661-679.
8.Choudhury WA, Quraishi FA, Haque Z. Mental health and psychosocial aspects of disaster preparedness in Bangladesh. Int Rev Psychiatry. 2006;18(6):529-535.
9.Few R, Matthies F. Flood Hazards and Health: Responding to Present and Future Risks. London: Earthscan; 2006.
10.Hobfoll SE. Conservation of resources. A new attempt at conceptualizing stress. Am Psychol. 1989;44(3):513-524.
11.Disease Control Priorities Project. Natural disasters: coping with the health impact. http://www.dcp2.org/file/121/DCPP-NauturalDisasters.pdf. Accessed July 15, 2009.
12.Wiesenfeld E, Panza R. Environmental hazards and home loss: the social construction of becoming homeless. Community, Work & Family. 1999;2(1):51-65.
13.Wind TR, Komproe IH. The mechanisms that associate community social capital with disaster mental health: a multilevel model. Soc Sci Med. 2012;75(9):1715-1720.
14.Freedy JR, Shaw DL, Jarell MP, Masters CR. Towards an understanding of the psychological impact of natural disaster: an application of the conservation of resources model. J Trauma Stress. 1992;5(3):441-454.
15.Freedy JR, Saladin ME, Kilpatrick DG, Resnick HS, Saunders BE. Understanding acute psychological distress following natural disaster. J Trauma Stress. 1994;7(2):257-273.
16.Sattler DN, Preston AJ, Kaiser CF, Olivera VE, Valdez J, Schlueter S. Hurricane Georges: a cross-national study examining preparedness, resource loss, and psychological distress in the U.S. Virgin Islands, Puerto Rico, Dominican Republic, and the United States. J Trauma Stress. 2002;15(5):339-350.
17.Horwitz AV. Transforming normality into pathology: the DSM and the outcomes of stressful social arrangements. J Health Soc Behav. 2007;48(3):211-222.
18.Weems CF, Watts SE, Marsee MA. The psychosocial impact of Hurricane Katrina. Behav Res and Ther. 2007;45(10):2295-2306.
19.Connor KM, Foa EB, Davidson JR. Practical assessment and evaluation of mental health problems following a mass disaster. J Clin Psychiatry. 2006;67(2):26-33.
20.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders IV-TR. Washington, DC: American Psychiatric Association; 2000.
21.Narrow WE, Rae DS, Robins LN, Regier DA. Revised prevalence estimates of mental disorders in the United States: using a clinical significance criterion to reconcile 2 surveys’ estimates. Arch Gen Psychiatry. 2002;59(2):115-123.
22.Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L. The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behav Sci. 1974;19(1):1-15.
23.Lipman RS, Covi L, Shapiro AK. The Hopkins Symptom Checklist (HSCL) - factors derived from the HSCL-90. J Affect Disord. 1979;1(1):9-24.
24.Winokur A, Winokur DF, Rickels K, Cox DS. Symptoms of emotional distress in a family planning service: stability over a four-week period. Br J Psychiatry. 1984;144(4):395-399.
25.Mollica RF, Wyshak G, de Marneffe D, Khuon F, Lavelle J. Indochinese versions of the Hopkins Symptom Checklist-25: a screening instrument for the psychiatric care of refugees. Am J Psychiatry. 1987;144(4):497-500.
26.Ventevogel P, de Vries G, Scholte WF, et al. Properties of the Hopkins Symptom Checklist-25 (HSCL-25) and the Self-Reporting Questionnaire (SRQ-20) as screening instruments used in primary care in Afghanistan. Soc Psychiatry Psychiatr Epidemiol. 2007;42(2):328-335.
27.Crescenzi A, Ketzer E, van Ommeren M, Phuntsok K, Komproe I, de Jong JT. Effect of political imprisonment and trauma history on recent Tibetan refugees in India. J Trauma Stress. 2002;15(5):369-375.
28.Thapa SB, Hauff E. Psychological distress among displaced persons during an armed conflict in Nepal. Soc Psychiatry Psychiatr Epidemiol. 2005;40(8):672-679.
29.Souza R, Bernatsky S, Reyes R, de Jong K. Mental health status of vulnerable tsunami-affected communities: a survey in Aceh Province, Indonesia. J Trauma Stress. 2007;20(3):263-269.
30.Mollica RF, Cardozo BL, Osofsky HJ, Raphael B, Ager A, Salama P. Mental health in complex emergencies. Lancet. 2004;364(9450):2058-2067.
31.Ware JE Jr., Gandek B, Kosinski M, et al. The equivalence of SF-36 summary health scores estimated using standard and country-specific algorithms in 10 countries: results from the IQOLA Project. International quality of life assessment. J Clin Epidemiol. 1998;51(11):1167-1170.
32.Ware JE Jr. Identifying populations at risk: functional impairment and emotional distress. Manag Care. 2002;11(10):15-17.
33.World Medical Association Declaration of Helsinki: Recommendations guiding physicians in biomedical research involving human subjects. JAMA. 1997;277(11):925-926.
34.Cohen J. Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NJ: Erlbaum; 1988.
35.Knight BG, Gatz M, Heller K, Bengtson VL. Age and emotional response to the Northridge earthquake: a longitudinal analysis. Psychol Aging. 2000;15(4):627-634.
36.Van Griensven F, Chakkraband MLS, Thienkrua W, et al. Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA. 2006;296(5):537-548.
37.Terr LC. Childhood traumas: an outline and overview. Am J Psychiatry. 1991;148(1):10-20.
38.Kattri P, Joshi PC, Wind TR, Komproe IH, Guha-Sapir D. Understanding mental health as a function of social vulnerabilities in a disaster situation: evidence from recurrent flooding in Bahraich district, Uttar Pradesh. J Anthropol Survey India. 2012;61(1):109-125.
39.Van der Kolk BH. Psychological Trauma. Washington, DC: American Psychiatric Press; 1987.
41.Van Ommeren M, Wessels M. Inter-agency agreement on mental health and psychosocial support in emergency settings. Bull World Health Organ. 2007;85(11):822.
40.Hobfoll SE, Watson P, Bell CC, et al. Five essential elements of immediate and mid-term mass trauma intervention: empirical evidence. Psychiatry. 2007;70(4):283-315.
41.Miller KE, Kulkarni M, Kushner H. Beyond trauma-focused psychiatric epidemiology: bridging research and practice with war-affected populations. Am J Orthopsychiatry. 2006;76(4):409-422.
42.Esdaile SA, Greenwood KM. A comparison of mothers’ and fathers’ experience of parenting stress and attributions for parent child interaction outcomes. Occup Ther Int. 2003;10(2):115-116.
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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
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