Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: May 15, 2023

Natural disasters cause long term psychological consequences, especially post-traumatic stress disorders. It has been regarded as the most prevalent of psychiatric disorders after a natural disaster. The purpose this study is to estimate prevalence Post-Traumatic Stress Disorder (PTSD) and determine its associated factors in adult survivors three years 2015 Nepal earthquake.A cross-sectional descriptive design was used where 1076 adults within age range 19-65 were randomly selected interviewed from four adversely affected districts due earthquake. Instruments included demographic questionnaire, an earthquake exposure Oslo Social Support Scale (OSSS), Post-traumatic Checklist-Civilian Version (PCL-C). Descriptive inferential statistics applied using Statistical Package for Science (SPSS) 16 data analysis.The PTSD among 18.9%. multivariate logistic regression showed that gender, ethnicity, education, occupation, social support severity damage house property significantly with PTSD. Odds having 1.6 times higher females (AOR = 1.6, 95% CI: 1.1-2.3) nearly 2 amongst illiterate 1.9, 1.2-2.8). Participants Janajati ethnic group those who had business occupation 50% lower risk Around 39% participants moderate 60% odds compared poor 0.4, 95%CI: 0.2-0.5, p < 0.001). medium very high-level personal more likely have PTSD.Post-traumatic disorder remained Earthquake. important provide decrease health burden Socio-demographic characteristics such females, farmers, endured significant at risk.

Language: Английский

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Association of pro-inflammatory cytokines with trauma and post-traumatic stress disorder visiting a tertiary care hospital in Kathmandu

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(2), P. e0281125 - e0281125

Published: Feb. 2, 2023

Post-traumatic stress disorder (PTSD) is a mental that can occur after trauma. Although inflammatory markers such as cytokines are found altered in trauma and PTSD, there no consensus regarding which be considered biomarkers. Studies from South Asia region also rare. We studied among affected patients matched healthy controls. Fifty (cases) with trauma, visiting the University hospital Kathmandu thirty-nine controls were selected, levels of determined using Luminex IS 200. compared thirty-four age gender pairs case control three groups: volunteers, cases diagnosed without PTSD. Among 34 pair-matched controls, IL-6 was significantly higher both PTSD positive [2.43 (0.00–14.54) pg/ml; p = 0.004] negative [3.00 (0.92–3.86) 0.005], than [0.39 (0.00–11.38) pg/ml]. IL-1β [0.17 (0.00–5.27) 0.011] 0.00 (0.00–0.12) pg/ml. Other did not show significant differences. groups group when to This supports immune system activation hypothesis

Language: Английский

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Resilience and its association with post-traumatic stress disorder, anxiety, and depression symptoms in the aftermath of trauma: A cross-sectional study from Nepal

SSM - Mental Health, Journal Year: 2022, Volume and Issue: 2, P. 100135 - 100135

Published: July 8, 2022

Resilience is a multidimensional construct. Despite its importance as protective against psychiatric disorders, it remains largely unexplored in context of Nepal. We investigated the role resilience development various symptoms post-traumatic stress disorder, anxiety and depression following trauma clinical population psychiatry outpatient. interviewed one hundred patients who sought treatment outpatient Tribhuvan University Teaching Hospital Kathmandu, The sampling strategy was purposive inclusion criteria were 18–60 years history. used World Health Organization Composite International Diagnostic Interview version 2.1 for categorization, Post-Traumatic Stress Disorder Checklist-Civilian to measure disorder symptoms, 25-item Hopkins Symptom Checklist-25 assess level symptoms. Nepali adapted scale derived from original Wagnild Young resilience. associations between scores on depression, using bivariate multivariate analysis. adjusted type, socioeconomic status, employment, marital status gender final models. found have negative relation with anxiety, even after adjusting other important factors independently negatively related history presenting hospital. Interventions aiming promote might be effective reducing such depression. Prospective studies more robust measures combining personal attributes social support systems, across different settings should focus future research.

Language: Английский

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The effect of complex posttraumatic stress and poverty on quality of life among adult survivors of childhood institutional maltreatment: evidence from survivors of the ‘Hyeongje Welfare Institution’ in South Korea

European journal of psychotraumatology, Journal Year: 2024, Volume and Issue: 15(1)

Published: March 19, 2024

Background: Childhood institutional maltreatment (IM) is associated with both complex posttraumatic stress disorder (CTPSD) and poverty in adulthood life, each of which may impact an individual's quality life (QoL). To find implications for clinical practice policy making adult survivors childhood IM experiences, it necessary to conduct research examining their current QoL identifying related factors.

Language: Английский

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Psychological distress and quality of life among Opioid Agonist Treatment service users with a history of injecting and non-injecting drug use: A cross-sectional study in Kathmandu, Nepal

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(2), P. e0281437 - e0281437

Published: Feb. 6, 2023

Background Opioid use disorder is a serious public health problem in Nepal. People who opioids often experience psychological distress and poor quality of life. agonist Treatment (OAT) central managing opioid dependence. This study aimed to examine factors associated with life among OAT service users the Kathmandu Valley, Nepal compare those had injected prior not. Methods A cross-sectional 231 was conducted using semi-structured questionnaire, Nepalese versions Kessler 6 scale World Health Organization Quality Life (WHOQOL-BREF). Bivariate multivariate analyses were undertaken distress. Results Most participants males (92%) about half before initiating OAT. Serious past four weeks significantly more prevalent history injecting (32.2%) than did not inject (15.9%). In adjusted linear regression model, likely have lower physical compared non-injectors. Those self-reporting mental illness seven times medical comorbidity twice over last weeks. Lower socioeconomic status self-reported found be on all domains. Conclusion younger, frequent quit attempts, higher comorbidity, remained longer services. Alongside OAT, complex entangled needs users, especially drugs, need addressed improve lessen

Language: Английский

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Association of childhood trauma, and resilience, with quality of life in patients seeking treatment at a psychiatry outpatient: A cross-sectional study from Nepal

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(10), P. e0275637 - e0275637

Published: Oct. 4, 2022

Quality of life is defined by the World Health Organization as "Individuals’ perception their position in context culture and value systems which they live relation to goals, expectations, standards concerns". It a comprehensive measure health outcome after trauma. Childhood maltreatment determinant poor mental quality life. Resilience, however, supposed be protective. Our aim examine childhood trauma resilience patients visiting psychiatry outpatient investigate relations with A descriptive cross-sectional study was conducted hundred outpatient. Standardized tools were applied explore trauma, resilience, clinical diagnoses categorization. Sociodemographic relevant information obtained structured proforma. Bivariate followed multivariate logistic regressions between Poor reported almost one third patients. Upper socioeconomic status, emotional neglect during childhood, current depression low determinants bivariate analysis. Final models revealed that had independent associations Efforts should made minimize general; strategies build suited cultural improve

Language: Английский

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The impact of posttraumatic stress symptoms on quality of life among battered wives in India amidst the COVID-19 pandemic

Heliyon, Journal Year: 2023, Volume and Issue: 9(1), P. e12894 - e12894

Published: Jan. 1, 2023

BackgroundBattery against women has alarmingly escalated since the COVID-19 Pandemic, resulting in increase post-traumatic stress disorder and negatively influenced their quality of life.PurposeThe purpose this research was to find effect PTSD on life among battered wives Madhya Pradesh, India, during said plague.MethodTwo hundred seventy-seven wives, aged 20 years old 49 participated study. Purposive sampling method employed for data collection. The assessment instruments used were respondents' demographic data, Post-Traumatic Stress Disorder Symptom Scale-Interview version DSM-5, World Health Organization Quality Life. Whereas, quantitative analysis, descriptive statistics, regression analysis used. Furthermore, details participants-age, education, duration marriage, economic status, types violence number children -severely impacted which added posttraumatic symptoms domestically abused women.ResultsFindings revealed that a strong predictor poor (R2 = 0.587; β 0.766). study also found significantly related with vulnerability women.ConclusionBattered women's mental health conditions continued be major issue psychological interventions strongly recommended.

Language: Английский

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Psychological Distress and Quality of Life Among Opioid Substitution Therapy Participants with Histories of Injecting and Non-Injecting: A Cross-Sectional Study in Kathmandu, Nepal

Research Square (Research Square), Journal Year: 2022, Volume and Issue: unknown

Published: March 21, 2022

Abstract Background: Opioid use is a serious public health problem in Nepal. People who opioids can experience severe psychological distress over time along with poor quality of life. substitution therapy (OST) central treating opioid dependence. This study aimed to examine factors associated life and among OST participants the Kathmandu valley, Nepal compare those had injected prior did not inject. Methods: A cross-sectional was conducted 231 proportionately allocated across five sites Valley. They were administered semi-structured questionnaire, Nepalese versions Kessler 6 scale World Health Organization Quality Life (WHOQOL-BREF). Univariate multivariate analyses used elicit associations between distress, life, independent variables. Results: Of 92% male about half injecting drug users. Severe found one four participants, significantly more prevalent history practices (32.2%) compared non-injectors (15.9%). Higher mean scores observed users.Those self-reporting psychiatric illnesses around seven times likely have comorbidity 1.6 likely. In adjusted linear regression model, users lower physical non-injectors. Age positively better social Lower socioeconomic status self-reported mental illness attempt quit substance use, on all domains. Conclusions: demonstrated that at higher risk addition OST, complex entangled needs need be addressed improve lessen return problematic use.

Language: Английский

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QUALITY OF LIFE IN PATIENTS WITH DEPRESSIVE DISORDERS

Polonia University Scientific Journal, Journal Year: 2021, Volume and Issue: 1, P. 245 - 251

Published: Jan. 1, 2021

The aim of this paper is to study the features quality life in patients with depressive disorders, taking into account age and gender.Clinically examined 107 men 138 women disorders (ICD-10 codes F31.3, F31.4,F32.0, F32.1, F32.2, F33.0, F33.1, F33.2) using Multicultural Quality Life Index.Depressive are accompanied by a significant deterioration patients, principally psychological (emotional) well-being.In general, indicators decrease as age; showed lower self-reported most areas, these differences were statistically younger middle groups.The assessments specialist turned out be significantly (p<0.001) higher than self-assessments for all areas life, especially women.The closest self-esteem assessment well-being, largest found interpersonal functioning, social-emotional support, community services personal fulfillment, spiritual overall life.While subjectively note greatest between ages 30 44, while according specialist's assessment, decreases at over 45, women.

Language: Английский

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