Post-traumatic stress disorder in children and adolescents one year after a super-cyclone in Orissa, India: exploring cross-cultural validity and vulnerability factors

摘要: It has been asserted that psychological responses to disasters in children and adolescents vary widely across cultures, but this rarely investigated. The objectives of the study were clinically evaluate construct traumatic stress symptoms disorder after a super-cyclone Orissa, India; find out prevalence at one year; compare effect high low exposure areas factors associated with it. Clinical examination (n = 447) was done, supplemented by checklist based on International Classification Mental Behavioural Disorders, Diagnostic Criteria for Research semi-structured questionnaire disaster related experiences. A majority had post-traumatic symptoms. Post-traumatic (PTSD) present 30.6% (95% confidence interval: 26.4 34.9), an additional 13.6% sub-syndromal PTSD. Parents or teachers reported mental health concerns 7.2% subjects, who minor proportion (12.8%) subjects any syndromal diagnosis 196). Significantly more (43.7%) PTSD than (11.2%) (p < 0.001). Depression significantly Binary logistic regression analysis indicated exposure, lower educational level middle socioeconomic status predicted outcome Extreme fear perceived threat life during disaster, death family, damage home, staying shelters not Following natural is valid clinical Indian set up; though highly prevalent it may be missed without screening. Its manifestation resembled those other cultures.