Post-Disaster Mental Health Problems and the Utilization of Mental Health Services: A Four-year Longitudinal Comparative Study

被引:0
作者
Peter G. Van der Velden
Linda Grievink
Rolf J. Kleber
Annelieke N. Drogendijk
Albert-Jan R. Roskam
Frans G. H. Marcelissen
Miranda Olff
Mariel L. Meewisse
Berthold P. R. Gersons
机构
[1] Institute for Psychotrauma,Center for Environmental Health Research
[2] National Institute for Public Health and the Environment (RIVM),Department of Clinical Psychology
[3] Utrecht University,Department of Psychiatry, Academic Medical Center/De Meren
[4] University of Amsterdam,undefined
[5] Institute for Psychotrauma,undefined
来源
Administration and Policy in Mental Health and Mental Health Services Research | 2006年 / 33卷
关键词
anxiety; depression; disaster; mental health services; post-traumatic stress disorder;
D O I
暂无
中图分类号
学科分类号
摘要
This study examined mental health problems and mental health services (MHS) utilization after a fireworks disaster among adult survivors and a comparison group. The disaster took place on May 13, 2000, in the city of Enschede, The Netherlands. Victims (N=662) participated in a survey 2–3 weeks (T1), 18 months (T2) and 4 years (T3) post-disaster. The comparison group consisted of non-affected people from another city (N=526). They participated at T2 and T3. Victims used MHS more often than the comparison group in the 12-month period before T2 and T3 (OR 3.9 and 2.4). Victims with severe depression and anxiety symptoms at T2 used MHS more often than participants in the comparison group with these symptoms (OR 2.6 and 2.0). After 4 years, MHS utilization among participants in both groups with anxiety symptoms did not differ, suggesting attenuation of the observed effects. Results suggest that after a disaster survivors with mental health problems are less reluctant to use MHS than under normal circumstances.
引用
收藏
页码:279 / 288
页数:9
相关论文
共 117 条
[21]  
Adams R. E.(2002)Traumatic stress responses in treatment-seeking earthquake survivors in Turkey Journal of Nervous and Mental Disease 190 816-823
[22]  
Figley C. R.(2002)60,000 Disaster victims speak: Part I. An empirical review of the empirical literature 1981–2001 Psychiatry 65 207-239
[23]  
Boscarino J. A.(2004)Post-disaster health effects: Strategies for investigation and data-collection; experiences from the Fireworks disaster Journal of Epidemiology and Community Health 58 982-987
[24]  
Adams R. E.(1991)Psychological impairment in the wake of disaster: The disaster-psychopathology relationship Psychological Bulletin 109 384-99
[25]  
Stuber J.(2003)Long-term psychological outcome for non-treatment-seeking earthquake survivors in Turkey Journal of Nervous and Mental Disease 191 154-160
[26]  
Galea S.(1992)Malignant memories: Reluctance to utilize mental health services after a disaster Journal of Nervous and Mental Disease 180 767-772
[27]  
Boscarino J. A.(2001)Vicarious stress: Patterns of disturbance and use of mental health services by those indirectly affected by the Oklahoma City bombing Psychological Reports 89 331-338
[28]  
Galea S.(1991)Childhood traumas: An outline and overview American Journal of Psychiatry 148 10-20
[29]  
Adams R. E.(2004)Construct validation of the Dutch version of the impact of event scale Psychological Assessment 16 16-26
[30]  
Ahern J.(2005)Psychische klachten en het gebruik van de Geestelijke Gezondheidszorg na de vuurwerkramp Enschede: een longitudinale vergelijkende studie [Psychological problems and the use of mental health services after the fireworks disaster Enschede: a longitudinal comparative study] Tijdschrift voor Psychiatrie 47 571-582