Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics

Yen Kuang Yang, Tzung Lieh Yeh, Chwen Cheng Chen, Chih Kuei Lee, I. Hui Lee, Li-Ching Lee, Keith J. Jeffries

Research output: Contribution to journalArticle

Abstract

Three months after the devastating Chi-Chi earthquake (magnitude of 7.3 on the Richter scale) struck the central area of Taiwan, 663 victims were screened for psychiatric morbidity at a local general hospital in a community mental health program. The rate of psychiatric morbidity as defined by the 12-item Chinese Health Questionnaire as greater than 4, was 24.5%. Posttraumatic symptoms were still prevalent. The rate of posttraumatic stress disorder was 11.3%, and the rate of partial PTSD was 32.0%. Variables associated with the presence of psychiatric morbidity and posttraumatic symptoms included female gender, old age, financial loss, obsessive trait, and nervous trait. A disproportionate use of mental health services (18%) was found, suggesting an urgent need to deliver mental health care to disaster victims at local medical settings. In addition, health care professionals who work with the earthquake victims need to be promptly and efficiently trained in mental health crisis intervention.

Original languageEnglish (US)
Pages (from-to)253-261
Number of pages9
JournalGeneral Hospital Psychiatry
Volume25
Issue number4
DOIs
StatePublished - Jul 2003
Externally publishedYes

Fingerprint

Earthquakes
Psychiatry
Primary Health Care
Mental Health
Post-Traumatic Stress Disorders
Morbidity
Disaster Victims
Crisis Intervention
Delivery of Health Care
Mental Health Services
Taiwan
General Hospitals
Health

Keywords

  • Earthquakes
  • Medical setting
  • Posttraumatic stress disorder
  • Psychiatric morbidity

ASJC Scopus subject areas

  • Emergency Medicine
  • Medicine(all)
  • Psychiatry and Mental health

Cite this

Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. / Yang, Yen Kuang; Yeh, Tzung Lieh; Chen, Chwen Cheng; Lee, Chih Kuei; Lee, I. Hui; Lee, Li-Ching; Jeffries, Keith J.

In: General Hospital Psychiatry, Vol. 25, No. 4, 07.2003, p. 253-261.

Research output: Contribution to journalArticle

Yang, Yen Kuang ; Yeh, Tzung Lieh ; Chen, Chwen Cheng ; Lee, Chih Kuei ; Lee, I. Hui ; Lee, Li-Ching ; Jeffries, Keith J. / Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. In: General Hospital Psychiatry. 2003 ; Vol. 25, No. 4. pp. 253-261.
@article{0feae7585e2a4b9c8e42aba3f0d30d7f,
title = "Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics",
abstract = "Three months after the devastating Chi-Chi earthquake (magnitude of 7.3 on the Richter scale) struck the central area of Taiwan, 663 victims were screened for psychiatric morbidity at a local general hospital in a community mental health program. The rate of psychiatric morbidity as defined by the 12-item Chinese Health Questionnaire as greater than 4, was 24.5{\%}. Posttraumatic symptoms were still prevalent. The rate of posttraumatic stress disorder was 11.3{\%}, and the rate of partial PTSD was 32.0{\%}. Variables associated with the presence of psychiatric morbidity and posttraumatic symptoms included female gender, old age, financial loss, obsessive trait, and nervous trait. A disproportionate use of mental health services (18{\%}) was found, suggesting an urgent need to deliver mental health care to disaster victims at local medical settings. In addition, health care professionals who work with the earthquake victims need to be promptly and efficiently trained in mental health crisis intervention.",
keywords = "Earthquakes, Medical setting, Posttraumatic stress disorder, Psychiatric morbidity",
author = "Yang, {Yen Kuang} and Yeh, {Tzung Lieh} and Chen, {Chwen Cheng} and Lee, {Chih Kuei} and Lee, {I. Hui} and Li-Ching Lee and Jeffries, {Keith J.}",
year = "2003",
month = "7",
doi = "10.1016/S0163-8343(03)00022-7",
language = "English (US)",
volume = "25",
pages = "253--261",
journal = "General Hospital Psychiatry",
issn = "0163-8343",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics

AU - Yang, Yen Kuang

AU - Yeh, Tzung Lieh

AU - Chen, Chwen Cheng

AU - Lee, Chih Kuei

AU - Lee, I. Hui

AU - Lee, Li-Ching

AU - Jeffries, Keith J.

PY - 2003/7

Y1 - 2003/7

N2 - Three months after the devastating Chi-Chi earthquake (magnitude of 7.3 on the Richter scale) struck the central area of Taiwan, 663 victims were screened for psychiatric morbidity at a local general hospital in a community mental health program. The rate of psychiatric morbidity as defined by the 12-item Chinese Health Questionnaire as greater than 4, was 24.5%. Posttraumatic symptoms were still prevalent. The rate of posttraumatic stress disorder was 11.3%, and the rate of partial PTSD was 32.0%. Variables associated with the presence of psychiatric morbidity and posttraumatic symptoms included female gender, old age, financial loss, obsessive trait, and nervous trait. A disproportionate use of mental health services (18%) was found, suggesting an urgent need to deliver mental health care to disaster victims at local medical settings. In addition, health care professionals who work with the earthquake victims need to be promptly and efficiently trained in mental health crisis intervention.

AB - Three months after the devastating Chi-Chi earthquake (magnitude of 7.3 on the Richter scale) struck the central area of Taiwan, 663 victims were screened for psychiatric morbidity at a local general hospital in a community mental health program. The rate of psychiatric morbidity as defined by the 12-item Chinese Health Questionnaire as greater than 4, was 24.5%. Posttraumatic symptoms were still prevalent. The rate of posttraumatic stress disorder was 11.3%, and the rate of partial PTSD was 32.0%. Variables associated with the presence of psychiatric morbidity and posttraumatic symptoms included female gender, old age, financial loss, obsessive trait, and nervous trait. A disproportionate use of mental health services (18%) was found, suggesting an urgent need to deliver mental health care to disaster victims at local medical settings. In addition, health care professionals who work with the earthquake victims need to be promptly and efficiently trained in mental health crisis intervention.

KW - Earthquakes

KW - Medical setting

KW - Posttraumatic stress disorder

KW - Psychiatric morbidity

UR - http://www.scopus.com/inward/record.url?scp=0038690054&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0038690054&partnerID=8YFLogxK

U2 - 10.1016/S0163-8343(03)00022-7

DO - 10.1016/S0163-8343(03)00022-7

M3 - Article

C2 - 12850657

AN - SCOPUS:0038690054

VL - 25

SP - 253

EP - 261

JO - General Hospital Psychiatry

JF - General Hospital Psychiatry

SN - 0163-8343

IS - 4

ER -