Rate and predictors of psychotic symptoms after Kashmir earthquake

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• 作者：Muhammad Ayub ; Khalid Saeed ; David Kingdon…
• 关键词：Natural disasters ; Developing countries ; Pakistan ; Hallucinations ; Paranoia ; Psychological trauma
• 刊名：European Archives of Psychiatry and Clinical Neuroscience
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：265
• 期：6
• 页码：471-481
• 全文大小：467 KB
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• 作者单位：Muhammad Ayub (1)
  Khalid Saeed (1)
  David Kingdon (2)
  Farooq Naeem (1)
  
  1. Department of Psychiatry, Queen’s University, 191 Portsmouth Avenue, Kingston, ON, Canada
  2. Department of Psychiatry Academic Centre, University of Southampton, College Keep, 4-2 Terminus Terrace, Southampton, SO14 3DT, UK
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Psychiatry
  Neurosciences
  Neurology
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-8491

文摘

Psychotic symptoms are more common in general population than validated diagnosis of psychosis. There is evidence to suggest that these symptoms, hallucinations, paranoia, elated mood, thought insertion, are part of a spectrum of psychosis and may have association with the same risk factors that determine development of psychosis. These symptoms have an association with exposure to psychological trauma, post-traumatic stress disorder, anxiety and depression. The aim of this study was to explore the prevalence of psychotic symptoms in the population affected by a natural disaster, earthquake in this case and possible correlates of these symptoms. We conducted a cross-sectional survey of a population sample affected by the disaster, comprising of 1,291 individuals, 18?months after 2005 earthquake in Northern Pakistan and Kashmir to look at the prevalence of these symptoms and their correlates. Screening Instrument for Traumatic Stress in Earthquake Survivors and Self-Reporting Questionnaire and Psychosis Screening Questionnaire were used as tools. We examined association between the symptoms of anxiety, depression, PTSD and psychotic symptoms. We performed logistic regression analysis where hallucinations and delusions were dependent variables and demographic and trauma exposure variables were independent variables. The prevalence of psychotic symptoms ranged between 16.8 and 30.4?%. They were directly correlated with symptoms of post-traumatic stress disorder as well as concurrent symptoms of anxiety and depression. Lower level of education had a strong association in all the regression models. For hallucinations, living in a joint family had a negative association and participation in rescue, history of exposure to previous trauma and past psychiatric history had positive association. Paranoia was associated with female gender. Any psychiatric symptom was associated death of a family member, history of past psychiatric illness and living in a tent at the time of interview. Pattern of association of psychotic symptoms is consistent with prior literature and can be understood in the light of stress vulnerability model.