Post-traumatic stress disorder and its associated factors among school-going children exposed to a tsunami disaster in Malaysia

Research output: Contribution to journalArticle

Abstract

Posttraumatic stress disorder (PTSD) is a psychiatric diagnosis made when someone including children who experiences traumatic stressor. Those who are exposed to a more severe trauma have highest level of PTSD. The aim of this study was to measure the prevalence of PTSD and its associated factors among 219 children who were affected by a form of natural disaster which is the tsunami waves in a rural area in Malaysia. A cross sectional study was carried out among children aged 10-12 years 6 months after the traumatic event. Child Posttraumatic Stress Disorder -Reaction Index (CPTSD-RI) was used as a screening instrument which was answered by the affected children through a self-administered questionnaire. Forty six percent of these children had PTSD symptoms; 31.1% of these children had mild, 11.4% had moderate, 3.7% had severe PTSD and none had very severe PTSD. Result also showed that 91.8% had re-experiencing symptoms, 28.3% had numbing/avoidance symptoms and 49.3% had hyperarousal symptoms. Children with low social support (Adj OR = 2.3 (95% CI: = 1.3- 4.2)), and children who experienced deaths among someone close to them (Adj OR = 3.7 (95% CI =1.2 - 11.5)) were more likely to have symptoms of PTSD. This showed that children are at higher risk of developing PTSD as early as 6 months after the event and thus early intervention should be offered to them. Future longitudinal study can be carried out among affected children to assess whether these PTSD symptoms persist over time.

Original languageEnglish
Pages (from-to)112-121
Number of pages10
JournalMalaysian Journal of Public Health Medicine
Volume15
Issue number3
Publication statusPublished - 2015
Externally publishedYes

Fingerprint

Tsunamis
Malaysia
Disasters
Post-Traumatic Stress Disorders
Mental Disorders
Social Support
Longitudinal Studies

Keywords

  • Children
  • Natural disaster
  • Posttraumatic stress disorder
  • Risk factors
  • Tsunami

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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title = "Post-traumatic stress disorder and its associated factors among school-going children exposed to a tsunami disaster in Malaysia",
abstract = "Posttraumatic stress disorder (PTSD) is a psychiatric diagnosis made when someone including children who experiences traumatic stressor. Those who are exposed to a more severe trauma have highest level of PTSD. The aim of this study was to measure the prevalence of PTSD and its associated factors among 219 children who were affected by a form of natural disaster which is the tsunami waves in a rural area in Malaysia. A cross sectional study was carried out among children aged 10-12 years 6 months after the traumatic event. Child Posttraumatic Stress Disorder -Reaction Index (CPTSD-RI) was used as a screening instrument which was answered by the affected children through a self-administered questionnaire. Forty six percent of these children had PTSD symptoms; 31.1{\%} of these children had mild, 11.4{\%} had moderate, 3.7{\%} had severe PTSD and none had very severe PTSD. Result also showed that 91.8{\%} had re-experiencing symptoms, 28.3{\%} had numbing/avoidance symptoms and 49.3{\%} had hyperarousal symptoms. Children with low social support (Adj OR = 2.3 (95{\%} CI: = 1.3- 4.2)), and children who experienced deaths among someone close to them (Adj OR = 3.7 (95{\%} CI =1.2 - 11.5)) were more likely to have symptoms of PTSD. This showed that children are at higher risk of developing PTSD as early as 6 months after the event and thus early intervention should be offered to them. Future longitudinal study can be carried out among affected children to assess whether these PTSD symptoms persist over time.",
keywords = "Children, Natural disaster, Posttraumatic stress disorder, Risk factors, Tsunami",
author = "Idris, {Idayu Badilla} and Khadijah Shamsuddin and Aniza Ismail and Khairani Omar and {Mohd Amin}, Rahmah and Rozita Hod",
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T1 - Post-traumatic stress disorder and its associated factors among school-going children exposed to a tsunami disaster in Malaysia

AU - Idris, Idayu Badilla

AU - Shamsuddin, Khadijah

AU - Ismail, Aniza

AU - Omar, Khairani

AU - Mohd Amin, Rahmah

AU - Hod, Rozita

PY - 2015

Y1 - 2015

N2 - Posttraumatic stress disorder (PTSD) is a psychiatric diagnosis made when someone including children who experiences traumatic stressor. Those who are exposed to a more severe trauma have highest level of PTSD. The aim of this study was to measure the prevalence of PTSD and its associated factors among 219 children who were affected by a form of natural disaster which is the tsunami waves in a rural area in Malaysia. A cross sectional study was carried out among children aged 10-12 years 6 months after the traumatic event. Child Posttraumatic Stress Disorder -Reaction Index (CPTSD-RI) was used as a screening instrument which was answered by the affected children through a self-administered questionnaire. Forty six percent of these children had PTSD symptoms; 31.1% of these children had mild, 11.4% had moderate, 3.7% had severe PTSD and none had very severe PTSD. Result also showed that 91.8% had re-experiencing symptoms, 28.3% had numbing/avoidance symptoms and 49.3% had hyperarousal symptoms. Children with low social support (Adj OR = 2.3 (95% CI: = 1.3- 4.2)), and children who experienced deaths among someone close to them (Adj OR = 3.7 (95% CI =1.2 - 11.5)) were more likely to have symptoms of PTSD. This showed that children are at higher risk of developing PTSD as early as 6 months after the event and thus early intervention should be offered to them. Future longitudinal study can be carried out among affected children to assess whether these PTSD symptoms persist over time.

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