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The importance of secondary trauma exposure for post-disaster mental disorder

dc.creatorKessler, R.C.
dc.creatorMcLaughlin, K.A.
dc.creatorKoenen, K.C.
dc.creatorPetukhova, M.
dc.creatorHill, E.D.
dc.creatorWHO World Mental Health Survey Consortium
dc.date.accessioned2017-06-30T04:04:29Z
dc.date.available2017-06-30T04:04:29Z
dc.date.issued2012
dc.identifier2489es_ES
dc.identifier.issn2045-7960es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7130
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/22670411/
dc.language.isoenges_ES
dc.publisherCambridge : Cambridge University Presses_ES
dc.relation21, 35-45 p.es_ES
dc.relationversión del editores_ES
dc.rightsAcceso Cerradoes_ES
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_ES
dc.titleThe importance of secondary trauma exposure for post-disaster mental disorderes_ES
dc.typeArticlees_ES
dc.contributor.affiliationDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USAes_ES
dc.contributor.emailkessler@hcp.med.harvard.edues_ES
dc.relation.jnabreviadoEPIDEMIOL PSYCHIATR SCIes_ES
dc.relation.journalEpidemiology and Psychiatric Scienceses_ES
dc.identifier.placeCambridgees_ES
dc.date.published2012es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, México.es_ES
dc.identifier.eissn2045-7979es_ES
dc.description.monthEnees_ES
dc.description.abstractotrodiomaBackground. Interventions to treat mental disorders after natural disasters are important both for humanitarian reasons and also for successful post-disaster physical reconstruction that depends on the psychological functioning of the affected population. A major difficulty in developing such interventions, however, is that large between-disaster variation exists in the prevalence of post-disaster mental disorders, making it difficult to estimate need for services in designing interventions without carrying out a post-disaster mental health needs assessment survey. One of the daunting methodological challenges in implementing such surveys is that secondary stressors unique to the disaster often need to be discovered to understand the magnitude, type, and population segments most affected by post-disaster mental disorders. Methods. This problem is examined in the current commentary by analyzing data from the WHO World Mental Health (WMH) Surveys. We analyze the extent to which people exposed to natural disasters throughout the world also experienced secondary stressors and the extent to which the mental disorders associated with disasters were more proximally due to these secondary stressors than to the disasters themselves. Results. Lifetime exposure to natural disasters was found to be high across countries (4.4–7.5%). 10.7–11.4% of those exposed to natural disasters reported the occurrence of other related stressors (e.g. death of a loved one and destruction of property). A monotonic relationship was found between the number of additional stressors and the subsequent onset of mental disorders. Conclusions. These results document the importance of secondary stressors in accounting for the effects of natural disasters on mental disorders. Implications for intervention planning are discussed.es_ES


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