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. 2013 May;30(5):413-24.
doi: 10.1002/da.22007. Epub 2012 Nov 1.

Psychopathology in the aftermath of the Haiti earthquake: a population-based study of posttraumatic stress disorder and major depression

Magdalena Cerdá  1 , Magdalena Paczkowski, Sandro Galea, Kevin Nemethy, Claude Péan, Moïse Desvarieux
Affiliations

Psychopathology in the aftermath of the Haiti earthquake: a population-based study of posttraumatic stress disorder and major depression

Magdalena Cerdá et al. Depress Anxiety. 2013 May.

Abstract

Background: In the first population-based study of psychopathology conducted in Haiti, we documented earthquake-related experiences associated with risk for posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) 2-4 months following the 2010 Haiti earthquake.

Methods: A population-based survey was conducted of 1,323 survivors randomly selected from the general nondisplaced community, internally displaced persons camps, and a community clinic. Respondents were from the Nazon area of Port-au-Prince, ∼20 miles from the epicenter.

Results: Respondents (90.5%) reported at least one relative/close friend injured/killed, 93% saw dead bodies, and 20.9% lost their job post-earthquake. The prevalence of PTSD (24.6%) and MDD (28.3%) was high. History of violent trauma was associated with risk of PTSD and MDD (adjusted odds ratio [AOR] 1.4, 95% confidence interval [CI], 1.0-1.9; AOR, 1.7, 95% CI 1.3, 2.2, respectively). Low social support (AOR, 1.7, 95% CI 1.2, 2.3; AOR 1.4, 95% CI 1.0, 1.9, respectively) increased risk of PTSD and MDD among women. Suffering damage to the home increased risk of MDD in males (AOR 2.8, 95% CI 1.5, 5.5). Associations between being trapped in rubble, major damage to house, job loss, and PTSD; and participation in rescue/recovery, friends/family injured/killed, and MDD varied based on prior history of violent trauma.

Conclusions: Addressing mental health in a post-earthquake setting such as Haiti will require focusing resources on screening and treatment of identified vulnerable groups while targeting improvement of post-earthquake living conditions. Investment in sources of social support for women may make help mitigate the vulnerability of women to PTSD and MDD.

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Figures

Figure 1
Figure 1
Nazon Area of Port-au-Prince where nondisplaced, internally–displaced, and community clinic-attending survivors were sampled. The white circle represents the earthquake epicenter, 10 miles southwest of Port-au-Prince (shaded) as reported by the U.S. Geological Service. The black circle represents the Institut Fame Pereo (IFP) community clinic. Sources: Open street map; Global Administrative Areas; UN Office for the Coordination of Humanitarian Affairs.
Figure 2
Figure 2
(A) Probability of posttraumatic stress disorder (PTSD) by being trapped by rubble and prior history of violent trauma in the total sample. (B) Probability of PTSD by being trapped by rubble and prior history of violent trauma among females. (C) Probability of PTSD by being trapped by rubble and prior history of violent trauma among males.
Figure 3
Figure 3
(A) Probability of posttraumatic stress disorder (PTSD) by damage to house and prior history of violent trauma in the total sample. (B) Probability of PTSD by damage to house and prior history of violent trauma among females. (C) Probability of PTSD by damage to house and prior history of violent trauma among males.
Figure 4
Figure 4
(A) Probability of posttraumatic stress disorder (PTSD) by job loss and prior history of violent trauma in the total sample. (B) Probability of PTSD by job loss and prior history of violent trauma among females. (C) Probability of PTSD by job loss and prior history of violent trauma among males.
Figure 5
Figure 5
(A) Probability of major depressive disorder (MDD) by participation in rescue/recovery and prior history of violent trauma in the total sample. (B) Probability of MDD by participation in rescue/recovery and prior history of violent trauma among females. (C) Probability of MDD by participation in rescue/recovery and prior history of violent trauma among males.
Figure 6
Figure 6
(A) Probability of major depressive disorder (MDD) by injury/death of loved ones and prior history of violent trauma in the total sample. (B) Probability of MDD by injury/death of loved ones and prior history of violent trauma among females. (C) Probability of MDD by injury/death of loved ones and prior history of violent trauma among males.
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References

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