Persistent Fear of Aftershocks, Impairment of Working Memory, and Acute Stress Disorder Predict Post-traumatic Stress Disorder: 6-month Follow-up of Help Seekers Following the L'Aquila Earthquake

Overview

Journal Springerplus

Date 2013 Dec 11

PMID 24324929

Citations 13

Authors

Rita Roncone

Laura Giusti

Monica Mazza

Valeria Bianchini

Donatella Ussorio

Rocco Pollice

Massimo Casacchia

Affiliations

Soon will be listed here.

Abstract

The aim of our 6-month follow-up study was to assess predictors of post-traumatic stress disorder (PTSD) among individuals seeking treatment at the General Hospital Psychiatric Unit within the first month following the L'Aquila earthquake. Clinical, trauma-related and neurocognitive variables were considered. At the 6-month follow-up, 91 (74.5%) out of 122 subjects were re-assessed and administered the Impact of Events Scale-revised (IES-R) for the detection of PTSD according to DSM-IV criteria. Within 4 weeks following the earthquake, patients were assessed with a checklist of traumatic-event-related variables, along with the Stanford Acute Stress Disorder Questionnaire (SASDQ) for the detection of ASD, with a short battery on working (Wechler Memory Scale-R, Digit Forward and Backward) and verbal memory (subtest of Milan Overall Dementia Assessment, MODA). A statistically significant higher proportion of subjects affected by 'partial' ASD showed a PTSD diagnosis (80.6%, N = 29) compared to not diagnosed subjects (40%, N = 22) and a PTSD diagnosis was shown by all the 4 subjects (4.4%) affected by 'full' ASD at the entry in the study. At the 6-month follow-up 56% of the sample could be considered affected by PTSD on the IES-R scale. The results of the logistic regression analysis on our selected predictors indicated that the persistent fear of aftershocks seemed to increase by over 57 times the likelihood of positive estimate of PTSD, followed by impairment of working memory backward (OR 48.2), and having being diagnosed as ASD case in the first 4 week after the earthquake (OR 17.4). This study underlines the importance of identifying PTSD predictors, in order to planning early treatment interventions after natural disasters.

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References

LaGarde G, Doyon J, Brunet A . Memory and executive dysfunctions associated with acute posttraumatic stress disorder. Psychiatry Res. 2010; 177(1-2):144-9. DOI: 10.1016/j.psychres.2009.02.002. View

Gilbertson M, GURVITS T, Lasko N, Orr S, Pitman R . Multivariate assessment of explicit memory function in combat veterans with posttraumatic stress disorder. J Trauma Stress. 2001; 14(2):413-32. DOI: 10.1023/A:1011181305501. View

DellOsso L, Carmassi C, Massimetti G, Conversano C, Daneluzzo E, Riccardi I . Impact of traumatic loss on post-traumatic spectrum symptoms in high school students after the L'Aquila 2009 earthquake in Italy. J Affect Disord. 2011; 134(1-3):59-64. DOI: 10.1016/j.jad.2011.06.025. View

Kilic C, Ulusoy M . Psychological effects of the November 1999 earthquake in Turkey: an epidemiological study. Acta Psychiatr Scand. 2003; 108(3):232-8. DOI: 10.1034/j.1600-0447.2003.00119.x. View

Zhang Y, Ho S . Risk factors of posttraumatic stress disorder among survivors after the 512 Wenchuan earthquake in China. PLoS One. 2011; 6(7):e22371. PMC: 3143136. DOI: 10.1371/journal.pone.0022371. View

Livanou M, Basoglu M, Salcioglu E, Kalendar D . Traumatic stress responses in treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis. 2002; 190(12):816-23. DOI: 10.1097/01.NMD.0000041958.58852.1D. View

Carr V, Lewin T, Webster R, Hazell P, Kenardy J, Carter G . Psychosocial sequelae of the 1989 Newcastle earthquake: I. Community disaster experiences and psychological morbidity 6 months post-disaster. Psychol Med. 1995; 25(3):539-55. DOI: 10.1017/s0033291700033468. View

Cardena E, Koopman C, Classen C, Waelde L, Spiegel D . Psychometric properties of the Stanford Acute Stress Reaction Questionnaire (SASRQ): a valid and reliable measure of acute stress. J Trauma Stress. 2000; 13(4):719-34. DOI: 10.1023/A:1007822603186. View

Hansson L, Nettelbladt P, Borgquist L, Nordstrom G . Screening for psychiatric illness in primary care. A cross-sectional study in a Swedish health district. Soc Psychiatry Psychiatr Epidemiol. 1994; 29(2):83-7. DOI: 10.1007/BF00805627. View

10.

DellOsso L, Carmassi C, Massimetti G, Daneluzzo E, Di Tommaso S, Rossi A . Full and partial PTSD among young adult survivors 10 months after the L'Aquila 2009 earthquake: gender differences. J Affect Disord. 2011; 131(1-3):79-83. DOI: 10.1016/j.jad.2010.11.023. View

11.

Bland S, OLeary E, Farinaro E, Jossa F, Krogh V, Violanti J . Social network disturbances and psychological distress following earthquake evacuation. J Nerv Ment Dis. 1997; 185(3):188-94. DOI: 10.1097/00005053-199703000-00008. View

12.

Chen C, Yeh T, Yang Y, Chen S, Lee I, Fu L . Psychiatric morbidity and post-traumatic symptoms among survivors in the early stage following the 1999 earthquake in Taiwan. Psychiatry Res. 2001; 105(1-2):13-22. DOI: 10.1016/s0165-1781(01)00334-1. View

13.

Montazeri A, Baradaran H, Omidvari S, Azin S, Ebadi M, Garmaroudi G . Psychological distress among Bam earthquake survivors in Iran: a population-based study. BMC Public Health. 2005; 5:4. PMC: 548264. DOI: 10.1186/1471-2458-5-4. View

14.

Chen C, Tan H, Liao L, Chen H, Chan C, Cheng J . Long-term psychological outcome of 1999 Taiwan earthquake survivors: a survey of a high-risk sample with property damage. Compr Psychiatry. 2007; 48(3):269-75. DOI: 10.1016/j.comppsych.2006.12.003. View

15.

Clark C, McFarlane A, Morris P, Weber D, Sonkkilla C, Shaw M . Cerebral function in posttraumatic stress disorder during verbal working memory updating: a positron emission tomography study. Biol Psychiatry. 2003; 53(6):474-81. DOI: 10.1016/s0006-3223(02)01505-6. View

16.

Ehring T, Razik S, Emmelkamp P . Prevalence and predictors of posttraumatic stress disorder, anxiety, depression, and burnout in Pakistani earthquake recovery workers. Psychiatry Res. 2010; 185(1-2):161-6. DOI: 10.1016/j.psychres.2009.10.018. View

17.

Catapano F, Malafronte R, Lepre F, Cozzolino P, Arnone R, Lorenzo E . Psychological consequences of the 1998 landslide in Sarno, Italy: a community study. Acta Psychiatr Scand. 2002; 104(6):438-42. DOI: 10.1034/j.1600-0447.2001.00512.x. View

18.

Olff M, Langeland W, Gersons B . The psychobiology of PTSD: coping with trauma. Psychoneuroendocrinology. 2005; 30(10):974-82. DOI: 10.1016/j.psyneuen.2005.04.009. View

19.

Pollice R, Bianchini V, Roncone R, Casacchia M . Marked increase in substance use among young people after L'Aquila earthquake. Eur Child Adolesc Psychiatry. 2011; 20(8):429-30. DOI: 10.1007/s00787-011-0192-2. View

20.

Yehuda R, Keefe R, Harvey P, Levengood R, Gerber D, Geni J . Learning and memory in combat veterans with posttraumatic stress disorder. Am J Psychiatry. 1995; 152(1):137-9. DOI: 10.1176/ajp.152.1.137. View