Mental Health Burden Following Extreme Weather Events in South-east Asia: A Systematic Review and Meta-analysis

Overview

Journal Indian J Psychiatry

Specialty Psychiatry

Date 2024 Oct 14

PMID 39398512

Authors

Joydeep Majumder

Indranil Saha

Bhavani Shankara Bagepally

Manoj Kalita

Devaraja Munikrishnappa

Sujoy Ray

Asim Saha

Amit Chakrabarti

Affiliations

Soon will be listed here.

Abstract

Background: Exposure to extreme weatherly events potentially develops mental disorders among affected individuals.

Aim: To synthesize the burden of mental disorders following impact of extreme weather events in South-east Asian (SEA) countries.

Methods: Proposal was registered in PROSPERO register [CRD42023469788] and reported as per PRISMA-2020 guidelines. Studies reporting prevalence of mental health disorders following extreme weather events from SEA countries during 1990 and 2023 were searched on Embase, PubMed, and Scopus databases. Study quality was assessed using Appraisal tool for Cross-Sectional Studies. Overall pooled prevalence was computed using DerSimonian-Laird method for random-effects model and reported as 95% confidence intervals.

Results: On screening 12,046 records, we included 155 studies (2,04,474 participants) for analysis. Overall burden of mental disorders was 35.31% (95%CI: 30.42%-40.21%). In subgroup analysis, studies on cyclones, India, local residents, children and adolescents, rural settings, and community settings reported higher burden of mental disorders. Depression (28.58%; 95%CI: 24.05%-33.1%) and PTSD (29.36%; 95%CI: 26.26%-32.46%) had similar prevalence. Visiting tourists to SEA region experienced fear, fear of recurrence of tsunami, nightmares, and sense of helplessness. Mental health outcomes were relatively higher in studies conducted within 1 year of events. Heterogeneity and possibility of publication bias exists among the reported studies.

Conclusion: With the significant rise in episodes of extreme weather events in SEA region over the last three decades, mental disorders are documented in different proportions. We suggest prioritizing well-informed policies to formulate inclusive and resilient strategies on effectively identifying and treating mental health concerns among victims of extreme weather events.

References

Becker S . Psychosocial care for women survivors of the tsunami disaster in India. Am J Public Health. 2009; 99(4):654-8. PMC: 2661489. DOI: 10.2105/AJPH.2008.146571. View

Wahlstrom L, Michelsen H, Schulman A, Backheden M, Keskinen-Rosenqvist R, Backheden H . Longitudinal course of physical and psychological symptoms after a natural disaster. Eur J Psychotraumatol. 2014; 4. PMC: 3875347. DOI: 10.3402/ejpt.v4i0.21892. View

Agampodi T, Agampodi S, Fonseka P . Prevalence of mental health problems in adolescent schoolchildren in Galle District, Sri Lanka: eight months after tsunami. Asia Pac J Public Health. 2010; 23(4):588-600. DOI: 10.1177/1010539509349866. View

Wahlstrom L, Michelsen H, Schulman A, Backheden M . Different types of exposure to the 2004 tsunami are associated with different levels of psychological distress and posttraumatic stress. J Trauma Stress. 2008; 21(5):463-70. DOI: 10.1002/jts.20360. View

Du Y, Lee C, Christina D, Belfer M, Betancourt T, ORourke E . The living environment and children's fears following the Indonesian tsunami. Disasters. 2011; 36(3):495-513. PMC: 3991231. DOI: 10.1111/j.1467-7717.2011.01271.x. View

Piyasil V, Ketuman P, Plubrukarn R, Jotipanut V, Tanprasert S, Aowjinda S . Post traumatic stress disorder in children after tsunami disaster in Thailand: 2 years follow-up. J Med Assoc Thai. 2008; 90(11):2370-6. View

Kristensen P, Weisaeth L, Heir T . Psychiatric disorders among disaster bereaved: an interview study of individuals directly or not directly exposed to the 2004 tsunami. Depress Anxiety. 2009; 26(12):1127-33. DOI: 10.1002/da.20625. View

Isaranuwatchai W, Guerriere D, Andrews G, Coyte P . Two years post-tsunami in Thailand: who still needs assistance?. Int Health. 2013; 5(2):106-18. DOI: 10.1093/inthealth/iht004. View

Kristensen P, Weisaeth L, Hussain A, Heir T . Prevalence of psychiatric disorders and functional impairment after loss of a family member: a longitudinal study after the 2004 Tsunami. Depress Anxiety. 2014; 32(1):49-56. DOI: 10.1002/da.22269. View

10.

Suresh Kumar M, Murhekar M, Hutin Y, Subramanian T, Ramachandran V, Gupte M . Prevalence of posttraumatic stress disorder in a coastal fishing village in Tamil Nadu, India, after the December 2004 tsunami. Am J Public Health. 2006; 97(1):99-101. PMC: 1716229. DOI: 10.2105/AJPH.2005.071167. View

11.

Michelsen H, Therup-Svedenlof C, Backheden M, Schulman A . Posttraumatic growth and depreciation six years after the 2004 tsunami. Eur J Psychotraumatol. 2017; 8(1):1302691. PMC: 5399995. DOI: 10.1080/20008198.2017.1302691. View

12.

Irwanto , Faisal , Zulfa H . POSTTRAUMATIC STRESS DISORDER AMONG INDONESIAN CHILDREN 5 YEARS AFTER THE TSUNAMI. Southeast Asian J Trop Med Public Health. 2016; 46(5):918-23. View

13.

Exenberger S, Ramalingam P, Hofer S . Exploring posttraumatic growth in Tamil children affected by the Indian Ocean Tsunami in 2004. Int J Psychol. 2016; 53(5):397-401. DOI: 10.1002/ijop.12395. View

14.

Telles S, Naveen K, Dash M . Yoga reduces symptoms of distress in tsunami survivors in the andaman islands. Evid Based Complement Alternat Med. 2008; 4(4):503-9. PMC: 2176139. DOI: 10.1093/ecam/nem069. View

15.

Kaiser Z . Analysis of the livelihood and health of internally displaced persons due to riverbank erosion in Bangladesh. J Migr Health. 2023; 7:100157. PMC: 9932462. DOI: 10.1016/j.jmh.2023.100157. View

16.

Tang C . Positive and negative postdisaster psychological adjustment among adult survivors of the Southeast Asian earthquake-tsunami. J Psychosom Res. 2006; 61(5):699-705. DOI: 10.1016/j.jpsychores.2006.07.014. View

17.

Banford A, Ivey D, Wickrama T, Fischer J, Prouty A, Smith D . The role of natural disaster in individual and relational adjustment in Sri Lankan mothers following the 2004 tsunami. Disasters. 2015; 40(1):134-57. DOI: 10.1111/disa.12137. View

18.

Suar D, Das S, Alat P . Bereavement, postdisaster trauma, and behavioral changes in tsunami survivors. Death Stud. 2015; 39(1-5):226-33. DOI: 10.1080/07481187.2014.979957. View

19.

Wickrama K, Wickrama T . Perceived community participation in tsunami recovery efforts and the mental health of tsunami-affected mothers: findings from a study in rural Sri Lanka. Int J Soc Psychiatry. 2010; 57(5):518-27. DOI: 10.1177/0020764010374426. View

20.

Nygaard E, Wentzel-Larsen T, Hussain A, Heir T . Family structure and posttraumatic stress reactions: a longitudinal study using multilevel analyses. BMC Psychiatry. 2011; 11:195. PMC: 3280194. DOI: 10.1186/1471-244X-11-195. View