[Psychological and physical health of the July 1996 disaster victims: A comparative study between victims and non-victims.].
Danielle MaltaisLise LachanceM. FortinGilles LalandeSuzie RobichaudChristophe FortinAndrée-Anne Simard
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In July 1996, the Saguenay-Lac-St-Jean region suffered one of the greatest natural disasters in Quebec's history. This article presents results of a study aiming at comparing, two years after the flood, the physical and psychological health condition of victims (n=177) to that of non-victims (n=168). The results indicate that victims, - regardless of their gender - present a psychological well-being as well as a post-disaster physical health that is different from non-victims. Disaster victims are much more numerous than non-victims in considering that their health is bad or average and in witnessing new health problems or the exacerbation of existing problems. Victims also present more manifestations of prosttraumatic stress and somatic complaints, have higher levels of depression, anxiety and social dysfunction than non-victims. However, no significant difference between subjects was revealed concerning severe depression. Results obtained corroborated that of other studies. After a natural or technological disaster involving important material damages to individual belongings, victims are more affected than non-victims concerning their psychological and physical health.Keywords:
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The experiences of nine subjects who were the victims of assassination attempts are described. All but one were the victims of shootings or attempted shootings. Post Traumatic Stress Disorder (PTSD) was an almost invariable response. Brief alcohol abuse was quite common. Most subjects displayed considerable feelings of anger. Only a minority expressed anger against their assailants while much anger was displaced towards the medical profession and institutions of the state. This displacement of anger is discussed as are the implications for treatment of such displacement.
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Researchers argue that partner violence (PV) is a multidimensional and heterogeneous phenomenon that needs to be measured in multiple ways to capture its range, extent, severity, and potential consequences. Several large scale, population-based studies show that about 40%-50% of PV victims in a one-year time period are men; this finding is consistent whether the study focuses on physical PV or a combination of several forms of PV. However, no one has investigated how the different forms of PV contribute to male victims' poor mental health, although research suggests that physical, psychological, and sexual PV contribute unique variance to female victims' poor health. The current study investigated how six forms of PV - physical, sexual, severe psychological, controlling, legal/administrative (LA), and injury - contributed to the poor health of 611 male victims of PV who sought help. We found that the combination of PV contributed significant unique variance to men's depression, post-traumatic stress disorder, physical health, and poor health symptoms, after controlling for demographic and other traumatic experiences. The common variance among the forms of PV victimization was the strongest contributor to victims' poor health; the types of PV that contributed the most unique variance were controlling behaviors, LA aggression, sexual aggression, and injury. Discussion focuses on the research and practice implications of these findings.
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Guided by previous explorations of historical and cultural influences on the occurrence of PTSD, the aim of the present study was to investigate the contributions of war victimisation (in particular, World War II) and other civil trauma on the prevalence of PTSD, as mediated by cultural value orientation. Secondary data analysis was performed for 12 European countries using data, including PTSD prevalence and number of war victims, crime victims, and natural disaster victims, from different sources. Ten single value orientations, as well as value aggregates for traditional and modern factors, were investigated. Whilst differences in PTSD prevalence were strongly associated with war victim rates, associations, albeit weaker, were also found between crime victims and PTSD. When cultural value orientations, such as stimulation and conformity as representatives of modern and traditional values, were included in the multivariate predictions of PTSD prevalence, an average of approximately 80% of PTSD variance could be explained by the model, independent of the type of trauma exposure. The results suggest that the aftermath of war contributes to current PTSD prevalence, which may be explained by the high proportion of the older population who directly or indirectly experienced traumatic war experiences. Additional findings for other types of civil trauma point towards an interaction between value orientation and country-specific trauma rates. Particularly, being personally oriented towards stimulation appears to interact with differences in trauma prevalence. Thus, cultural value orientation might be viewed not only as an individual intrinsic process but also as a compensatory strategy after trauma exposure.
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Many studies have focused on the predictive value of victims' emotions experienced shortly after violence exposure to identify those vulnerable for development of posttraumatic stress disorder (PTSD). However, many victims remain unidentified during the initial recovery phase, yet may still be highly in need of psychological help after substantial time since victimization has passed. Professionals involved in the settlement of civil damage claims filed by victims of violence may play an important role in referring victims with current psychological problems to appropriate treatment services, as they are likely to maintain relations with victims until all compensation possibilities have been exhausted. As an exploratory examination of this topic, the current study investigates the potential utility of file characteristics as predictors of chronic PTSD among 686 victims of violence who had applied for state compensation with the Dutch Victim Compensation Fund (DVCF) in 2006. Identification of significant predictors is preceded by estimating prevalence rates of PTSD. Results indicate that approximately 1 of 2 victims applying for state compensation in the Netherlands still have PTSD many years after victimization and claim settlement. Age, female sex, time since victimization, acquaintance with the perpetrator, violence-related hospitalization, and compensation for immaterial damage prove to be predictive of PTSD, although female sex and immaterial damage compensation fail to reach significance after adjusting for recalled peritraumatic distress severity. Implications for policy practice as well as strengths and limitations of the study are discussed.
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Objective To assess the psychological health of journalists in Kenya who have reported on, and been exposed to, extreme violence. Design Descriptive. Psychological responses were elicited to two stressors, the ethnic violence surrounding the disputed 2007 general election and the Al-Shabab attack on the Westgate Mall in Nairobi. Participants A representative sample of 90 Kenyan journalists was enrolled. Setting Newsrooms of two national news organizations in Kenya. Main outcome measures Symptoms of post-traumatic stress disorder (Impact of Event Scale-revised), depression (Deck Depression inventory-revised) and general psychological wellbeing (General Health Questionnaire). Results Of the 90 journalists approached 57 (63.3%) responded. Journalists covering the election violence ( n = 23) reported significantly more PTSD type intrusion ( p = 0.027) and arousal ( p = 0.024) symptoms than their colleagues ( n = 34) who had not covered the violence. Reporting the Westgate attack was not associated with increased psychopathology. Being wounded ( n = 11) emerged as the most robust independent predictor of emotional distress. Journalists covering the ethnic violence compared to colleagues who did not were not more likely to receive psychological counselling. Conclusions These data, the first of their kind from an African country, replicate findings over a decade old from Western media, namely that journalists asked to cover life-threatening events may develop significant symptoms of emotional difficulties and fail to receive therapy for them. Good journalism, a pillar of civil society, depends on healthy journalists. It is hoped that these data act as a catalyst encouraging news organisations sending journalists into harm’s way to look out for their psychological health in doing so.
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The phenomena of child soldiers can be found manifesting in situations of horizontal inequalities between groups with clearly defined cultural or ethnic identities. In war and violent conflict, children are traumatized by such common experiences as frequent shelling, bombing, helicopter strafing, round-ups, cordon-off and search operations, deaths, injury, destruction, mass arrests, detention, shootings, grenade explosions, and landmines. The impact of war on their growing minds, and the resulting traumatization and brutalization, is decisive in making them more likely to become child soldiers. Apart from death and injury, the recruitment of children becomes even more abhorrent when one sees the psychological consequences. Reintegration of the former child soldiers can be challenging. Some children have no families; either they have fled the country or they have been killed in the war. Child soldiers often face psychological and social problems.
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Abstract Objective To examine, in a nationally-representative sample of high school students, to what extent one or more additional threats to physical safety exacerbates the risk of sadness and suicidality among victims of school and/or cyber-bullying. Methods National data from the 2015 Youth Risk Behavior Survey (YRBS) were analyzed for grades 9–12 (n = 15,624). Victimization groups were characterized by school-bullying and cyber-bullying, with and without additional threats to physical safety: fighting at school, being threatened/injured at school, and skipping school out of fear for one’s safety. Outcomes included 2-week sadness and suicidality. Outcomes for victimization groups were compared to non-victims using logistic regression adjusting for sex, grade and race/ethnicity. Results Overall, 20.2% of students were school-bullied, and 15.5% were cyber-bullied in the past year. Compared to non-victims, victims of school-bullying and victims of cyber-bullying (VoCBs) who did not experience additional threats to physical safety were 2.76 and 3.83 times more likely to report 2-week sadness, and 3.39 and 3.27 times more likely to exhibit suicidality, respectively. Conversely, victims of bullying who experienced one or more additional threats to physical safety were successively more likely to report these adverse outcomes. Notably, victims of school-bullying and VoCBs with all three additional risk factors were 13.13 and 17.75 times more likely to exhibit suicidality, respectively. Conclusion Risk of depression symptoms and suicidality among victims of school-bullying and/or cyber-bullying is greatly increased among those who have experienced additional threats to physical safety: fighting at school, being threatened/injured at school and skipping school out of fear for their safety.
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The Disaster Working Party was in existence for one year and reviewed the research literature on psychological aspects of disasters. Psychologists and others who were closely involved with recent disasters at Bradford, Zeebrugge/Dover and King’s Cross provided written and verbal evidence to the working party. These summary recommendations will be followed by the publication of a full report.
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