Association between social support and recovery from post-traumatic stress disorder after flood: a 13–14 year follow-up study in Hunan, China
Abstract Background Post-traumatic stress disorder (PTSD) is one of the most prevalent long-term psychiatric disorders among survivors of traumatic events. It is well established that social support has been related to the onset of PTSD after natural disasters. However, very little is known whether...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2016-02-01
|
Series: | BMC Public Health |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12889-016-2871-x |
_version_ | 1811320361738829824 |
---|---|
author | Wenjie Dai Long Chen Hongzhuan Tan Jieru Wang Zhiwei Lai Atipatsa C. Kaminga Yan Li Aizhong Liu |
author_facet | Wenjie Dai Long Chen Hongzhuan Tan Jieru Wang Zhiwei Lai Atipatsa C. Kaminga Yan Li Aizhong Liu |
author_sort | Wenjie Dai |
collection | DOAJ |
description | Abstract Background Post-traumatic stress disorder (PTSD) is one of the most prevalent long-term psychiatric disorders among survivors of traumatic events. It is well established that social support has been related to the onset of PTSD after natural disasters. However, very little is known whether or not social support has had an influence on the recovery from the PTSD that was diagnosed after floods. This study, therefore, made a follow-up assessment of PTSD in flood victims 13–14 years after they were diagnosed with PTSD in 2000 to measure the prevalence rate of PTSD among them and identify the association between social support and their recovery from PTSD. Methods Victims who had experienced Dongting Lake flood in 1998 and had been diagnosed as having PTSD in 2000 were enrolled in this study. A follow-up survey was done between the years 2013 and 2014 to diagnose the victims again of PTSD using the DSM-IV criteria. Social support and its three dimensions were measured using the Chinese version of Social Support Rating Scale (SSRS), including objective support, subjective support and support utilization. Data were collected through face-to-face interviews using a structured questionnaire. Bivariate and multivariate logistic regression analyses were used to examine the relationship between social support and the recovery from PTSD after flood. Results Out of 321 subjects with prior PTSD, 51 (15.89 %) were diagnosed as still having PTSD. Logistic regression analyses indicated that the recovery from prior PTSD was significantly associated with social support (odds ratio (OR) =0.202, 95 % confidence interval (95 % CI): 0.047–0.878), subjective support (OR = 0.236, 95 % CI: 0.080–0.694) and support utilization (OR = 0.245, 95 % CI: 0.071–0.844). Conclusions The prevalence rate of current PTSD indicates that natural disasters, such as floods, may affect the mental health of victims for a long time. Social support was significantly associated with the recovery from prior PTSD, especially subjective support and support utilization. |
first_indexed | 2024-04-13T12:58:23Z |
format | Article |
id | doaj.art-40f28a232b6545fbaf0d3ffe0d32ebdb |
institution | Directory Open Access Journal |
issn | 1471-2458 |
language | English |
last_indexed | 2024-04-13T12:58:23Z |
publishDate | 2016-02-01 |
publisher | BMC |
record_format | Article |
series | BMC Public Health |
spelling | doaj.art-40f28a232b6545fbaf0d3ffe0d32ebdb2022-12-22T02:45:59ZengBMCBMC Public Health1471-24582016-02-011611910.1186/s12889-016-2871-xAssociation between social support and recovery from post-traumatic stress disorder after flood: a 13–14 year follow-up study in Hunan, ChinaWenjie Dai0Long Chen1Hongzhuan Tan2Jieru Wang3Zhiwei Lai4Atipatsa C. Kaminga5Yan Li6Aizhong Liu7Department of Epidemiology and Health Statistics, School of Public Health, Central South UniversityDepartment of Epidemiology and Health Statistics, School of Public Health, Central South UniversityDepartment of Epidemiology and Health Statistics, School of Public Health, Central South UniversityDepartment of Epidemiology and Health Statistics, School of Public Health, Central South UniversityDepartment of Epidemiology and Health Statistics, School of Public Health, Central South UniversityDepartment of Epidemiology and Health Statistics, School of Public Health, Central South UniversityDepartment of Epidemiology and Health Statistics, School of Public Health, Central South UniversityDepartment of Epidemiology and Health Statistics, School of Public Health, Central South UniversityAbstract Background Post-traumatic stress disorder (PTSD) is one of the most prevalent long-term psychiatric disorders among survivors of traumatic events. It is well established that social support has been related to the onset of PTSD after natural disasters. However, very little is known whether or not social support has had an influence on the recovery from the PTSD that was diagnosed after floods. This study, therefore, made a follow-up assessment of PTSD in flood victims 13–14 years after they were diagnosed with PTSD in 2000 to measure the prevalence rate of PTSD among them and identify the association between social support and their recovery from PTSD. Methods Victims who had experienced Dongting Lake flood in 1998 and had been diagnosed as having PTSD in 2000 were enrolled in this study. A follow-up survey was done between the years 2013 and 2014 to diagnose the victims again of PTSD using the DSM-IV criteria. Social support and its three dimensions were measured using the Chinese version of Social Support Rating Scale (SSRS), including objective support, subjective support and support utilization. Data were collected through face-to-face interviews using a structured questionnaire. Bivariate and multivariate logistic regression analyses were used to examine the relationship between social support and the recovery from PTSD after flood. Results Out of 321 subjects with prior PTSD, 51 (15.89 %) were diagnosed as still having PTSD. Logistic regression analyses indicated that the recovery from prior PTSD was significantly associated with social support (odds ratio (OR) =0.202, 95 % confidence interval (95 % CI): 0.047–0.878), subjective support (OR = 0.236, 95 % CI: 0.080–0.694) and support utilization (OR = 0.245, 95 % CI: 0.071–0.844). Conclusions The prevalence rate of current PTSD indicates that natural disasters, such as floods, may affect the mental health of victims for a long time. Social support was significantly associated with the recovery from prior PTSD, especially subjective support and support utilization.http://link.springer.com/article/10.1186/s12889-016-2871-xPost-traumatic stress disorderSocial supportRecoveryFlood |
spellingShingle | Wenjie Dai Long Chen Hongzhuan Tan Jieru Wang Zhiwei Lai Atipatsa C. Kaminga Yan Li Aizhong Liu Association between social support and recovery from post-traumatic stress disorder after flood: a 13–14 year follow-up study in Hunan, China BMC Public Health Post-traumatic stress disorder Social support Recovery Flood |
title | Association between social support and recovery from post-traumatic stress disorder after flood: a 13–14 year follow-up study in Hunan, China |
title_full | Association between social support and recovery from post-traumatic stress disorder after flood: a 13–14 year follow-up study in Hunan, China |
title_fullStr | Association between social support and recovery from post-traumatic stress disorder after flood: a 13–14 year follow-up study in Hunan, China |
title_full_unstemmed | Association between social support and recovery from post-traumatic stress disorder after flood: a 13–14 year follow-up study in Hunan, China |
title_short | Association between social support and recovery from post-traumatic stress disorder after flood: a 13–14 year follow-up study in Hunan, China |
title_sort | association between social support and recovery from post traumatic stress disorder after flood a 13 14 year follow up study in hunan china |
topic | Post-traumatic stress disorder Social support Recovery Flood |
url | http://link.springer.com/article/10.1186/s12889-016-2871-x |
work_keys_str_mv | AT wenjiedai associationbetweensocialsupportandrecoveryfromposttraumaticstressdisorderafterflooda1314yearfollowupstudyinhunanchina AT longchen associationbetweensocialsupportandrecoveryfromposttraumaticstressdisorderafterflooda1314yearfollowupstudyinhunanchina AT hongzhuantan associationbetweensocialsupportandrecoveryfromposttraumaticstressdisorderafterflooda1314yearfollowupstudyinhunanchina AT jieruwang associationbetweensocialsupportandrecoveryfromposttraumaticstressdisorderafterflooda1314yearfollowupstudyinhunanchina AT zhiweilai associationbetweensocialsupportandrecoveryfromposttraumaticstressdisorderafterflooda1314yearfollowupstudyinhunanchina AT atipatsackaminga associationbetweensocialsupportandrecoveryfromposttraumaticstressdisorderafterflooda1314yearfollowupstudyinhunanchina AT yanli associationbetweensocialsupportandrecoveryfromposttraumaticstressdisorderafterflooda1314yearfollowupstudyinhunanchina AT aizhongliu associationbetweensocialsupportandrecoveryfromposttraumaticstressdisorderafterflooda1314yearfollowupstudyinhunanchina |