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Mental Health in Sumatra after the Tsunami

Citation

Frankenberg, Elizabeth; Friedman, Jed; Gillespie, Thomas W.; Ingwersen, Nicholas; Pynoos, Robert; Rifai, Iip Umar; Sikoki, Bondan; Steinberg, Alan; Sumantri, Cecep; & Suriastini, Wayan, et al. (2008). Mental Health in Sumatra after the Tsunami. American Journal of Public Health, 98(9), 1671-1677. PMCID: PMC2509591

Abstract

OBJECTIVES: We assessed the levels and correlates of posttraumatic stress reactivity (PTSR) of more than 20,000 adult tsunami survivors by analyzing survey data from coastal Aceh and North Sumatra, Indonesia.
METHODS: A population-representative sample of individuals interviewed before the tsunami was traced in 2005 to 2006. We constructed 2 scales measuring PTSR by using 7 symptom items from the Post Traumatic Stress Disorder (PTSD) Checklist-Civilian Version. One scale measured PTSR at the time of interview, and the other measured PTSR at the point of maximum intensity since the disaster.
RESULTS: PTSR scores were highest for respondents from heavily damaged areas. In all areas, scores declined over time. Gender and age were significant predictors of PTSR; markers of socioeconomic status before the tsunami were not. Exposure to traumatic events, loss of kin, and property damage were significantly associated with higher PTSR scores.
CONCLUSIONS: The tsunami produced posttraumatic stress reactions across a wide region of Aceh and North Sumatra. Public health will be enhanced by the provision of counseling services that reach not only people directly affected by the tsunami but also those living beyond the area of immediate impact.

URL

http://dx.doi.org/10.2105/ajph.2007.120915

Reference Type

Journal Article

Year Published

2008

Journal Title

American Journal of Public Health

Author(s)

Frankenberg, Elizabeth
Friedman, Jed
Gillespie, Thomas W.
Ingwersen, Nicholas
Pynoos, Robert
Rifai, Iip Umar
Sikoki, Bondan
Steinberg, Alan
Sumantri, Cecep
Suriastini, Wayan
Thomas, Duncan

PMCID

PMC2509591