Abstract

Depression is a risk factor for developing secondary post-traumatic stress disorder. The earthquake on February 27th, 2010, destroyed the Hospital of Curicó. Despite the prevailing chaos, patients in treatment for severe depression actively maintained their treatment from the first post-earthquake working day To determine prevalence of acute stress (AS) and post-traumatic stress disorder (PTSD) after the earthquake among women in treatment for severe depression. Seventy five women aged 20 to 73 years in treatment for depression for at least six months before the oceurrence of the earthquake, who continued in follow up after the event, were studied. According to the Tenth International Classification of Diseases, the frequency of AS was assessed during the consultation oceurring one month after the event and the frequency of PTSD was assessed during the consultation oceurring six months after the event. Fifty nine percent of women had AS symptoms at the first month and 53.3% had PTSD, six months later. AS was significantly associated with a low educational level. PTSD was significantly associated with prior oceurrence of AS and a history of childhood trauma history. A high frequeney of PTSD was observed in this group of depressive patients, which was significantly associated with a history of previous AS and childhood trauma.

Highlights

  • Depression is a risk factor for developing secondary post-traumatic stress disorder

  • Patients in treatment for severe depression actively maintained their treatment from the first post-earthquake working day

  • According to the Tenth International Classification of Diseases, the frequency of acute stress (AS) was assessed during the consultation occurring one month after the event and the frequency of post-traumatic stress disorder (PTSD) was assessed during the consultation occurring six months after the event

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Summary

Background

Depression is a risk factor for developing secondary post-traumatic stress disorder. The earthquake on February 27th, 2010, destroyed the Hospital of Curicó. La mayoría de los estudios sobre prevalencia de TEPT vinculado a desastres naturales se ha realizado en población general[8] y han establecido que el antecedente de patología psiquiátrica constituye uno de los factores de riesgo para su desarrollo[7,8,13]. Considerando que Chile es un país altamente sísmico, la importancia de la depresión en nuestro medio, su relación con el TEPT y la falta de estudios que den cuenta de las consecuencias de los desastres naturales en grupos clínicos específicos, se desarrolló la presente investigación con el objetivo de determinar las prevalencias de estrés agudo (EA) y estrés postraumático (TEPT), y su relación con antecedentes demográficos, clínicos y con las consecuencias del terremoto del 27 de febrero de 2010, en una muestra de mujeres que se encontraba en tratamiento por depresión grave en el Hospital de Curicó

Material y Método
Findings
No trauma
Full Text
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