Interplay of Post-Traumatic Stress Disorder, General Anxiety Disorder and Resilience among Earthquake Survivors in Zinda Jan District of Herat Province

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Published Dec 30, 2023
https://doi.org/10.70436/nuijb.v2i04.124
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Vol. 2 No. 04 (2023): December

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Aziz-ur-Rahman Niazi
Mina Alekozay
Noor Ali Mohmand
Sayed Javid Sadat
Ehsan Ahmad Ahmadzadeh
Taiebe Hamedi
Temorshah Rahimi
Abdul Fattah Najm

Abstract

‌Background: Frequent earthquakes that hit Herat province in October 2023 resulted in considerable loss of lives and massive property damage. They caused massive physical and psychosocial injuries; while physical injuries could be treated by healthcare professionals, psychological injuries could be neglected. This study aimed to assess the prevalence and associated factors of post-traumatic stress disorder (PTSD) and general anxiety disorder (GAD); and their association with resilience among earthquake survivors in Zinda Jan district.
Materials and Methods: This community-based cross-sectional study was conducted during October and November 2023, among 418 cases -including 206 (49.3%) males and 212 (50.7%) females- with a mean age of 40.16±14.17 years. Sociodemographic data was collected via a structured questionnaire, data on PTSD was collected using the PTSD Checklist for DSM-5 (PCL-5), and data on GAD was collected via the Dari-version of GAD-7 questionnaire.
Findings: GAD was detected in all (100%) participants, of whom 6 (1.4%), 29 (6.9%), and 383 (91.6%) had mild, moderate, and severe anxiety, respectively. Furthermore, 153 (36.6%), 134 (32.1%) and 131 (31.3%) participants suffered from mild, moderate and severe PTSD. As per resilience, 153 (36.6%) had low resilience, 142 (34.0%) had moderate resilience, and 123 (29.4%) had high resilience. There was a significant association between resilience and PTSD (p=0.011), but no significant association was observed between resilience and GAD (p=0.515). GAD was significantly associated with gender, marital status, and participants’ access to mental health. A significant association was found between PTSD and participants’ occupation, nutrition status, and access to mental health.
Conclusion: The interplay between post-traumatic stress disorder, generalized anxiety disorder and resilience among earthquake survivors in the Zinda Jan district is a complex and multifaceted issue that demands further research and intervention. While the experiences of an earthquake can lead to the development of PTSD and GAD, resilience plays a crucial role in helping individuals overcome these challenges and rebuild their lives. A comprehensive understanding of this interplay can inform the development of effective interventions and prevention programs to support earthquake survivors and promote their overall well-being.

Keywords

Earthquake, GAD, PTSD, Herat, Resilience

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How to Cite
Niazi, A.- ur-R., Alekozay, M., Mohmand, N. A., Sadat, S. J., Ahmadzadeh, E. A., Hamedi, T., Rahimi, T., & Najm, A. F. (2023). Interplay of Post-Traumatic Stress Disorder, General Anxiety Disorder and Resilience among Earthquake Survivors in Zinda Jan District of Herat Province. Nangarhar University International Journal of Biosciences, 2(04), 104–114. https://doi.org/10.70436/nuijb.v2i04.124

References

  1. Acharya Pandey, R., Chalise, P., Khadka, S., Chaulagain, B., Maharjan, B., Pandey, J., Nepal, J., & Pandey, C. (2023). Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal. BMC Psychiatry, 23(1), 340. https://doi.org/10.1186/s12888-023-04836-3
  2. Ahmed, M., Alzoubi, K. H., & Khabour, O. F. (2020). Vitamin E prevents the cognitive impairments in post-traumatic stress disorder rat model: behavioral and molecular study. Psychopharmacology (Berl), 237(2), 599-607. https://doi.org/10.1007/s00213-019-05395-w
  3. Brown, M., Agyapong, V., Greenshaw, A., Cribben, I., Brett-MacLean, P., & Drolet, J. (2019). Significant PTSD and other mental health effects present 18 months after the Fort McMurray wildfire: findings from 3,070 grades 7–12 students. Front Psychiatry, 10, 623. https://doi.org/10.3389/fpsyt.2019.00623
  4. Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. https://doi.org/ https://doi.org/10.1002/da.10113
  5. Farooqui, M., Quadri, S. A., Suriya, S. S., Khan, M. A., Ovais, M., Sohail, Z., Shoaib, S., Tohid, H., & Hassan, M. (2017). Posttraumatic stress disorder: a serious post-earthquake complication. Trends Psychiatry Psychother, 39(2), 135-143. https://doi.org/10.1590/2237-6089-2016-0029
  6. Gerstner, R. M. F., Lara-Lara, F., Vasconez, E., Viscor, G., Jarrin, J. D., & Ortiz-Prado, E. (2020). Earthquake-related stressors associated with suicidality, depression, anxiety and post-traumatic stress in adolescents from Muisne after the earthquake 2016 in Ecuador. BMC Psychiatry, 20(1), 347. https://doi.org/10.1186/s12888-020-02759-x
  7. He, L., Lai, K., Lin, Z., & Ma, Z. (2018). Media Exposure and General Trust as Predictors of Post-traumatic Stress Disorder: Ten Years after the 5.12 Wenchuan Earthquake in China. Int J Environ Res Public Health, 15(11). https://doi.org/10.3390/ijerph15112386
  8. Hikichi, H., Aida, J., Tsuboya, T., Kondo, K., & Kawachi, I. (2016). Can Community Social Cohesion Prevent Posttraumatic Stress Disorder in the Aftermath of a Disaster? A Natural Experiment From the 2011 Tohoku Earthquake and Tsunami. Am J Epidemiol, 183(10), 902-910. https://doi.org/10.1093/aje/kwv335
  9. Honda, Y., Fujiwara, T., Yagi, J., Homma, H., Mashiko, H., Nagao, K., Okuyama, M., Ono-Kihara, M., & Kihara, M. (2019). Long-Term Impact of Parental Post-Traumatic Stress Disorder Symptoms on Mental Health of Their Offspring After the Great East Japan Earthquake. Front Psychiatry, 10, 496. https://doi.org/10.3389/fpsyt.2019.00496
  10. Ide-Okochi, A., Samiso, T., Kanamori, Y., He, M., Sakaguchi, M., & Fujimura, K. (2022). Depression, Insomnia, and Probable Post-Traumatic Stress Disorder among Survivors of the 2016 Kumamoto Earthquake and Related Factors during the Recovery Period Amidst the COVID-19 Pandemic. Int J Environ Res Public Health, 19(7). https://doi.org/10.3390/ijerph19074403
  11. Kim, Y., Roberts, A. L., Rimm, E. B., Chibnik, L. B., Tworoger, S. S., Nishimi, K. M., Sumner, J. A., Koenen, K. C., & Kubzansky, L. D. (2021). Posttraumatic stress disorder and changes in diet quality over 20 years among U.S. women. Psychol Med, 51(2), 310-319. https://doi.org/10.1017/S0033291719003246
  12. Kvestad, I., Ranjitkar, S., Ulak, M., Chandyo, R. K., Shrestha, M., Shrestha, L., Strand, T. A., & Hysing, M. (2019). Earthquake Exposure and Post-traumatic Stress Among Nepalese Mothers After the 2015 Earthquakes. Front Psychol, 10, 734. https://doi.org/10.3389/fpsyg.2019.00734
  13. Leiva-Bianchi, M., Cornejo, F., Fresno, A., Rojas, C., & Serrano, C. (2018). Effectiveness of cognitive-behavioural therapy for post-disaster distress in post-traumatic stress symptoms after Chilean earthquake and tsunami. Gac Sanit, 32(3), 291-296. https://doi.org/10.1016/j.gaceta.2017.07.018
  14. Li, G., Wang, L., Cao, C., Fang, R., Liu, P., Luo, S., Zhang, J., Hall, B. J., & Elhai, J. D. (2018). DSM-5 posttraumatic stress symptom dimensions and health-related quality of life among Chinese earthquake survivors. Eur J Psychotraumatol, 9(1), 1468710. https://doi.org/10.1080/20008198.2018.1468710
  15. Li, L., Reinhardt, J. D., Van Dyke, C., Wang, H., Liu, M., Yamamoto, A., Chen, Q., & Hu, X. (2020). Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China. BMC Psychiatry, 20(1), 78. https://doi.org/10.1186/s12888-020-2474-z
  16. Li, X., Aida, J., Hikichi, H., Kondo, K., & Kawachi, I. (2019). Association of Postdisaster Depression and Posttraumatic Stress Disorder With Mortality Among Older Disaster Survivors of the 2011 Great East Japan Earthquake and Tsunami. JAMA Netw Open, 2(12), e1917550. https://doi.org/10.1001/jamanetworkopen.2019.17550
  17. Liang, Y., Cheng, J., Zhou, Y., & Liu, Z. (2019). Trajectories of posttraumatic stress disorders among children after the Wenchuan earthquake: a four-year longitudinal study. Eur J Psychotraumatol, 10(1), 1586266. https://doi.org/10.1080/20008198.2019.1586266
  18. Liberty, K., Tarren-Sweeney, M., Macfarlane, S., Basu, A., & Reid, J. (2016). Behavior Problems and Post-traumatic Stress Symptoms in Children Beginning School: A Comparison of Pre- and Post-Earthquake Groups. PLoS Curr, 8. https://doi.org/10.1371/currents.dis.2821c82fbc27d0c2aa9e00cff532b402
  19. Liu, S., Lu, L., Bai, Z. Z., Su, M., Qi, Z. Q., Zhang, S. Y., Chen, Y., Ao, B. Y., Cui, F. Z., Lagarde, E., & Lii, K. (2019). Post-Traumatic Stress and School Adaptation in Adolescent Survivors Five Years after the 2010 Yushu Earthquake in China. Int J Environ Res Public Health, 16(21). https://doi.org/10.3390/ijerph16214167
  20. Lu, B., Zeng, W., Li, Z., & Wen, J. (2020). Prevalence and Influencing Factors of Post-Traumatic Stress Disorder Among Survivors in the Hard-Hit Areas Ten Years After the Wenchuan Earthquake: A Cross-Sectional Study. Neuropsychiatr Dis Treat, 16, 933-941. https://doi.org/10.2147/ndt.S247527
  21. Marthoenis, M., Nirwana, A., & Fathiariani, L. (2019). Prevalence and determinants of posttraumatic stress in adolescents following an earthquake. Indian J Psychiatry, 61(5), 526-528. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_35_19
  22. Masten, A. S. (2021). Resilience of children in disasters: A multisystem perspective. Int J Psychol, 56(1), 1-11. https://doi.org/10.1002/ijop.12737
  23. Resnik, J., Miller, C. J., Roth, C. E., Burns, K., & Bovin, M. J. (2023). A Systematic Review of the Department of Veterans Affairs Mental Health-Care Access Interventions for Veterans With PTSD Military Medicine, 1-9. https://doi.org/https://doi.org/10.1093/milmed/usad376
  24. Rutter, M. (2012). Resilience as a dynamic concept. Dev Psychopathol, 24(2), 335-344. https://doi.org/10.1017/s0954579412000028
  25. Sharma, V., Levin, B. L., Rahill, G. J., Baldwin, J. A., Luitel, A., & Marhefka, S. L. (2021). Post-earthquake Self-Reported Depressive Symptoms and Post-Traumatic Stress Disorder and their Correlates among College-Youths in Kathmandu, Nepal. Psychiatr Q, 92(4), 1595-1609. https://doi.org/10.1007/s11126-021-09928-5
  26. Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: interdisciplinary perspectives. Eur J Psychotraumatol, 5, 25338. https://doi.org/10.3402/ejpt.v5.25338.
  27. Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Itern Med, 166(10), 1092-1097. https://doi.org/10.1001/archinte.166.10.1092.
  28. Terock, J., Hannemann, A., Van der Auwera, S., Janowitz, D., Spitzer, C., Bonk, S., Völzke, H., & Grabe, H. J. (2020). Posttraumatic stress disorder is associated with reduced vitamin D levels and functional polymorphisms of the vitamin D binding-protein in a population-based sample. Prog Neuropsychopharmacol Biol Psychiatry, 96, 109760. https://doi.org/10.1016/j.pnpbp.2019.109760
  29. The Khaama Press News Agency. (2023). 4,000 killed and injured in Herat earthquake: Ministry. https://www.khaama.com/4000-killed-and-injured-in-herat-earthquake-ministry/ (retrieved on 21 Nov, 2023).
  30. The National Statistics and Information Authority. (2023). Estimated Population of Afghanistan 2023 - 24. Kabul: NSIA Retrieved from http://nsia.gov.af:8080/wp-content/uploads/2023/07/%D8%A8%D8%B1%D8%A7%D9%88%D8%B1%D8%AF-%D9%86%D9%81%D9%88%D8%B3-%DA%A9%D8%B4%D9%88%D8%B1-%D8%B3%D8%A7%D9%84-1402-1.pdf (Retrieved on 21 Nov, 2023).
  31. The Times of India. (2023). Afghanistan: Death toll in Herat earthquakes surpasses 4,000. Times Syndication Service. Retrieved October 13, 2023 from https://timesofindia.indiatimes.com/world/south-asia/afghanistan-death-toll-in-herat-earthquakes-surpasses-4000/articleshow/104323135.cms?from=mdr (retrieved on 21 Nov, 2023).
  32. Timalsina, R., Sangwathana, P., & Sae-Sia, W. (2021). Resilience and its associated factors among older disaster survivors. Geriatric Nursing, 42(6), 1264-1274. https://doi.org/https://doi.org/10.1016/j.gerinurse.2021.08.008
  33. Ungar, M. (2011). The social ecology of resilience: addressing contextual and cultural ambiguity of a nascent construct. Am J Orthopsychiatry, 81(1), 1-17. https://doi.org/10.1111/j.1939-0025.2010.01067.x.
  34. Valladares-Garrido, M. J., Zapata-Castro, L. E., Peralta, C. I., García-Vicente, A., Astudillo-Rueda, D., León-Figueroa, D. A., & Díaz-Vélez, C. (2022). Post-Traumatic Stress Disorder after the 6.1 Magnitude Earthquake in Piura, Peru: A Cross-Sectional Study. Int J Environ Res Public Health, 19(17). https://doi.org/10.3390/ijerph191711035
  35. Wahab, S., Yong, L. L., Chieng, W. K., Yamil, M., Sawal, N. A., Abdullah, N. Q., Muhdisin Noor, C. R., Wd Wiredarma, S. M., Ismail, R., Othman, A. H., & Damanhuri, H. A. (2021). Post-traumatic Stress Symptoms in Adolescents Exposed to the Earthquake in Lombok, Indonesia: Prevalence and Association With Maladaptive Trauma-Related Cognition and Resilience. Front Psychiatry, 12, 680393. https://doi.org/10.3389/fpsyt.2021.680393
  36. Wang, W., Wu, X., & Lan, X. (2020). Rumination mediates the relationships of fear and guilt to posttraumatic stress disorder and posttraumatic growth among adolescents after the Ya'an earthquake. Eur J Psychotraumatol, 11(1), 1704993. https://doi.org/10.1080/20008198.2019.1704993
  37. Wang, W., Wu, X., & Tian, Y. (2018). Mediating Roles of Gratitude and Social Support in the Relation Between Survivor Guilt and Posttraumatic Stress Disorder, Posttraumatic Growth Among Adolescents After the Ya'an Earthquake. Front Psychol, 9, 2131. https://doi.org/10.3389/fpsyg.2018.02131
  38. Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schurr, P. P. (2013). PTSD Checklist for DSM-5 (PCL-5). In Measurement Instrument.
  39. Xu, J. J., & Ou, L. (2014). Resilience and quality of life among Wenchuan earthquake survivors: the mediating role of social support. Public Health, 128, 430-437. https://doi.org/10.1016/j.puhe.2014.03.002
  40. Yang, Y., Zeng, W., Lu, B., & Wen, J. (2021). The Contributing Factors of Delayed-Onset Post-traumatic Stress Disorder Symptoms: A Nested Case-Control Study Conducted After the 2008 Wenchuan Earthquake. Front Public Health, 9, 682714. https://doi.org/10.3389/fpubh.2021.682714.