Prevalence of psychological distress among the caregivers of an endosulfan disaster victims in India: a cross-sectional community-based study
Tóm tắt
Physical health needs of disaster victims take priority over mental health needs in post-disaster scenario, assessments and interventions for latter needs are done only for a shorter duration. The caregivers of the victims also bore the brunt of the disaster and their mental health needs are seldom examined and addressed. Unable to find any literature examining the mental health needs of caregivers of the endosulfan disaster victims in India, the study was planned with the objectives of assessing the prevalence and predictors of psychological distress, its relation to the level of impact, disability as well as quality of life among the caregivers of the victims of endosulfan disaster in the State of Kerala, India after 20 years. It was a cross-sectional community-based study among 400 the caregivers of the victims of endosulfan disaster. Demographic details, distress, impact, disability and quality of life were measured using instruments such as Family Schedule, Self-Reporting Questionnaire, Impact of Events Scale, World Health Organization Disability Assessment Schedule 2.0 and World Health Organization Quality of Life Scale, respectively. The estimated psychological distress among the caregivers of the endosulfan disaster victims was 48.7%. Distressed caregivers were found to have significant higher impact (t = − 12.12, p < 0.001), higher disability (t = − 13.33, p < 0.001), and poorer quality of life (t = 11.64, p < 0.001) than non-distressed caregivers. On logistic regression analysis, the positive predictors of psychological distress among the caregivers of endosulfan victims were female sex, impact and psychological disability while quality of life was a negative predictor. Almost half of the caregivers of the victims of endosulfan disaster victims reported psychological distress, high level of impact and disability and a poorer quality of life. It calls for periodical mental health needs assessment and a long-term sustainable community based psychosocial care and disaster mental health programme.
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Martin ML. Child participation in disaster risk reduction: the case of flood-affected children in Bangladesh. TWQ. 2010;31(8):1357–75.
Makwana N. Disaster and its impact on mental health: a narrative review. J Family Med Prim Care. 2019;8(10):3090–5.
Mohandas E. Roadmap to Indian psychiatry. Indian J Psychiatry. 2009;51:173–9.
International Strategy for Disaster Reduction. Living with risk: a global review of disaster reduction initiatives. New York: United Nations Publications; 2004.
Saeed SA, Gargano SP. Natural disasters and mental health. Int Rev Psychiatry. 2022;34(1):16–25.
Adhikari B, Mishra SR, Babu Marahatta S, Kaehler N, Paudel K, Adhikari J, Raut S. Earthquakes, fuel crisis, power outages, and health care in Nepal: implications for the future. Disaster Med Public Health Prep. 2017;11(5):625–32.
Lo RS. Disaster psychosocial services in Hong Kong–make the unseen injury seen. Int J Emerg Ment Health. 2000;2(2):113–7.
Morganstein JC, Ursano RJ. Ecological disasters and mental health: causes, consequences, and interventions. Front Psychiatry. 2020;11:1–15.
Kwok RK, McGrath JA, Lowe SR, Engel LS, Jackson WB, Curry MD, Payne J, Galea S, Sandler DP. Mental health indicators associated with oil spill response and clean-up: cross-sectional analysis of the GuLF STUDY cohort. Lancet Public Health. 2017;2(12):e560–7.
Cullings HM. Impact on the Japanese atomic bomb survivors of radiation received from the bombs. Health Phys. 2014;106(2):281–93.
Green BL, Solomon SD. The mental health impact of natural and technological disasters. In: Freedy JR, Hobfoll SE, editors. Traumatic stress. Springer series on stress and coping. Boston: Springer; 1995.
Oe M, Takebayashi Y, Sato H, Maeda M. Mental health consequences of the three mile Island, Chernobyl, and Fukushima nuclear disasters: a scoping review. Int J Environ Res Public Health. 2021;18(14):7478.
Sadeghi-Bazargani H, Allahverdipour H, Asghari Jafarabadi M, Azami-Aghdash S. Lakes drying and their adverse effects on human health: a systematic review. Iran J Public Health. 2019;48(2):227–37.
Crighton EJ, Elliott SJ, Meer JV, Small I, Upshur R. Impacts of an environmental disaster on psychosocial health and well-being in Karakalpakstan. Soc Sci Med. 2003;56(3):551–67.
Bromet EJ, Havenaar JM, Guey LT. A 25 year retrospective review of the psychological consequences of the Chernobyl accident. Clin Oncol (R Coll Radiol). 2011;23(4):297–305.
Loganovsky K, Marazziti D. Mental health and neuropsychiatric aftermath 35 years after the Chernobyl catastrophe: current state and future perspectives. Clin Neuropsychiatry. 2021;18(2):101–6.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). Washington: American Psychiatric Pub; 2013.
Loganovsky K, Havenaar JM, Tintle NL, Guey LT, Kotov R, Bromet EJ. The mental health of clean-up workers 18 years after the Chernobyl accident. Psychol Med. 2008;38(4):481–8.
Bosmans MWG, Van der Velden PG. The effect of employment status in postdisaster recovery: a longitudinal comparative study among employed and unemployed affected residents. J Trauma Stress. 2018;31(3):460–6.
Berninger A, Webber MP, Cohen HW, Gustave J, Lee R, Niles JK, et al. Trends of elevated PTSD risk in firefighters exposed to the World Trade Center disaster: 2001–2005. Public Health Rep. 2010;125(4):556–66.
Evans S, Giosan C, Patt I, Spielman L, Difede J. Anger and its association to distress and social/occupational functioning in symptomatic disaster relief workers responding to the September 11, 2001, World Trade Center disaster. J Trauma Stress. 2006;19(1):147–52.
Evans S, Patt I, Giosan C, Spielman L, Difede J. Disability and posttraumatic stress disorder in disaster relief workers responding to September 11, 2001 World Trade Center disaster. J Clin Psychol. 2009;65(7):684–94.
Bowler RM, Harris M, Li J, Gocheva V, Stellman SD, Wilson K, Alper H, Schwarzer R, Cone JE. Longitudinal mental health impact among police responders to the 9/11 terrorist attack. Am J Ind Med. 2012;55(4):297–312.
Gargano LM, Gershon RR, Brackbill RM. Quality of life of persons injured on 9/11: qualitative analysis from the World Trade Center Health Registry. PLoSCurr. 2016. https://doi.org/10.1371/currents.dis.7c70f66c1e6c5f41b43c797cb2a04793.
Murakami M, Takebayashi Y, Ono K, Kubota A, Tsubokura M. The decision to return home and wellbeing after the Fukushima disaster. Int J Disaster Risk Reduct. 2020;47:1–12.
Down to Earth. Probing a pesticide tragedy. https://www.downtoearth.org.in/news/probing-a-pesticide-tragedy-15905 (2021). Accessed 13 Nov 2021
Government of Kerala. Health hazards of aerial spraying of Endosulfan in Kasargod District, Kerala—Report of the expert committee. http://cdn.cseindia.org/userfiles/KeralaGovt_FinalReport(1).pdf (2003). Accessed 13 Nov 2021
Solomon, L. Endosulfan: Centre in Denial. https://www.epw.in/journal/2011/08/commentary/endosulfan-centre-denial.html (2011). Accessed 13 Nov 2021
Melangadi F. Environmental crime and victimization: a green criminological analysis of the endosulfan disaster, Kasargod, Kerala. Int Ann Criminol. 2017;55:189–204.
James A, Emmanuel D. An overview of endosulfan and the aftermath of its biohazardous administration in Southern India. Eur J Mol Clin Med. 2021;8(2):212–8.
Substance Abuse and Mental Health Services Administration Disaster Planning Handbook for Behavioral Health Service Programs Technical Assistance Publication (TAP) Series No 34, SAMHSA Publication No PEP21-02-01-001 Rockville, MD: Substance Abuse and Mental Health Services Administration, 2021.
Sekar K, Bhadra S, Jayakumar C, Aravind Raj E, Henry G, Kishore Kumar KV. Facilitation manual for trainers of trainees in natural disasters. Bangalore: NIMHANS; 2005.
ICMR, Car, CMH. Family schedule. Bangalore: NIMHANS; 1989.
Weiss DS. The impact of event scale: revised. In: Wilson JP, Tang CSK, editors. Cross-Cultural Assessment of Psychological Trauma and PTSD. Boston: Springer; 2007.
Beusenberg M, Orley J. A user’s guide to the self reporting questionnaire. Geneva: Division of Mental Health, World Health Organization; 1994.
Üstün TB, Kostanjsek N, Chatterji S, Rehm J. Measuring health and disability: manual for WHO Disability Assessment Schedule (WHODAS 20). Geneva: World Health Organization; 2010.
Skevington SM, Lotfy M, O’Connell KA. The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004;13(2):299–310.
Derogatis LR. Symptom Checklist-90-R: administration, scoring and procedures manual. 3rd ed. Minneapolis: National Computer Systems; 1994.
Netsereab TB, Kifle MM, Tesfagiorgis RB, Habteab SG, Weldeabzgi YK, Tesfamariam OZ. Validation of the WHO self-reporting questionnaire-20 (SRQ-20) item in primary health care settings in Eritrea. Int J Ment Health Syst. 2018;12:61.
SPSS Inc. Released 2007. SPSS for Windows, Version 16.0. Chicago, SPSS Inc.
Guo J, He H, Qu Z, Wang X, Liu C. Post-traumatic stress disorder and depression among adult survivors 8 years after the 2008 Wenchuan earthquake in China. J Affect Disord. 2017;210:27–34.
Ritchie A, Sautner B, Omege J, Denga E, Nwaka B, Akinjise I, et al. Long-term mental health effects of a devastating wildfire are amplified by sociodemographic and clinical antecedents in college students. Disaster Med Public Health Prep. 2021;15(6):707–17.
WHO. Women's mental health: The Facts. https://www.who.int/teams/mental-health-and-substance-use/gender-and-women-s-mental-health (2021). Accessed 03 Nov 2021.
Sekar K, Chand PK, Majhi G, Jayakumar C, Sanjeeva M. Psychosocial care during COVID-19 pandemic; module-3: working with vulnerable groups. Sambalpur Open University, 2021.
Bhadra S. Women in disasters and conflicts in India: interventions in view of the millennium development goals. Int J Disaster Risk Sci. 2017;8:196–207.
Ajinder W. ToT module on gender and disaster management. New Delhi: National Institute of Disaster Management; 2015.
Raj AE, Jangam K, David JM, Devasahayam N. Trainer’s Manual on Building Community Resilience through Community Level Workers. Bangalore: NIMHANS Publication; 2019.
Goenjian AK, Khachadourian V, Armenian H, Demirchyan A, Steinberg AM. Posttraumatic stress disorder 23 years after the 1988 spitak earthquake in Armenia. J Trauma Stress. 2018;31(1):47–56.
Stellman JM, Smith RP, Katz CL, Sharma V, Charney DS, Herbert R, et al. Enduring mental health morbidity and social function impairment in world trade center rescue, recovery, and cleanup workers: the psychological dimension of an environmental health disaster. Environ Health Perspect. 2008;116(9):1248–53.
Terayama T, Shigemura J, Kobayashi Y, Kurosawa M, Nagamine M, Toda H, Yoshino A. Mental health consequences for survivors of the 2011 Fukushima nuclear disaster: a systematic review Part 2: emotional and behavioral consequences. CNS Spectr. 2021;26(1):30–42.
Fujitani K, Carroll M, Yanagisawa R, Katz C. Burnout and psychiatric distress in local caregivers two years after the 2011 Great East Japan Earthquake and Fukushima nuclear radiation disaster. Commun Ment Health J. 2016;52(1):39–45.
Kar N. Indian research on disaster and mental health. Indian J Psychiatry. 2010;52(Suppl 1):S286–90.
Murthy RS. Introduction to psychiatry: book review. Indian J Psychiatry. 2009;51:72.
Vijaykumar L, Thara R, John S, Chellappa S. Psychosocial interventions after tsunami in Tamil Nadu. India Int Rev Psychiatry. 2006;18:225–31.