Rational for conducting PTSD Researchand Challenges of Recruiting and Training Volunteers to Screen and Treat PTSD among the Nepal 2015 Earthquake Survivors
DOI:
https://doi.org/10.31729/jnma.2793Keywords:
earthquake; narrative exposure therapy; Nepal; prevalence; PTSD.Abstract
Post-traumatic Stress Disorder is common psychiatric morbidity among earthquake survivors, and if untreated people suffer from it for years. Government of Nepal and NGOs provided various short-term mental health services to the victims of the 2015 earthquake in Nepal, but there was no plan or provision for long-term mental health problems. The prevalence of PTSD following natural disasters depends on various local factors requiring understanding and further investigation before identifying affordable evidence based interventions. This paper discusses the need for PTSD research among the survivors of the 2015 earthquake in Nepal, and describes the challenges and difficulties of recruiting and training PTSD volunteers.
Keywords: earthquake; narrative exposure therapy; Nepal; prevalence; PTSD.
References
among adult survivors of the Wenchuan earthquake in
China: a repeated cross-sectional study. J Anxiety Disorders.
2014;28:75-82.
2. Fu Y, Chen Y, Wang J et al. Analysis and prevalence of PTSD
and its influencing factors among college students after
the Wenchuan earthquake. Child and Adolescent Psychiatry
and Mental Health. 2013;7:1.
3. Inter-Agency Standing Committee (IASC). IASC Guidelines
on Mental Health and Psychosocial Support in Emergency
Settings. Geneva: IASC; 2007.
4. Inter-Agency Standing Committee (IASC) Reference Group
for Mental Health and Psychosocial Support in
Emergency Settings. Nepal Earthquakes 2015: Desk Review
of Existing Information with Relevance to Mental Health
and Psychosocial Support; Kathmandu, Nepal; 2015.
5. Luitel, NP, Jordans MJ, Sapkota RP, Tol WA, KohrtBA,
Thapa SB, Komproe IH, Sharma B. Conflict and mental
health: a cross-sectional epidemiological study in Nepal.
SocPsychiatry. PsychiatrEpidemiol, 2013;48(2):183-93.
6. Thapa SB, Hauff E. Psychological distress among displaced
persons during an armed conflict in Nepal. Soc Psychiatry
PsychiatrEpidemiol, 2005;40:672–9.
7. Shrestha NM, Sharma B,Ommeren MV, Regmi S, Makaju
R, Komproe, I, Shrestha GB, and de Jong JT. Impact of
torture on refugees displaced within the developing world:
symptomatology among Bhutanese refugees in Nepal.
JAMA. 1998;280(5): p. 443-8.
8. Tol WA, Komproe IH, Thapa SB, Jordans MJD, SharmaB, and
De JongJ. Disability associated with psychiatric symptoms
among torture survivors in rural Nepal. J Nervous and
Mental Disease. 2007;195(6): p. 463-9.
9. Jha A, Adhikari SR. Mental health services in new Nepal –
observations, objections and outlook for the future. J Nepal
Med Assoc. 2009;48(174):185-90.
10. Upadhaya N, Luitel NP, Koirala S et al. The role of mental
health and psychosocial support in nongovernmental
organisations: reflections from post conflict Nepal.
Intervention. 2014;12(1):113 -28.
11. Scribner M, Herzer L.After the disaster: rebuilding
communities. Woodrow Wilson International Centre for
Scholars: Washington DC. 2011.
12. Toole, M. Communicable Diseases and Disease Control. In
E. K. Noji (Ed.), The public health consequences of disasters
(pp. 79-100). New York: Oxford University Press. 1997.
13. Zang Y, Hunt N, & Cox T (2014.) Adapting narrative
exposure therapy for Chinese earthquake survivors: a pilot
randomized controlled feasibility study. BMC Psychiatry.
2014;14:262.
14. Munro CG, Freeman CP, Law R. General practitioners’
knowledge of post-traumatic stress disorder: a controlled
study. BJGP. 2004;54:843-7.
15. Mckenzie K, Smith DI. Posttraumatic stress disorder:
Examination of what clinicians know. C l i n i c a l
Psychologist. 2011;10(2):78-85.
16. Jha A, Nehete R, Zang Y et al. Post-traumatic stress disorder
(PTSD) among Nepal 2015 earthquake survivors: feasibility
of revised narrative exposure therapy. BJPsych International
(submitted for publication, September 2016).
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