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The course of post-disaster health problems of victims with pre-disaster psychological problems as presented in general practice.
Fam Pract 2006; 23(3):378-84FP

Abstract

BACKGROUND

Survivors of disaster with pre-disaster psychological problems are believed to be at risk for presenting post-disaster psychological and physical morbidity. Up till now this statement is based on cross-sectional studies with self-reported data and without pre-disaster measurement.

OBJECTIVE

To monitor post-disaster health care utilization and morbidity presented in general practice after a man-made disaster by victims and controls with and without pre-disaster psychological problems.

METHODS

A controlled cohort study with pre-disaster (1 year) and post-disaster (two-and-a-half years) data. Victims (N = 2518) of an exploding fireworks depot in a residential area and matched controls (N = 2512), representing patients in 30 general practices, were included. Main outcome measures were utilization measured by GP attendances, and psychological and physical problems registered by the GP using the International Classification of Primary Care.

RESULTS

Only victims without pre-disaster psychological problems demonstrated a significant increase in utilization in the first half year post-disaster. Victims with pre-disaster psychological problems did not. Being a victim (OR = 6.13; 95% CI = 4.84-7.77) had a greater effect than pre-disaster psychological problems (OR = 4.96; 95% CI = 3.96-6.21) on presenting post-disaster psychological problems. Pre-disaster psychological problems had more effect (OR = 1.93; 95% CI = 1.79-2.08) than the effect of being a victim (OR = 1.25; 95% CI = 1.18-1.32) on the development of post-disaster physical symptoms.

CONCLUSION

Post-disaster increases in utilization and psychological morbidity were observed. Post-disaster psychological problems were more influenced by the disaster, while post-disaster physical symptoms were more influenced by pre-disaster psychological problems. GPs should concentrate on the pre-disaster health history of victims of man-made disasters in their practices.

Authors+Show Affiliations

NIVEL, Netherlands Institute for Health Services Research, Utrecht. jh.soeteman@nivel.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16595544

Citation

Soeteman, Rik J H., et al. "The Course of Post-disaster Health Problems of Victims With Pre-disaster Psychological Problems as Presented in General Practice." Family Practice, vol. 23, no. 3, 2006, pp. 378-84.
Soeteman RJ, Yzermans CJ, Kerssens JJ, et al. The course of post-disaster health problems of victims with pre-disaster psychological problems as presented in general practice. Fam Pract. 2006;23(3):378-84.
Soeteman, R. J., Yzermans, C. J., Kerssens, J. J., Dirkzwager, A. J., Donker, G. A., van den Bosch, W. J., & van der Zee, J. (2006). The course of post-disaster health problems of victims with pre-disaster psychological problems as presented in general practice. Family Practice, 23(3), pp. 378-84.
Soeteman RJ, et al. The Course of Post-disaster Health Problems of Victims With Pre-disaster Psychological Problems as Presented in General Practice. Fam Pract. 2006;23(3):378-84. PubMed PMID: 16595544.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The course of post-disaster health problems of victims with pre-disaster psychological problems as presented in general practice. AU - Soeteman,Rik J H, AU - Yzermans,C Joris, AU - Kerssens,Jan J, AU - Dirkzwager,Anja J E, AU - Donker,Gé A, AU - van den Bosch,Wil J H M, AU - van der Zee,Jouke, Y1 - 2006/04/04/ PY - 2006/4/6/pubmed PY - 2006/12/9/medline PY - 2006/4/6/entrez SP - 378 EP - 84 JF - Family practice JO - Fam Pract VL - 23 IS - 3 N2 - BACKGROUND: Survivors of disaster with pre-disaster psychological problems are believed to be at risk for presenting post-disaster psychological and physical morbidity. Up till now this statement is based on cross-sectional studies with self-reported data and without pre-disaster measurement. OBJECTIVE: To monitor post-disaster health care utilization and morbidity presented in general practice after a man-made disaster by victims and controls with and without pre-disaster psychological problems. METHODS: A controlled cohort study with pre-disaster (1 year) and post-disaster (two-and-a-half years) data. Victims (N = 2518) of an exploding fireworks depot in a residential area and matched controls (N = 2512), representing patients in 30 general practices, were included. Main outcome measures were utilization measured by GP attendances, and psychological and physical problems registered by the GP using the International Classification of Primary Care. RESULTS: Only victims without pre-disaster psychological problems demonstrated a significant increase in utilization in the first half year post-disaster. Victims with pre-disaster psychological problems did not. Being a victim (OR = 6.13; 95% CI = 4.84-7.77) had a greater effect than pre-disaster psychological problems (OR = 4.96; 95% CI = 3.96-6.21) on presenting post-disaster psychological problems. Pre-disaster psychological problems had more effect (OR = 1.93; 95% CI = 1.79-2.08) than the effect of being a victim (OR = 1.25; 95% CI = 1.18-1.32) on the development of post-disaster physical symptoms. CONCLUSION: Post-disaster increases in utilization and psychological morbidity were observed. Post-disaster psychological problems were more influenced by the disaster, while post-disaster physical symptoms were more influenced by pre-disaster psychological problems. GPs should concentrate on the pre-disaster health history of victims of man-made disasters in their practices. SN - 0263-2136 UR - https://www.unboundmedicine.com/medline/citation/16595544/The_course_of_post_disaster_health_problems_of_victims_with_pre_disaster_psychological_problems_as_presented_in_general_practice_ L2 - https://academic.oup.com/fampra/article-lookup/doi/10.1093/fampra/cml009 DB - PRIME DP - Unbound Medicine ER -