Indian Journal of PsychiatryIndian Journal of Psychiatry
Home | About us | Current Issue | Archives | Ahead of Print | Submission | Instructions | Subscribe | Advertise | Contact | Login 
    Users online: 2489 Small font sizeDefault font sizeIncrease font size Print this article Email this article Bookmark this page
Search Again
 Back
 Table of Contents
 
 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Article Access Statistics
 Reader Comments
 Email Alert
 Add to My List
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1280    
    Printed27    
    Emailed0    
    PDF Downloaded203    
    Comments [Add]    

Recommend this journal

 
ORIGINAL ARTICLE
Year : 2017  |  Volume : 59  |  Issue : 3  |  Page : 320-327

Identification and treatment of Nepal 2015 earthquake survivors with posttraumatic stress disorder by nonspecialist volunteers: An exploratory cross-sectional study


1 Hertfordshire Partnership University NHS Foundation Trust, Hertfordshire, UK
2 Department of Psychiatry and Mental Health, TU Teaching Hospital, Kathmandu, Nepal
3 Department of Psychiatry, Centre for the Treatment and Study of Anxiety, School of Medicine, University of Pennsylvania, Philadelphia, USA
4 Armed Police Force Hospital, Kathmandu, Nepal
5 Mental Health First Aid, Nepal
6 Central Department of Psychology, Tribhuvan University, Kathmandu, Nepal

Correspondence Address:
Arun Jha
Lambourn Grove, Hixberry Lane, St. Albans, Hertfordshire AL4 0TZ
UK
Rajesh Nehete
Lambourn Grove, Hixberry Lane, St. Albans, Hertfordshire AL4 0TZ
UK
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/psychiatry.IndianJPsychiatry_236_16

Rights and Permissions

Context: In April 2015, a major earthquake struck northern regions of Nepal affecting one-third of the population, and many suffered mental health problems. Aims: This study aimed to conduct a preliminary investigation of prevalence and feasibility of brief therapy for posttraumatic stress disorder (PTSD) among earthquake survivors. Settings and Design: This is an exploratory cross-sectional study of prevalence and feasibility of brief trauma-focused therapy for PTSD among survivors 3 and 11 months after the earthquake in affected areas near Kathmandu. Methodology: A team of local nonspecialist mental health volunteers was trained to identify survivors with PTSD using the PTSD checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) (cutoff score 38). They were trained to deliver either shortened versions of narrative exposure therapy (NET)-revised or group-based control-focused behavioral treatment (CFBT). Results: Altogether, 333 survivors were surveyed (130 in July 2015 and 203 in March 2016) with PCL-5 as the screening instrument, using the cutoff score of 38 or more for diagnosing PTSD. A PTSD prevalence of 33% was noted in 2015 and 28.5% in 2016. This drop of 4.5% prevalence in the intervening 8 months suggests that a significant number of survivors are still suffering from PTSD. Most participants were female, aged 40 or above, married, and poorly educated. Compared to the brief (four sessions) individual NET-revised, a group-based CFBT was found more acceptable and affordable. Conclusions: PTSD is common following earthquake trauma, and if untreated, survivors continue to suffer for a long time. Management of PTSD should be included in future disaster management plans.



[FULL TEXT] [PDF]*

        

Print this article         Email this article