Acute Screening for PTSD Among Child Earthquake Survivors in Palu, Sulawesi, Indonesia
DOI:
https://doi.org/10.61841/tem48w67Abstract
Background: Post-traumatic stress disorder (PTSD) is one of the most common neuropsychiatric disorders that may develop followingtraumatic lifeevents (Chiba, 2019). This study is an acute screening for Post-Traumatic Symptoms among children who survivedthe 2018earthquake and subsequent tsunami and soil liquefaction in Palu, Sulawesi, Indonesia. These events werenotable, as they were among the worst disasters in the world and caused massive deaths and destruction in the region.
Objectives: The general objective of this study was to determine whether child earthquake survivors inPalu are affected by PTSD. This study also specifically focused on the age, gender, and ethnic group of the children earthquake survivors in the different areas of Kayumalue and JonoOgeto determine if any relationship exists with post-traumatic symptoms.
Methods:A cross-sectional survey was conducted in the affected areas in Kayumalue and JonoOge. Data were collected from 69 children who were affected by the earthquake. The PTSS-10 scale, which isa structured questionnaire consisting of 10 close-ended questions, was used for this study. Correlation of the post-traumatic symptoms scores with age, gender, and the ethnic tribe was also analyzed.
Results: Atotal of 69 children (26 boys and 43 girls) with a mean age of 10.2 years and are from different ethnic tribesinKayumalue and JonoOge participated in this study. The majority (81.2%) showed no obvious post-traumatic symptoms.Some of the children (11.6%) showed borderline post-traumatic symptoms,whilea few (7.2%) displayedsignificant post-traumatic symptoms.
Among the two areas the researchers studied, the child survivors in Kayumaluedid not exhibit obvious signsof PTSD, while the children survivors in JonoOgeshowed significant effects of PTSD (significant up to p<0.05%).
Conclusions:
PTSD may develop following exposure to traumatic events. Children, adolescents, those from certain ethnic minorities, and those who experienced a more severe traumatic event have an increased risk of developing PTSD. However, more studies are needed in order to establish the full extent of the problem and determine how best to intervene.
Downloads
References
Trauma Type and Suicidal Ideation: The Mediating Effect of Cognitive Distortions. Available from:https://www.researchgate.net/publication/331603072_Trauma_Type_and_Suicidal_Ideation_The_Mediating_E ffect_of_Cognitive_Distortions [accessed Aug 05 2019].
LeBouthillier, D. M., McMillan, K. A., Thibodeau, M. A., & Asmundson, G. J. G. (2015). Types and number of traumas associated with suicidalideation and suicide attempts in PTSD: Findings from a U.S. nationally representative sample. Journal of Traumatic Stress, 28, 183–190. http://dx.doi.org/10.1002/jts.22010
Zlotnick, C., Mattia, J., & Zimmerman, M. (2001). Clinical features of survivors of sexual abuse with major depression. Child Abuse and Neglect, 25, 357–367. http://dx.doi.org/10.1016/S0145-2134(00)00251-9
Joseph, S. (2011). What doesn’t kill us: The new psychology of posttraumatic growth. New York, NY: Basic Books.
Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060. http://dx.doi.org/ 10.1001/archpsyc.1995.03950240066012
Bryant, R. A., O’Donnell, M. L., Creamer, M., McFarlane, A. C., Clark, C. R., &Silove, D. (2010). The psychiatric sequelae of traumatic injury.The American Journal of Psychiatry, 167, 312–320. http://dx.doi.org/10.1176/appi.ajp.2009.09050617
Bishop, L. S., Benz, M. B., & Reed, K. M. P. (2017). The impact of trauma experiences on posttraumatic stress disorder and substance use disorder symptom severity in a treatment-seeking sample. Professional Psychology: Research and Practice, 48, 490–498. http://dx.doi.org/10.1037/ pro0000165
https://www.who.int/environmental_health_emergencies/natural_events/en/ http://www.searo.who.int/indonesia/areas/emergencies/earthquake/en/ https://en.wikipedia.org/wiki/2018 Sulawesi earthquake and tsunami
Asim M, Mekkodathil M, Sathian B, Elayedath R, Kumar RN, Simkhada P, van Teijlingen E. Post-Traumatic Stress Disorder among the Flood Affected Population in Indian Subcontinent. Nepal J Epidemiol. 2019;9(1); 755-758.
Doocy S, Gorokhovich Y, Burnham G, Balk D, Robinson C. Tsunami mortality estimates and vulnerability mapping in Aceh, Indonesia. Am J Public Health. 2007;97:S146–S151
Norris FH, Friedman MJ, Watson PJ, Byrne CM, Diaz E, Kaniasty K. 60,000 disaster victims speak: part I: an empirical review of the empirical literature, 1981–2001. Psychiatry. 2002;65:207–239.
Bhugra D, Van Ommeren M. Mental health, psychosocial support, and the tsunami. Int Rev Psychiatry. 2006;18(3):213–216.
Usami M, Iwadare Y, Kodaira M, et al. Relationships between traumatic symptoms and environmental damage conditions among children 8 months after the 2011 Japan earthquake and tsunami. Campolongo P, ed. PLoS ONE. 2012;7(11):e50721–7. https://doi.org/10.1371/journal.pone.0050721
Marthoenis M1, Ilyas A2, Sofyan H3, Schouler-Ocak M4. Prevalence, comorbidity and predictors of post-traumatic stress disorder, depression, and anxiety in adolescents following an earthquake. Asian J Psychiatr. 2019 May 24;43:154-159. doi: 10.1016/j.ajp.2019.05.030. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/31163313
John PB, Russell S, Russell PSS. The prevalence of posttraumatic stress disorder among children and adolescents affected by tsunami disaster in Tamil Nadu, Disaster Manag Response. 2007;5(1):3-7. https://doi.org/10.1016/j.dmr.2006.11.001 PMid:17306747
Kumar MS, Murhekar MV, Hutin Y, Subramanian T, Ramach.ndran V, Gupte MD. Prevalence of posttraumatic stress disorder in a coastal fishing village in Tamil Nadu, India, after the December 2004 tsunami. Am J Public Health. 2007;97(1):99-101. https://doi.org/10.2105/AJPH.2005.071167 PMid:17138927 PMCid: PMC1716229
Chadda RK, Malhotra A, Kaw N, Singh J, Sethi H. Mental health problems following the 2005 earthquake in Kashmir: findings of community-run clinics. Prehosp Disaster Med. 2007;22(6):541-5. https://doi.org/10.1017/S1049023X00005409 PMid:18709944
Rajkumar AP, Mohan TS, Tharyan P. Lessons from the 2004 Asian tsunami: epidemiological and nosological debates in the diagnosis of post-traumatic stress disorder in non-western post-disaster communities. Int J Soc Psychiatry. 2013;59(2):123-9. https://doi.org/10.1177/0020764011423468 PMid:21997766
Math SB, Nirmala MC, Moirangthem S, Kumar NC. Disaster management: mental health perspective. Indian J Psychol Med. 2015;37(3):261–271. doi: 10.4103/0253-7176.162915. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Usami M, Iwadare Y, Kodaira M, et al. Relationships between traumatic symptoms and environmental damage conditions among children 8 months after the 2011 Japan earthquake and tsunami. PLoS ONE. 2012;7(11):e50721– e50727. doi: 10.1371/journal. pone. 0050721. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Udomratn P. Mental health and the psychosocial consequences of natural disasters in Asia. Int Rev Psychiatry. 2008;20(5):441–444. doi: 10.1080/09540260802397487. [PubMed] [CrossRef] [Google Scholar]
Marthoenis M1, Ilyas A2, Sofyan H3, Schouler-Ocak M4. Prevalence, comorbidity and predictors of post-traumatic stress disorder, depression, and anxiety in adolescents following an earthquake. https://www.ncbi.nlm.nih.gov/pubmed/29861052
Xu J1, Wang Y2, Tang W3. Posttraumatic stress disorder in Longmenshan adolescents at three years after the 2013 Lushan earthquake. Gen Hosp Psychiatry. 2018 Sep - Oct; 54:45-51. doi: 10.1016/j.genhosppsych.2018.05.009. Epub 2018 May 27. https://www.ncbi.nlm.nih.gov/pubmed/26327455
Zhang Y1, Zhang J1, Zhu S2, Du C3, Zhang W1. Prevalence and Predictors of Somatic Symptoms among Child and Adolescents with Probable Posttraumatic Stress Disorder: A Cross-Sectional Study Conducted in 21 Primary and Secondary Schools after an Earthquake. PLoS One. 2015 Sep 1;10(9): e0137101. doi:10.1371/journal. pone. 0137101. eCollection 2015. https://www.ncbi.nlm.nih.gov/pubmed/26863863
Heetkamp, T and de Terte, I. PTSD and Resilience in Adolescents after New Zealand Earthquakes. New Zealand Journal of Psychology Vol. 44, No. 1, March 2015
Charuvastra, a., Cloitre, M., 2008. Social Bonds and Posttraumatic Stress Disorder. Annu. Rev. Psychol. 59, 301–
328. doi:10.1146/annurev.psych.58.110405.085650.Social
Chivers-Wilson, K. a., 2006. Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. McGill J. Med. 9, 111–118.
60. doi:10.1007/s10865-012-9400-x
Gruebner, O., Lowe, S.R., Sampson, L., Galea, S., 2015. The geography of post-disaster mental health: spatial patterning of psychological vulnerability and resilience factors in New York City after Hurricane Sandy. Int. J. Health Geogr. 14, 16. doi:10.1186/s12942-015-0008-6
Atwoli, L., Stein, D., Koenen, K.C., McLaughlin, K.A., 2015. Epidemiology of posttraumatic stress disorder: prevalence, correlates and consequences. Curr. Opin. Psychiatry 28, 307–311.
Tsujiuchi, T., Yamaguchi, M., Masuda, K., Tsuchida, M., Inomata, T., Kumano, H., Kikuchi, Y., Augusterfer, E.F., Mollica, R.F., 2016. High Prevalence of Post-Traumatic Stress Symptoms in Relation to Social Factors in Affected
Population One Year after the Fukushima Nuclear Disaster. PLoS One 11, e0151807. doi:10.1371/journal.pone.0151807
Andersson, A.-L., Dahlbäck, L.-O., Bunketorp, O., 2005. Psychosocial aspects of road traffic trauma--benefits of an early intervention? Injury 36, 917–26. doi:10.1016/j.injury.2004.09.019
Samarasinghe, D., 2006. Different Disasters, Different Needs. Int. Psychiatry 3, 8–11.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
