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Trauma-related symptoms in Sri Lankan adult survivors after the tsunami: pretraumatic and peritraumatic factors
journal contribution
posted on 2013-01-01, 00:00 authored by C Gunaratne, Peter KremerPeter Kremer, Valerie Clarke, Andrew LewisLimited research has addressed factors associated with psychological distress following disasters among non-Western populations. The 2004 tsunami affected 1.7 million people across South Asia and Africa, with considerable variations in trauma-related outcomes. Pretraumatic and peritraumatic conditions associated with trauma-related symptoms in 305 Sri Lankan adult survivors (28% male, aged 18-83 years; mean = 39.9 years; standard deviation = 15.3), clinically assessed 1 month posttsunami, were evaluated retrospectively. Outcome measures were total scores on 11 trauma-related symptoms. Multivariate linear regression analyses tested for associations between pretraumatic and peritraumatic conditions and symptom scores, with peritraumatic conditions adjusted for pretraumatic variables. Pretraumatic conditions of female gender, employment, prior health and social issues, and substance use and peritraumatic conditions of loss of family, witnessing the tsunami, or suffering an injury were associated with trauma-related symptoms. The findings facilitate understanding cultural contexts that define risk factors associated with trauma-related symptoms in Sri Lankans, which are critical for developing culturally appropriate interventions.
History
Journal
Asia-Pacific journal of public healthVolume
26Issue
4Pagination
1 - 10Publisher
Sage PublicationsLocation
London, EnglandPublisher DOI
ISSN
1010-5395eISSN
1941-2479Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2013, Sage PublishingUsage metrics
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No categories selectedKeywords
adult survivorscross-cultural communicationSri Lankatraumatsunaminatural disastersoccupational and environmental healthpsychological\/behavioral medicinepublic healtheducationpopulation healthScience & TechnologyLife Sciences & BiomedicinePublic, Environmental & Occupational Healthcross-culturalPOSTTRAUMATIC-STRESS-DISORDERMENTAL-HEALTHLIFE EVENTSRISK-FACTORS
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