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KMID : 0897520100150020094
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Journal of Korean Association of Social Psychiatry
2010 Volume.15 No. 2 p.94 ~ p.102
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A Two-year Follow-up Study on Mental Health Changes in a Flooded District Population
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Cho Young-Ju
Kim Min-Hyock
Koh Sang-Baek
Heo Ji-Hoon
Park Jun-Ho
Ahn Joung-Sook
Park Ki-Chang
Shin Jong-Ho
Min Seong-Ho
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Abstract
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Objective： Eighteen-month and 24-month follow-ups after floods were performed to investigate interval changes of general mental health status and the prevalence of depression and PTSD symptoms in the agricultural population of a mountain village.
Method： arisan-ri of Inje-gun, Gangwon-do was chosen as an associate for evaluating agricultural safety management status. A baseline survey was done among the residents from April to July, 2006 just before flood damage occurred. Among the 83 subjects of the baseline survey before the flood, the primary investigation was implemented 18 months after, and a secondary investigation 24 months after the flood. Twenty five men and 32 women responded to both the primary and secondary investigations. The SF-36, PWI-SF BDI, MMPI-PTSD and IESR were used for this group to examine the prevalence of depression, post-traumatic stress disorder symptoms, and the general status of their mental health. They were also observed regarding changes of time and seasons.
Results： Depression of a moderate or higher degree measured with BDI (>16) was shown to be experienced in 36.8% of residents from the primary, and 28.1% from the secondary investigation. It seemed to be improving, but the PWI-SF total score increased in the secondary investigation than that in the primary. The estimated prevalence of post-traumatic stress disorder symptom measured by IES-Rappeared to be increasing, being 29.8% and 38.6% in the primary and secondary investigations, respectively. As for changes in SF-36, the elderly group and the group with high satisfaction showed significant values.
Conclusion： The result of the study is that disasters may have long-term effects on victimsfor more than two years, although some of the symptoms improve, other symptoms continue, and there are changes in mental health status depending on age, seasons, level of compensation and other factors.
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KEYWORD
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Disaster, Flood, Mental health, PTSD
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