Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys.
paper
Cited
Public
- Authors
- Bromet, E J; Atwoli, L; Kawakami, N; Navarro-Mateu, F; Piotrowski, P; King, A J; Aguilar-Gaxiola, S; Alonso, J; Bunting, B; Demyttenaere, K; Florescu, S; de Girolamo, G; Gluzman, S; Haro, J M; de Jonge, P; Karam, E G; Lee, S; Kovess-Masfety, V; Medina-Mora, M E; Mneimneh, Z; Pennell, B-E; Posada-Villa, J; SalmerΓ³n, D; Takeshima, T; Kessler, R C
- Year
- 2017
- Journal
- Psychological medicine
- PMID
- 27573281
- DOI
- 10.1017/S0033291716002026
- PMCID
- PMC5432967
BACKGROUND: Research on post-traumatic stress disorder (PTSD) following natural and human-made disasters has been undertaken for more than three decades. Although PTSD prevalence estimates vary widely, most are in the 20-40% range in disaster-focused studies but considerably lower (3-5%) in the few general population epidemiological surveys that evaluated disaster-related PTSD as part of a broader clinical assessment. The World Mental Health (WMH) Surveys provide an opportunity to examine disaster-related PTSD in representative general population surveys across a much wider range of sites than in previous studies. METHOD: Although disaster-related PTSD was evaluated in 18 WMH surveys, only six in high-income countries had enough respondents for a risk factor analysis. Predictors considered were socio-demographics, disaster characteristics, and pre-disaster vulnerability factors (childhood family adversities, prior traumatic experiences, and prior mental disorders). RESULTS: Disaster-related PTSD prevalence was 0.0-3.8% among adult (ages 18+) WMH respondents and was significantly related to high education, serious injury or death of someone close, forced displacement from home, and pre-existing vulnerabilities (prior childhood family adversities, other traumas, and mental disorders). Of PTSD cases 44.5% were among the 5% of respondents classified by the model as having highest PTSD risk. CONCLUSION: Disaster-related PTSD is uncommon in high-income WMH countries. Risk factors are consistent with prior research: severity of exposure, history of prior stress exposure, and pre-existing mental disorders. The high concentration of PTSD among respondents with high predicted risk in our model supports the focus of screening assessments that identify disaster survivors most in need of preventive interventions.
Area under the curve (AUC) of predicted probabilities based on model 4 overall and in selected subgroups.
1β20 of 36
Next β
| Name | Type |
|---|---|
| Accidents/injuries local | phenotype |
| acute suicidality local | phenotype |
| adverse childhood experiences | phenotype |
| age | phenotype |
| agoraphobia | phenotype |
| alcohol abuse | phenotype |
| alcohol dependence | phenotype |
| anxiety | phenotype |
| Atrocities local | phenotype |
| attention deficit hyperactivity disorder | phenotype |
| Beaten by a caregiver as a child local | phenotype |
| Beaten by a romantic partner local | phenotype |
| Beaten by someone local | phenotype |
| Beaten by someone else other than a romantic partner local | phenotype |
| being displaced by the disaster local | cohort |
| Benjet et al. 2016 local | cohort |
| bipolar disorder | phenotype |
| CD | phenotype |
| Childhood family adversities local | phenotype |
| CIDI local | cohort |
| Civilian in a war zone local | phenotype |
| Combat experience local | phenotype |
| conduct disorder | phenotype |
| Disaster characteristics local | phenotype |
| Disaster exposure local | cohort |
| Disaster-focused studies local | cohort |
| disaster-related experiences local | phenotype |
| Disaster-related stressors local | phenotype |
| Disaster severity local | phenotype |
| Disaster survivors local | cohort |
| displacement local | phenotype |
| Disruptive behaviour disorder local | phenotype |
| drug dependence | phenotype |
| DSM-IV/CIDI disorder local | phenotype |
| DSM-IV mental disorders local | phenotype |
| Dysthymic disorder local | phenotype |
| Early childhood adversity local | phenotype |
| education | phenotype |
| European ancestry | cohort |
| European community epidemiological surveys local | cohort |
| Exposure to interpersonal violence local | phenotype |
| Exposure to organized violence local | phenotype |
| family economic adversity local | phenotype |
| Family economic adversity local | phenotype |
| full sample | cohort |
| generalized anxiety disorder | phenotype |
| general population | cohort |
| high-average/high education respondents local | cohort |
| high-income countries | cohort |
| History of previous trauma local | phenotype |
| household residents local | cohort |
| Household residents local | cohort |
| Human-made disaster local | phenotype |
| Human-made disaster other than toxic chemical exposure local | phenotype |
| human-made disasters local | cohort |
| Human-made disasters local | phenotype |
| Intermittent explosive disorder local | phenotype |
| interpersonal violence local | phenotype |
| Interpersonal violence local | phenotype |
| Lifetime traumatic events local | phenotype |
| low- and middle-income countries | cohort |
| low-average/low education respondents local | cohort |
| low-/middle-income countries local | cohort |
| Low-/middle-income countries local | cohort |
| major depressive disorder | phenotype |
| Maladaptive Family Functioning CAs local | phenotype |
| marital status | phenotype |
| men | cohort |
| MFF CAs local | phenotype |
| mood disorders | phenotype |
| Motor vehicle accidents | phenotype |
| National Comorbidity Survey | cohort |
| Natural disaster local | phenotype |
| natural disasters local | cohort |
| Natural disasters local | phenotype |
| neglect | phenotype |
| ODD | phenotype |
| Oppositionalβdefiant disorder local | phenotype |
| Organized violence local | phenotype |
| other parental loss local | phenotype |
| Other parental loss local | phenotype |
| panic disorder | phenotype |
| parental criminality local | phenotype |
| Parental criminality local | phenotype |
| parental death | phenotype |
| parental divorce/separation | phenotype |
| parental mental disorder local | phenotype |
| Parental mental disorder local | phenotype |
| parental substance abuse local | phenotype |
| Parental substance abuse local | phenotype |
| Participation in organized violence local | phenotype |
| Part II respondents local | cohort |
| Part I respondents local | cohort |
| physical abuse | phenotype |
| post-disaster mental disorders local | phenotype |
| post-disaster psychopathology local | phenotype |
| post-disaster PTSD local | phenotype |
| Post-disaster PTSD local | phenotype |
| Post-Traumatic Stress Disorder | phenotype |
| Pre-disaster psychopathology local | phenotype |
| Previous disasters local | phenotype |
| prior exposures to highly stressful experiences local | phenotype |
| prior history of mental disorders local | phenotype |
| prior lifetime traumatic event local | phenotype |
| prior mental disorders local | phenotype |
| Prior psychopathology local | phenotype |
| prior traumatic events local | phenotype |
| PsySTART local | cohort |
| PsySTART program local | cohort |
| rape | phenotype |
| Refugee local | phenotype |
| Relief worker in a war zone local | phenotype |
| Respondent history of psychopathology local | phenotype |
| respondents | cohort |
| Saw atrocities local | phenotype |
| SCID | cohort |
| sectarian violence local | phenotype |
| separation anxiety disorder | phenotype |
| serious injury/death of someone close local | phenotype |
| serious injury or death of someone close local | cohort |
| serious injury or death of someone close local | phenotype |
| serious injury to the respondent local | cohort |
| serious physical illness | phenotype |
| sex | phenotype |
| sexual violence | phenotype |
| social phobia | phenotype |
| specific phobia | phenotype |
| substance abuse | phenotype |
| substance use | phenotype |
| Subthreshold bipolar disorder local | phenotype |
| surveys local | cohort |
| Surveys local | cohort |
| survivors local | cohort |
| TE local | phenotype |
| top 5% predicted risk group local | cohort |
| top 5% risk respondents local | cohort |
| Toxic chemical exposure local | phenotype |
| traumatic experiences | phenotype |
| Unexpected death of someone close local | phenotype |
| United States | cohort |
| United States community epidemiological surveys local | cohort |
| War zone local | phenotype |
| WHO World Mental Health Surveys local | cohort |
| Witnessed violence at home as a child local | phenotype |
| witnessing death local | cohort |
| WMH local | cohort |
| WMH analysis local | cohort |
| WMH interview local | cohort |
| WMH surveys | cohort |
| World Mental Health (WMH) surveys local | cohort |
| Younger age at the time of the disaster local | phenotype |
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In this knowledge base
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External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| Acute Stress Disorder in Soldiers Injured During the October 7 War. | Babkin Klein M et al. | β | 2026 | β |
| Compounding Disasters and Australian Youth Mental Health: A Time of Significant (di)stress. | Lykins AD et al. | β | 2026 | β |
| Relationship Between Posttraumatic Stress Disorder and Sleep Quality in Pregnant Earthquake Survivors. | ΓztaΕ HG et al. | β | 2026 | β |
| The relationship between post-traumatic stress and eating disorders in disaster survivors: a sample of February 2023 KahramanmaraΕ earthquake. | Kurt NB et al. | β | 2026 | β |
| Tropical Cyclone Exposure and Psychoactive Drug-Related Death Rates. | Spriggs R et al. | β | 2026 | β |
| Unveiling climate distress: Examining the psychological impact of adverse weather events in India - A systematic review. | Tripathi A et al. | β | 2026 | β |
| Anger and Post-Traumatic Stress Symptoms in Firefighters After a Firefighting Operation with Two Team Member Fatalities. | GΓΆrlich T et al. | β | 2025 | β |
| A population-based study assessing posttraumatic stress disorder and acute stress disorder in Turkish adults. | KaraoΔlan G et al. | β | 2025 | β |
| Efficacy of psychological interventions for adult PTSD in reducing comorbid depression: systematic review and meta-analysis of randomised controlled trials. | Hoppen TH et al. | β | 2025 | β |
| Examining the experiences of prehospital emergency workers in emergency medical intervention during terrorist attacks: a qualitative study. | GΓΌnay Tuzcu G et al. | β | 2025 | β |
| Exposure to images of post-bushfire disaster impacts fear learning and extinction. | Franklin-Browne LJ et al. | β | 2025 | β |
| Integration of Metabolomic and Brain Imaging Data Highlights Pleiotropy Among Posttraumatic Stress Disorder, Glycoprotein Acetyls, and Pallidum Structure. | LΓΈkhammer S et al. | β | 2025 | β |
| Natural Disasters, Psychosocial Distress, Psychological Flexibility, and Satisfaction with Life. | Bufford RK et al. | β | 2025 | β |
| Post-Traumatic Stress Disorder after Disaster and Mass-Casualty Incidents in Developed and Developing Countries: A Meta-Analysis Study. | Rostami Zarinabadi C et al. | β | 2025 | β |
| Post-traumatic stress disorder, depression, anxiety, and their predictors among internally displaced persons in a conflict-affected area of Metekel Zone, Northwest Ethiopia: structural equation modeling. | Bekeko SD et al. | β | 2025 | β |
| Post-traumatic stress disorder in earthquake survivors living in temporary shelter areas in Hatay central districts: a cross-sectional study. | Yilmaz E et al. | β | 2025 | β |
| Stress dynamics that maintain posttraumatic stress disorder across 20Β years. | Ringwald WR et al. | β | 2025 | β |
| The power of imagery: examining the prevalence of imagination-based hotspots after a traumatic event in the Grenfell Health and Wellbeing Service. | Chisholm A et al. | β | 2025 | β |
| The prevalence of posttraumatic stress disorder and its correlation with health beliefs among medical students. | Amiri M et al. | β | 2025 | β |
| Trauma-analogue symptom variability predicted by inhibitory control and peritraumatic heart rate. | Petersdotter L et al. | β | 2025 | β |
| Unpacking Post-Traumatic Stress Disorder and Mental Health in Internally Displaced Persons: A Mediation-Moderation Model of Psychological Capital and Perceived Social Support. | Melese AK | β | 2025 | β |
| Assessing the quality of life of university students during COVID-19 lockdown: A structural equation modelling approach | Islam T et al. | β | 2024 | β |
| Association of 5-HTTLPR With Post-Traumatic Stress Disorder in US Service Members. | Hu XZ et al. | β | 2024 | β |
| Commentary on Tajima etΒ al.Β (2024): Interplay between disaster-related experiences, stressors, and problem drinking. | Kuo SI | β | 2024 | β |
| Editorial: Impact of deployment in disaster situations on the mental health of emergency responders. | Wesemann U et al. | β | 2024 | β |
| Effects of peritraumatic reactions on post-traumatic stress among Kahramanmaras earthquake survivors. | Alpay EH et al. | β | 2024 | β |
| Exploring transdiagnostic stress and trauma-related symptoms across the world: a latent class analysis. | Haering S et al. | β | 2024 | β |
| Prevalence of mental disorders in adult populations from the Global South following exposure to natural hazards: a meta-analysis. | Kip A et al. | β | 2024 | β |
| Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis. | Andualem F et al. | β | 2024 | β |
| The cumulative contribution of direct and indirect traumas to the production of PTSD. | Even D et al. | β | 2024 | β |
| The impact of armed conflict on nursing students' self-esteem: a cross-sectional comparative study. | Mohammead M et al. | β | 2024 | β |
| Trauma Exposure Checklist: Preliminary Results Show Promising Psychometric Properties to Assess Subjective Perceptions of Exposure to Potentially Traumatic Events. | Morgado AM | β | 2024 | β |
| A Population-Based Cohort Study of the Association between Visual Loss and Risk of Suicide and Mental Illness in Taiwan. | Sung C et al. | β | 2023 | β |
| Beliefs About Traumatic Memories, Thought Control Strategies, and the Impact on PTSD Symptoms After a Natural Disaster. | Brown RL et al. | β | 2023 | β |
| COVID-19 pandemic stressors are associated with reported increases in frequency of drunkenness among individuals with a history of alcohol use disorder. | Meyers JL et al. | β | 2023 | β |
| CRISIS AFAR: an international collaborative study of the impact of the COVID-19 pandemic on mental health and service access in youth with autism and neurodevelopmental conditions. | Vibert B et al. | β | 2023 | β |
| Development of a Manual for Disaster Medical Support Using Korean Medicine for Disaster Survivors. | Kwon CY et al. | β | 2023 | β |
| Impact of Easing COVID-19 Restrictions on Fear of COVID-19 and Social Support Among Chinese Students: A Longitudinal Analysis. | Zhao Y et al. | β | 2023 | β |
| Mechanisms through which exercise reduces symptom severity and/or functional impairment in posttraumatic stress disorder (PTSD): Protocol for a living systematic review of human and non-human studies. | Wright S et al. | β | 2023 | β |
| Personal harm from the Covid-19 pandemic predicts advocacy for equality. | Birnbaum HJ et al. | β | 2023 | β |
| Reliability and Validity of Chinese Version of the Perceived Competence Scale for Disaster Mental Health Workforce: A Cross-Sectional Study. | Xiao Q et al. | β | 2023 | β |
| Assessing the psychological impact of Beirut Port blast: A cross-sectional study. | Al Hariri M et al. | β | 2022 | β |
| Association between post-traumatic stress disorder and hypertension in Congolese exposed to violence: a case-control study. | Bapolisi A et al. | β | 2022 | β |
| A systematic review and meta-analysis on prevalence of and risk factors associated with depression, anxiety and insomnia in infectious diseases, including COVID-19: a call to action. | Yuan K et al. | β | 2022 | β |
| Bibliometric analysis of post-traumatic stress disorder in forensic medicine: Research trends, hot spots, and prospects. | Zhu W et al. | β | 2022 | β |
| Changes in appetite during quarantine and their association with pre-COVID-19 mental and physical health. | Rodriguez-Moreno DV et al. | β | 2022 | β |
| Factors associated with post-traumatic stress disorder symptoms in the post-quarantine context of the COVID-19 pandemic in Peruvian medical students. | Alejandro-Salinas R et al. | β | 2022 | β |
| Group memberships and post-traumatic growth: How we connect determines how we recover. | Craig N et al. | β | 2022 | β |
| Investigating the impact of terrorist attacks on the mental health of emergency responders: systematic review. | Wesemann U et al. | β | 2022 | β |
| Mood and Behaviors of Adolescents With Depression in a Longitudinal Study Before and During the COVID-19 Pandemic. | Sadeghi N et al. | β | 2022 | β |
| Post-Traumatic Stress Disorder in People with Visual Impairment Compared with the General Population. | Bonsaksen T et al. | β | 2022 | β |
| Post-traumatic stress symptoms experienced by healthcare workers in Lebanon four months following Beirut's ammonium nitrate explosion: a survey-based study. | Bou Sanayeh E et al. | β | 2022 | β |
| The associations among the stress symptoms, depressive symptoms, anxiety symptoms and insomnia symptoms in depressed patients after the first COVID-19 outbreak was initially controlled in China: A prospective cohort study. | Guo J et al. | β | 2022 | β |
| Assessing the Impact of COVID-19 Social Distancing and Social Vulnerability on Family Functioning in an International Sample of Households with and without Children. | Chavez JV et al. | β | 2021 | β |
| Gender differences in a wide range of trauma symptoms after victimization and accidental traumas: a cross-sectional study in a clinical setting. | SΓΈegaard EGI et al. | β | 2021 | β |
| Health Behaviors of Higher Education Students from 7 Countries: Poorer Sleep Quality during the COVID-19 Pandemic Predicts Higher Dietary Risk. | Du C et al. | β | 2021 | β |
| Impact of Disasters on Community Medical Screening Examination and Vaccination Rates: The Case of the Sewol Ferry Disaster in Ansan, Korea. | Kang E | β | 2021 | β |
| Long-Term Mental Health Effects of a Devastating Wildfire Are Amplified by Sociodemographic and Clinical Antecedents in College Students. | Ritchie A et al. | β | 2021 | β |
| Morale and Perceived Threats as Predictors of Psychological Coping with Distress in Pandemic and Armed Conflict Times. | Eshel Y et al. | β | 2021 | β |
| Post-traumatic Stress Disorder Among COVID-19 Survivors at 3-Month Follow-up After Hospital Discharge. | Tarsitani L et al. | β | 2021 | β |
| Post-traumatic stress disorder in major accidents: systematic review and meta-analysis. | Rodrigues CML et al. | β | 2021 | β |
| The Coronavirus Health and Impact Survey (CRISIS) reveals reproducible correlates of pandemic-related mood states across the Atlantic. | Nikolaidis A et al. | β | 2021 | β |
| The disaster worker resiliency training program: a randomized clinical trial. | Mahaffey BL et al. | β | 2021 | β |
| Title: "Labels Matter: Is it stress or is it Trauma?" | Richter-Levin G et al. | β | 2021 | β |
| A Public Health Response to a Mudslide in Freetown, Sierra Leone, 2017: Lessons Learnt. | Musoke R et al. | β | 2020 | β |
| Effectiveness and safety of ear acupuncture for trauma-related mental disorders after large-scale disasters: A PRISMA-compliant systematic review. | Kwon CY et al. | β | 2020 | β |
| Evaluating a community fire as human-made vs. natural disaster moderates the relationship between peritraumatic distress and both PTSD symptoms and posttraumatic growth. | Palgi Y et al. | β | 2020 | β |
| Indirect impact of violent events on emergency department utilization and disease patterns. | Makhlouf-Obermeyer C et al. | β | 2020 | β |
| Long-Term Mental Health Effects of a Devastating Wildfire Are Amplified by Socio-Demographic and Clinical Antecedents in Elementary and High School Staff. | Agyapong VIO et al. | β | 2020 | β |
| National and regional prevalence of posttraumatic stress disorder in sub-Saharan Africa: A systematic review and meta-analysis. | Ng LC et al. | β | 2020 | β |
| Onset and remission of common mental disorders among adults living in temporary housing for three years after the triple disaster in Northeast Japan: comparisons with the general population. | Kawakami N et al. | β | 2020 | β |
| Prevalence of and Risk Factors Associated With Mental Health Symptoms Among the General Population in China During the Coronavirus Disease 2019 Pandemic. | Shi L et al. | β | 2020 | β |
| Prevalence of post-traumatic symptomatology and anxiety among residential nursing and care home workers following the first COVID-19 outbreak in Northern Italy. | Riello M et al. | β | 2020 | β |
| Prevalence of Potentially Traumatic Events, Other Life Events and Subsequent Reactions Indicative for Posttraumatic Stress Disorder in the Netherlands: A General Population Study Based on the Trauma Screening Questionnaire. | Knipscheer J et al. | β | 2020 | β |
| A bibliometric analysis of health-related literature on natural disasters from 1900 to 2017. | Sweileh WM | β | 2019 | β |
| Animal models of PTSD: a challenge to be met. | Richter-Levin G et al. | β | 2019 | β |
| Daily Bicycle and Pedestrian Activity as an Indicator of Disaster Recovery: A Hurricane Harvey Case Study. | Doubleday A et al. | β | 2019 | β |
| Differential effect of Hurricane Sandy exposure on PTSD symptom severity: comparison of community members and responders. | Gonzalez A et al. | β | 2019 | β |
| Dissociation and disasters: A systematic review. | Canan F et al. | β | 2019 | β |
| Efficacy and safety of ear acupuncture for trauma-related disorders after large-scale disasters: A protocol of systematic review. | Kwon CY et al. | β | 2019 | β |
| ICD-11 guidelines for psychotic, mood, anxiety and stress-related disorders in Mexico: Clinical utility and reliability. | Medina-Mora ME et al. | β | 2019 | β |
| Integrative Medicine Is a Good Prescription for Patients and Planet. | Nusrat AZ et al. | β | 2019 | β |
| Long-term psychological recovery process and its associated factors among survivors of the Great Hanshin-Awaji Earthquake in Japan: a qualitative study. | Tanaka E et al. | β | 2019 | β |
| Mental Health Effects in Primary Care Patients 18 Months After a Major Wildfire in Fort McMurray: Risk Increased by Social Demographic Issues, Clinical Antecedents, and Degree of Fire Exposure. | Moosavi S et al. | β | 2019 | β |
| Modification of the risk of post-traumatic stress disorder (PTSD) by the 5-HTTLPR polymorphisms after Lorca's earthquakes (Murcia, Spain). | Navarro-Mateu F et al. | β | 2019 | β |
| Post-traumatic stress reactions among individuals with visual impairments: a systematic review. | Brunes A et al. | β | 2019 | β |
| Predicting suicide attempts among soldiers who deny suicidal ideation in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). | Bernecker SL et al. | β | 2019 | β |
| Psychiatric epidemiology and disaster exposure in Australia. | Reifels L et al. | β | 2019 | β |
| The experiences of dealing with consequences of an avalanche - surviving soldiers' perspectives. | Bakker LP et al. | β | 2019 | β |
| Burdens on emergency responders after a terrorist attack in Berlin. | Wesemann U et al. | β | 2018 | β |
| Posttraumatic stress and depressive symptoms in children after the Wenchuan earthquake. | Cheng J et al. | β | 2018 | β |
| Predicting posttraumatic stress disorder following a natural disaster. | Rosellini AJ et al. | β | 2018 | β |
| Pre-disaster PTSD as a moderator of the relationship between natural disaster and suicidal ideation over time. | Brown LA et al. | β | 2018 | β |
| Suicidality Risk and (Repeat) Disaster Exposure: Findings From a Nationally Representative Population Survey. | Reifels L et al. | β | 2018 | β |
| Association of DSM-IV Posttraumatic Stress Disorder With Traumatic Experience Type and History in the World Health Organization World Mental Health Surveys. | Liu H et al. | β | 2017 | β |
| Comorbid diseases as risk factors for incident posttraumatic stress disorder (PTSD) in a large community cohort (KCIS no.PSY4). | Chang JC et al. | β | 2017 | β |
| Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders. | Bromet EJ et al. | β | 2017 | β |
| Might Climate Change the "Healthy Migrant" Effect? | Hunter LM et al. | β | 2017 | β |
| Post-Traumatic Stress Disorder and other mental disorders in the general population after Lorca's earthquakes, 2011 (Murcia, Spain): A cross-sectional study. | Navarro-Mateu F et al. | β | 2017 | β |
| Trauma and PTSD in the WHO World Mental Health Surveys. | Kessler RC et al. | β | 2017 | β |