Significance of Mental Health Support After Disasters

Birutė Pitrėnaitė-Žilėnienė, Vilma Miglinė


It is forecasted that in the coming decades, Europe will inevitably be affected by very important natural and social upheavals, which can significantly affect public welfare, physical and mental health disorders. That is why it is important to prepare properly. In this context, the emphasis is to be able to effectively adapt to a rapidly changing world. Because of geophysical situation changes, a target would be to create a resistant society, which would be able to neutralize any upheaval impact and timely recover from it. War, armed conflicts, natural and technological disasters have a major psychological and social impact on the affected population. After each disaster, many people experience emotional trauma. Strong emotional upheaval can be experienced not only by those directly involved in the event and/or physical trauma victims, but also by their relatives or even an event unrelated individuals.
The purpose of this article is to analyze the current scientific literature, highlight the negative impact on the mental health of the risk factors during the emergency and substantiate the necessity to plan mental health related preventive measures.
One of the most common mental health problems after a disaster is a post-traumatic stress disorder (PTSD). Various factors may increase the risk of the development of the PTSD. Social factors play a significant role among them. Psychological resistance is strongly influenced by the perception that during emergency, support to the victims will be provided not only by family, but also by the competent authority which will properly take care of the physical and psychological comfort reset. That is why the emergency plans should include not only search, rescue and other means related to saving lives and physical health, but also means related to psychosocial support services.
It is hardly possible to develop precise scenarios/prognosis of a disaster. Therefore, flexibility, regular checking and update are essential requirements for emergency management planning. Individuals who participate in actions in response to an emergency must have a clear understanding of their role. When planning a response to the disaster, it is necessary to ensure the availability of mental health services and psychosocial support to the affected communities, according to the risk factors, which influence the development of mental health disorders. Therefore, it is extremely important to create a long-term communitybased mental health care system for response during and recovery after disasters.


mental health; disaster; post-traumatic stress disorder; risk factors; stressors; prevention

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Ahern, J.; Galea, S.; Resnick, H., et al. 2002. Television Images and Psychological Symptoms after the September 11 Terrorist Attacks. Psychiatry. 65: 289–300.

American Psychiatric Association. 2013. The Diagnostic and Statistical Manual of Mental Disorders: DSM 5. Bookpoint US.

Berger, W.; Coutinho, E. S.; Figueira, I., et al. 2012. Rescuers at Risk: A Systematic Review and Meta-regression Analysis of the Worldwide Current Prevalence and Correlates of PTSD in Rescue Workers. Social Psychiatry and Psychiatric Epidemiology. 47(6): 1001–1011.

Bisson, J. I.; Cohen, J. A. 2006. Disseminating Early Interventions following Trauma. Journal of Traumatic Stress. 19: 583–95.

Boiling, R.; Ehrlin, Y.; Forsberg, R., et al. 2007. KAMEDO Report 90: Terrorist Attacks in Madrid, Spain, 2004. Prehospital and Disaster Medicine. 22(03): 252–257.

Boscarino, J. A. 2008. Prospective Study of PTSD and Early-age Heart Disease Mortality among Vietnam Veterans: Implications for Surveillance and Prevention. Psychosomatic Medicine. 70: 668.

Brandänge, K.; Gustavsson, J. P. 2000. After the MV Estonia Ferry Disaster A Swedish Nationwide Survey of the Relatives of the MV Estonia Victims. Dialogues in Clinical Neuroscience. 2(1): 63.

Carroll, B.; Balogh, R.; Morbey, H., et al. 2010. Health and Social Impacts of a Flood Disaster: Responding to Needs and Implications for Practice. Disasters. 34(4): 1045–63.

Cepeda A.; Saint Onge J. M.; Kaplan, C., et al. 2010. The Association Between Disaster–Related Experiences and Mental Health Outcomes Among Drug Using African American Hurricane Katrina Evacuees. Community Mental Health Journal. 46(6): 612–620.

Ciscar, J. C.; Iglesias, A.; Feyen, L., et al. 2011. Physical and Economic Consequences of Climate Change in Europe. Proceedings of the National Academy of Sciences of USA. 108: 2678–2683.

Creamer, M.; Burgess, P.; McFarlane, A. C. 2001. Post-traumatic Stress Disorder: Findings from the Australian National Survey of Mental Health and Well-being. Psychological Medicine. 31(07): 1237–1247.

Darves‐Bornoz, J. M.; Alonso, J.; de Girolamo, G., et al. 2008. Main Traumatic Events in Europe: PTSD in the European Study of the Epidemiology of Mental Disorders Survey. Journal of Traumatic Stress. 21(5): 455–462.

Davis, T. E; Grills–Taquechel, A. E.; Ollendick, T. H. 2010. The Psychological Impact from Hurricane Katrina: Effects of Displacement and Trauma Exposure on University Students. Behavior Therapy. 41(3): 340–349.

Duke, L. M.; Vasterling, J. J. 2005. Epidemiological and Methodological Issues in Neuropsychological Research in PTSD. In: Vasterling, J.J., Brewin, C.R. (Eds.) Neuropsychology of PTSD: Biological, Cognitive, and Clinical Perspective. New York: The Guilford Press.

Ehrlich, M.; Harville, E.; Xiong, X., et al. 2010. Loss of Resources and Hurricane Experience as Predictors of Postpartum Depression Among Women in Southern Louisiana. Journal of Women's Health. 19(5): 877–884.

Felton, C. 2002. Project Liberty: a Public Health Response to New Yorkers’ Mental Health Needs Arising From the World Trade Center Terrorist Attacks. Journal of Urban Health. 79(3): 429–433.

Galea., S.; Nandi, A.; Vlahov, D. 2005. The Epidemiology of Post-Traumatic Stress Disorder after Disasters. Oxford Journals Medicine Epidemiologic Reviews. 27(1): 78–91.

Green, B. L.; Lindy, J. D.; Grace, M. C., et al. 1990. Buffalo Creek Survivors in the Second Decade: Stability of Stress Symptoms. American Journal of Orthopsychiatry. 60: 43–54.

Hiley-Young, B.; Meyers, D. 1996. Disaster Response and Recovery: A Handbook for Mental Health Professionals. DIANE Publishing.

IASC. 2007. IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings. Geneva: Inter-Agency Standing Committee.

IASC-RG. 2010. Mental Health and Psychosocial Support in Humanitarian Emergencies: What Should Humanitarian Health Actors Know? Israeli Journal of Psychiatry. Geneva: IASC Reference Group for Mental Health and Psychosocial Support in Emergency Settings.

Irmansyah I.; Dharmono S.; Maramis, A., et al. 2010. Determinants of Psychological Morbidity in Survivors of the Earthquake and Tsunami in Aceh and Nias. International Journal of Mental Health Systems. 4: 1752–4458.

Yehud, R.; Hallig, S. L.; Grossman, R. 2001. Childhood Trauma and Risk for PTSD: Relationship to Intergenerational Effects of Trauma, Parental PTSD, and Cortisol Excretion. Development and Psychopathology. 13: 733–753.

Yun, N. Y.; Hamada, M. 2011. A Comparative Study on Human Impacts caused by the 2011 Great East Japan Earthquake and Disaster Mitigation. In International Symposium on Engineering.

Jacob, K. S.; Sharan, P.; Mirza, I., et al. 2007. Mental Health Systems in Countries: Where are We Now? The Lancet. 370(9592): 1061–1077.

Kessler, R. C.; Berglund, P.; Delmer, O., et al. 2005. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 62(6): 593–602.

Kilmer, R. P.; Gil–Rivas, V. 2010. Responding to the Needs of Children and Families after a Disaster: Linkages Between Unmet Needs and Caregiver Functioning. American Journal of Orthopsychiatry. 80(1):135–142.

Lau, J. F. T.; Yu, X.; Zhang, J., et al. 2010. Psychological Distress among Adolescents in Chengdu, Sichuan at 1 Month after the 2008 Sichuan Earthquake. Journal of Urban Health: Bulletin of the New York Academy of Medicine. 87(3): 504–523.

Lock, S.; Rubin, G. J.; Murray, V., et al. 2012. Secondary Stressors and Extreme Events and Disasters: a Systematic Review of Primary Research from 2010–2011. PLoS Currents. 4.

Maia, D. B.; Marmar, C. R.; Metzler, T., et al. 2007. Post-traumatic Stress Symptoms in an Elite Unit of Brazilian Police Officers: Prevalence and Impact on Psychosocial Functioning and on Physical and Mental Health. Journal of Affective Disorders. 97(1): 241–245.

Mitchell, T. L.; Griffin, K.; Stewart, S. H., et al. 2004. We Will Never Ever Forget: The Swissair Flight 111 Disaster and its Impact on Volunteers and Communities. Health Psychology. 9(2): 245–62.

Murthy, R. S. 2005. Human Resources for Mental Health: Challenges and Opportunities in Developing Countries. International Psychiatry. 2: 5–7.

New Jersey Department of Human Services, Division of Mental Health and Hospitals. Mental Health/Emergency Disaster Plan. Newark, NJ: 1991.

North, C. S.; Oliver, J.; Pandya, A. 2012. Examining a comprehensive model of disaster-related posttraumatic stress disorder in systematically studied survivors of 10 disasters. American Journal of Public Health. 102(10): e40–e48.

Penalba, V.; McGuire, H.; Leite, J. R. 2008. Psychosocial Interventions for Prevention of Psychological Disorders in Law Enforcement Officers. Cochrane Database of Systematic Reviews., 3.

Petersen, I.; Lund, C.; Stein, D. J. 2011. Optimizing Mental Health Services in Low-income and Middle-income Countries. Current Opinion in Psychiatry. 24(4): 318–323.

Sphere Project. 2004. Humanitarian Charter and Minimum Standarts in Disaster Response. Geneva: Sphere Project.

Subbarao, I.; Lyznicki, J. M.; Hsu, E. B., et al. 2008. A Consensus-based Educational Framework and Competency Set for the Discipline of Disaster Medicine and Public Health Preparedness. Disaster Medicine and Public Health Preparedness. 2(1): 57–68.

Thurer D. 2007. Dunant‘s Pyramid: Thoughts on the „Humanitarian Space.“ Intl Rev Red Cross., 89: 47–61.

Trautman, R.; Tucker, P.; Pfefferbaum, B., et al. 2002. Effects of Prior Trauma and Age on Posttraumatic Stress Symptoms in Asian and Middle Eastern Immigrants after Terrorism in the Community. Community Mental Health Journal. 38: 459–74.

United Nations: Rio Declaration: Rio+20 – The Future We Want. 2012. Rio de Janeiro: Rio 20 United Nations Conference on Sustainable Development.

Walsh, L.; Subbarao, I.; Gebbie, K., et al. 2012. Core Competencies for Disaster Medicine and Public Health. Disaster Medicine and Public Health Preparedness. 6(1): 44–52.

Wang, C. W.; Chan, C. L.; Ho, R. T. 2013. Prevalence and Trajectory of Psychopathology among Child and Adolescent Survivors of Disasters: a Systematic Review of Epidemiological Studies across 1987–2011. Social Psychiatry and Psychiatric Epidemiology. 48(11): 1697–1720.

WHO & Wonca. 2008. Integratingmental Health into Primary Care: A Global Perspective. Geneva: World Health Organisation.

WHO. 2003. Mental Health in Emergencies: Mental and Social Aspects of Health of Populations Exposed to Extreme Stressors. Geneva: World Health Organization.

WHO. 2005. Health and climate change: The Now and How. A Policy Action Guide, World Health Organization Regional Office for Europe. Copenhagen: World Health Organization.

Wickrama, K. A. S.; Wickrama T. 2011. Perceived Community Participation in Tsunami Recovery Efforts and the Mental Health of Tsunami–Affected Mothers: Findings from a Study in Rural Sri Lanka. International Journal of Social Psychiatry. 57(5): 518–27.

Wind, T. R.; Fordham, M.; Komproe, I. H. 2011. Social Capital and Post–Disaster Mental Health. Global Health Action. 4: 1654–9880.

World Health Organization. 2012. Global Burden of Mental Disorders and the Need for a Comprehensive, Coordinated Response from Health and Social Sectors at the Country Level.

World Health Organization. 2013. Mental Health Action Plan 2013-2020.

World Health Organization. Mental Health Assistance to the Populations Affected by the Tsunami in Asia [žiūrėta 2014-06-02]. .

Zhang, Z.; Shi, Z.; Wang, L., et al. 2011. One Year Later: Mental Health Problems among Survivors in Hard–Hit Areas of the Wenchuan Earthquake. Public Health. 125(5): 293–300.


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