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dc.contributor.authorKvestad, Ingrid
dc.contributor.authorRanjitkar, Suman
dc.contributor.authorUlak, Manjeswori
dc.contributor.authorChandyo, Ram K.
dc.contributor.authorShrestha, Merina
dc.contributor.authorShrestha, Laxman P.
dc.contributor.authorStrand, Tor A
dc.contributor.authorHysing, Mari
dc.identifier.citationKvestad, I., et al. (2019). "Earthquake Exposure and Post-traumatic Stress Among Nepalese Mothers After the 2015 Earthquakes." Frontiers in Psychology 10(734).nb_NO
dc.description.abstractAbstract Introduction: Nepal suffered from major earthquakes in April 2015 resulting in great damage to the society. The objective of the current study is to describe the earthquake exposure, the impact on family's daily life and the symptoms of post-traumatic stress disorder (PTSD) and their association in Nepalese mothers 20 months following the earthquakes. Methods: In a clinical trial in Bhaktapur, Nepal, 558 mothers responded to an inventory on earthquake exposure and the Impact of Event Scale - Revised (IES-R) 20 months after the earthquakes. In multiple linear regression models, we estimated the associations between the earthquake exposure and the impact on the families' life and the IES-R score. Results: Over 60% reported that the earthquakes had a great deal of negative impact on their family's life. In 4.7%, close family members died, and in 10.5%, family members were injured. 24% had IES-R scores indicating PTSD symptoms within clinical concern or a possible diagnosis. Lower levels of education were associated with higher scores on the total IES-R. Mothers who report that the earthquakes had a great deal of negative impact had higher total IES-R scores [9.8, 95% CI (5.9, 13.6)] compared to mothers that reported no such negative impact. Mothers with family members who were killed had higher IES-R scores [3.6, 95% CI (1.6, 5.5)] than those with no family members who died. Mothers assisting in rescue efforts had lower IES-R scores [2.8, 95% CI (0.8, 4.8)] than those not assisting. Conclusion: Our study demonstrates high levels of exposure to traumatic events, large negative impact on the everyday life of the families, and a high level of PTSD symptoms. There was a consistent and graded association between the exposure variables and PTSD symptoms. The large impact of the earthquakes on these Nepalese mothers underscore the importance of awareness of mental disorders following major natural catastrophes for marginalized families.nb_NO
dc.description.sponsorshipThe study was funded by Thrasher Research Fund (Grant # 11512), Thrasher Early Career Award (Grant # 13988) and the GC Rieber Funds. The funders of the study had no role in the study design, data collection, data analysis, data interpretation, or writing of the report. The corresponding author had full access to all the data in the study and had final responsibility for the decision to submit for publication.nb_NO
dc.rightsNavngivelse-Ikkekommersiell-DelPåSammeVilkår 4.0 Internasjonal*
dc.subjectNepal; PTSD; disaster; earthquake; mothersnb_NO
dc.titleEarthquake exposure and post-traumatic stress among nepalese mothers after the 2015 earthquakesnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.rights.holder© 2019 Kvestad, Ranjitkar, Ulak, Chandyo, Shrestha, Shrestha, Strand and Hysing. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.nb_NO
dc.source.journalFrontiers in Psychologynb_NO
cristin.unitnameDiv Lillehammer

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