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Tsunami-exposed tourist survivors: Signs of recovery in an 3-year perspective
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, National Center for Disaster Psychiatry.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, National Center for Disaster Psychiatry.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, National Center for Disaster Psychiatry.
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2011 (English)In: Journal of Nervous and Mental Disease, ISSN 0022-3018, E-ISSN 1539-736X, Vol. 199, no 3, p. 162-169Article in journal (Refereed) Published
Abstract [en]

Long-term follow-up after disaster exposure indicates increased rates of psychological distress. However, trajectories and rates of recovery in large samples of disaster-exposed survivors are largely lacking. A group of 3457 Swedish survivors temporarily on vacation in Southeast Asia during the 2004 tsunami were assessed by postal questionnaire at 14 months and 3 years after the tsunami regarding post-traumatic stress reactions (IES-R) and general mental health (GHQ-12). There was a general pattern of resilience and recovery 3 years postdisaster. Severe exposure and traumatic bereavement were associated with increased post-traumatic stress reactions and heightened risk for impaired mental health. The rate of recovery was lower among respondents exposed to life threat and among bereaved. Severe trauma exposure and bereavement seem to have considerable long-term impact on psychological distress and appear to slow down the recovery process. Readiness among health agencies for identification of symptoms and provision of interventions might facilitate optimal recovery.

Place, publisher, year, edition, pages
2011. Vol. 199, no 3, p. 162-169
Keywords [en]
Life threat, traumatic bereavement, PTSD, general mental health, disaster, IES-R
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-153689DOI: 10.1097/NMD.0b013e31820c73d1ISI: 000287695400005PubMedID: 21346486OAI: oai:DiVA.org:uu-153689DiVA, id: diva2:417466
Available from: 2011-05-17 Created: 2011-05-17 Last updated: 2017-12-11Bibliographically approved

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Bergh Johannesson, KerstinLundin, TomMichel, Per-Olof

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Psychiatry, University HospitalNational Center for Disaster Psychiatry
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