Current Status Of Disaster Research

The uniqueness of each disaster and the different methodologies employed in each study make it difficult to integrate the findings for adults and children, although a number of review papers have appeared e.g., 5, 6, 18, 40-49 . Moreover, not only are disasters unique events, occurring in socio-culturally unique places, but their evolution and severity can be quite disparate. The number of deaths, extent of damage, organizational response, and post-disaster stressors will all influence the...

Predisaster Risk Factors

In the absence of baseline data in most studies, the literature on pre-disaster risk factors is rather limited. To date, the most reliable predictors of postdisaster psychopathology are female sex and especially being a mother of young children 16 . After the TMI disaster, women with young children showed significantly increased rates of anxiety and depressive disorders compared with non-exposed controls, as assessed with the Schedule for Affective Disorders and Schizophrenia-Lifetime (SADS-L)...

Usa

492 schoolchildren whose areas were hit by missiles and controls Cross-sectional Stress Reaction Questionnaire, DSM-III-R, teacher's rating 182 Khmer children Cross-sectional Child Behaviour Checklist, Youth Self-Report children Cross-sectional Bosnian War Questionnaire, Sead Picture Survey Tools 46 unaccompanied refugee children Cross-sectional Child Behaviour Checklist 147 children in collective centres Follow-up over 8 months DSM-IV Tibetan children Cross-sectional DSM-IV refugee children...

Adjustment Disorders

Adjustment disorders have been defined in the ICD-10 as states of subjective distress and emotional disturbance, usually interfering with social functioning and performance, and arising in the period of adaptation to a significant life change or to the consequences of a stressful life event (including the presence or possibility of serious physical illness). The stressor may have involved the individual or his community. The DSM-IV suggests that the essential feature of an adjustment disorder...

The Concept Of Quality Of Life

The concept of quality of life, as used in the literature, can best be regarded as consisting of three components (a) subjective well-being or satisfaction with the actual life situation (whereby well-being would relate to emotions, and satisfaction to cognitions both are subjective psychological concepts) (b) functioning in self-care and in social roles (disability would be a variable measuring non-functioning in these roles) and (c) access to environmental resources, both social (e.g. social...

The Implications Of Dual Diagnosis For Community Mental Health Services

An increasing number of people are given a dual diagnosis of severe mental illness and substance misuse. The prevalence of substance abuse in most US community samples of individuals with psychotic illnesses falls between 30 and 50 112 . The frequency of dual diagnosis in other countries is likely to vary, mainly in response to different cultural attitudes to substances of potential abuse. Dual diagnosis is associated with greater inpatient service use, poorer adherence to treatment, more...

Disorders in Child and Adolescent Population

Children form one of the most vulnerable groups among refugees. Often they are the neglected lot. Psychiatric problems among refugee children are more prevalent than among the normal population of the same age. Although it has been argued that children are able to cope much better than adults, the fact remains that a large number of children among the refugee population suffer from mental disorders. Studies reveal that children, like adults, suffer an increasing number of psychiatric problems,...

Ethics And Culture

The development of ethical declarations is unfortunately not the end of the story. Human rights conventions all over the world assume a social and political system where the individual being is the center of social attention. The Madrid Declaration, no exception to other declarations, assumes a society where the individual is the focus, where the individual is in charge. What if this is not the case everywhere in the world Cultural, ethnic and sometimes socio-demographic data such as level of...

The Risk Of Alienation Of Community Mental Health Services From The General Health Care System

With the shift of mental health care into the community, a large proportion of psychiatrists, psychologists and nurses have moved out of the hospital into multiprofessional community teams. In this process they have lost their ties to their colleagues at the hospital and, thus, an opportunity for exchanging opinions, providing support to each other and a protective work environment 61 . They have also become separated from their colleagues in physical health care. The system of community mental...