Psychiatric morbidity and pregnancy outcome in a disaster area of Taiwan 921 earthquake
- 28 February 2002
- journal article
- research article
- Published by Wiley in Psychiatry and Clinical Neurosciences
- Vol. 56 (2), 139-144
- https://doi.org/10.1046/j.1440-1819.2002.00948.x
Abstract
We investigated the prevalence of minor psychiatric morbidity in a group of women who were pregnant during or immediately after a major earthquake disaster and we investigated the prognostic factors that may have influenced the perinatal outcome of the pregnancy. The study was initiated 6 months after the earthquake and enrolled 171 women in a town near the epicentre. A Post-Earthquake Questionnaire, Chinese Health Questionnaire (CHQ-12) and posttraumatic stress disorder (PTSD) symptoms checklist were completed before delivery while the perinatal data were retrieved from hospital obstetrical records. The prevalence of minor psychiatric morbidity (MPM) was 29.2%. Women with starvation experience, higher negative attitude scores about the influence of earthquake on pregnancy and more casualties among relatives were significantly correlated with high CHQ. A significant positive correlation between the MPM and PTSD scores was noticed. Among the 115 pregnancies with known perinatal outcome, there were nine (7.8%) low-birth weight neonates, defined as birth weight ≤ 2500 g. Maternal history of abdominal injury, spouse casualty and instability in living condition were significantly correlated with low birth weight. Spouse casualty was the only significant factor that predicts neonatal low birth weight.Keywords
This publication has 20 references indexed in Scilit:
- A polysomnographic study of sleep patterns in normal humans with low‐ or high‐anxiety personality traitsPsychiatry and Clinical Neurosciences, 1998
- Post‐traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanshin‐Awaji earthquake in JapanActa Psychiatrica Scandinavica, 1996
- Prenatal maternal stress and prematurity: A prospective study of socioeconomically disadvantaged women.Health Psychology, 1992
- Prenatal maternal stress and prematurity: A prospective study of socioeconomically disadvantaged women.Health Psychology, 1992
- Internal consistency and factor structure of the Chinese Health QuestionnaireActa Psychiatrica Scandinavica, 1990
- Validation of 30- and 12-item versions of the Chinese Health Questionnaire (CHQ) in patients admitted for general health screeningPsychological Medicine, 1989
- Disaster severity and emotional disturbance: implications for primary mental health care in developing countriesActa Psychiatrica Scandinavica, 1989
- A community study of minor psychiatric morbidity in TaiwanPsychological Medicine, 1988
- The design and development of a screening questionnaire (CHQ) for use in community studies of mental disorders in TaiwanPsychological Medicine, 1986
- PSYCHOLOGICAL STRESS AND FATAL HEART ATTACK: THE ATHENS (1981) EARTHQUAKE NATURAL EXPERIMENTThe Lancet, 1983