Abstract
Aims: The present study assessed the health impact of stress on women who were pregnant during, or immediately after, a major earthquake and were living in the disaster area. Inherent resistance against the stress induced by the earthquake was also assessed. Methods: The panel study consisted of 99 women who provided responses before and after delivery (response rate, 77.9%). Psychological impact was assessed on the Edinburgh Postnatal Depression Scale (EPDS), and stress resistance was assessed on the Sense of Coherence Scale (SOC). Results: In adjusted multivariate models, the significant earthquake factor that predicted postnatal depression (EPDS) was 'existing anxiety about an earthquake' (β = 0.27, P = 0.01) and 'parity' (β = -0.26, P = 0.02). The SOC during pregnancy significantly moderated between 'existing anxiety about an earthquake' and 'EPDS' (β = -0.21, P = 0.02). During pregnancy the EDPS was a significant predictor of a physical abnormality during pregnancy or childbirth (odds ratio, 1.21; 95% confidence interval: 1.04-1.41). The SOC during pregnancy did not moderate between a physical abnormality and earthquake-related stress. Conclusions: Provision of an adequate support system and improvement of the SOC of young women affected by a disaster may be two ways of reducing the deleterious effects of disaster-related stress on maternal well-being.
| Original language | English |
|---|---|
| Pages (from-to) | 107-115 |
| Number of pages | 9 |
| Journal | Psychiatry and Clinical Neurosciences |
| Volume | 63 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Feb 2009 |
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Keywords
- Depression
- Earthquake
- Natural disaster
ASJC Scopus subject areas
- Clinical Neurology
- Neurology
- Psychiatry and Mental health
- Neuroscience(all)
Cite this
Health impact of disaster-related stress on pregnant women living in the affected area of the Noto Peninsula earthquake in Japan. / Hibino, Yuri; Takaki, Jiro; Kambayashi, Yasuhiro; Hitomi, Yoshiaki; Sakai, Akemi; Sekizuka, Naomi; Ogino, Keiki; Nakamura, Hiroyuki.
In: Psychiatry and Clinical Neurosciences, Vol. 63, No. 1, 02.2009, p. 107-115.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Health impact of disaster-related stress on pregnant women living in the affected area of the Noto Peninsula earthquake in Japan
AU - Hibino, Yuri
AU - Takaki, Jiro
AU - Kambayashi, Yasuhiro
AU - Hitomi, Yoshiaki
AU - Sakai, Akemi
AU - Sekizuka, Naomi
AU - Ogino, Keiki
AU - Nakamura, Hiroyuki
PY - 2009/2
Y1 - 2009/2
N2 - Aims: The present study assessed the health impact of stress on women who were pregnant during, or immediately after, a major earthquake and were living in the disaster area. Inherent resistance against the stress induced by the earthquake was also assessed. Methods: The panel study consisted of 99 women who provided responses before and after delivery (response rate, 77.9%). Psychological impact was assessed on the Edinburgh Postnatal Depression Scale (EPDS), and stress resistance was assessed on the Sense of Coherence Scale (SOC). Results: In adjusted multivariate models, the significant earthquake factor that predicted postnatal depression (EPDS) was 'existing anxiety about an earthquake' (β = 0.27, P = 0.01) and 'parity' (β = -0.26, P = 0.02). The SOC during pregnancy significantly moderated between 'existing anxiety about an earthquake' and 'EPDS' (β = -0.21, P = 0.02). During pregnancy the EDPS was a significant predictor of a physical abnormality during pregnancy or childbirth (odds ratio, 1.21; 95% confidence interval: 1.04-1.41). The SOC during pregnancy did not moderate between a physical abnormality and earthquake-related stress. Conclusions: Provision of an adequate support system and improvement of the SOC of young women affected by a disaster may be two ways of reducing the deleterious effects of disaster-related stress on maternal well-being.
AB - Aims: The present study assessed the health impact of stress on women who were pregnant during, or immediately after, a major earthquake and were living in the disaster area. Inherent resistance against the stress induced by the earthquake was also assessed. Methods: The panel study consisted of 99 women who provided responses before and after delivery (response rate, 77.9%). Psychological impact was assessed on the Edinburgh Postnatal Depression Scale (EPDS), and stress resistance was assessed on the Sense of Coherence Scale (SOC). Results: In adjusted multivariate models, the significant earthquake factor that predicted postnatal depression (EPDS) was 'existing anxiety about an earthquake' (β = 0.27, P = 0.01) and 'parity' (β = -0.26, P = 0.02). The SOC during pregnancy significantly moderated between 'existing anxiety about an earthquake' and 'EPDS' (β = -0.21, P = 0.02). During pregnancy the EDPS was a significant predictor of a physical abnormality during pregnancy or childbirth (odds ratio, 1.21; 95% confidence interval: 1.04-1.41). The SOC during pregnancy did not moderate between a physical abnormality and earthquake-related stress. Conclusions: Provision of an adequate support system and improvement of the SOC of young women affected by a disaster may be two ways of reducing the deleterious effects of disaster-related stress on maternal well-being.
KW - Depression
KW - Earthquake
KW - Natural disaster
UR - http://www.scopus.com/inward/record.url?scp=58449091764&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=58449091764&partnerID=8YFLogxK
U2 - 10.1111/j.1440-1819.2008.01911.x
DO - 10.1111/j.1440-1819.2008.01911.x
M3 - Article
C2 - 19154216
AN - SCOPUS:58449091764
VL - 63
SP - 107
EP - 115
JO - Psychiatry and Clinical Neurosciences
JF - Psychiatry and Clinical Neurosciences
SN - 1323-1316
IS - 1
ER -