Document Detail

Health impact of disaster-related stress on pregnant women living in the affected area of the Noto Peninsula earthquake in Japan.
MedLine Citation:
PMID:  19154216     Owner:  NLM     Status:  MEDLINE    
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' (beta = 0.27, P = 0.01) and 'parity' (beta = -0.26, P = 0.02). The SOC during pregnancy significantly moderated between 'existing anxiety about an earthquake' and 'EPDS' (beta = -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.
Yuri Hibino; Jiro Takaki; Yasuhiro Kambayashi; Yoshiaki Hitomi; Akemi Sakai; Naomi Sekizuka; Keiki Ogino; Hiroyuki Nakamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychiatry and clinical neurosciences     Volume:  63     ISSN:  1440-1819     ISO Abbreviation:  Psychiatry Clin. Neurosci.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-21     Completed Date:  2009-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9513551     Medline TA:  Psychiatry Clin Neurosci     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  107-15     Citation Subset:  IM    
Department of Environmental and Preventive Medicine, Kanazawa University, Kanazawa, Japan.
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MeSH Terms
Japan / epidemiology
Odds Ratio
Pregnancy Complications / epidemiology*,  psychology*
Regression Analysis
Socioeconomic Factors
Stress, Psychological / complications,  epidemiology*,  psychology*
Treatment Outcome
Young Adult

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