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      Tsunami: Understanding mental health consequences and the unprecedented response

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      International Review of Psychiatry
      Informa UK Limited

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          Abstract

          The 26th December 2004 saw a disaster brought on by massive waves - the Asian Tsunami. Millions of people died or were affected to varying degrees. The mental health aftermath did not only hit the Tsunami affected areas but it also sent ripples globally. Financial and humanitarian aid was overwhelming. This review brings together the mental health consequences and the global response. It provides a systematic overview of the mental health problems both within the affected areas and globally. It considers different levels and intensities of mental health problems both in affected areas and globally and explores the effects on vulnerable groups. It describes the unprecedented response and highlights the importance of providing culturally and contextually sensitive, integrated and co-ordinated interventions, informed by qualitative and quantitative assessment of needs, urgency and resource availability. The review also provides a retrospective view on the drivers of such a response.

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          Most cited references14

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          Global health impacts of floods: epidemiologic evidence.

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            Psychological responses to war and atrocity: The limitations of current concepts

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              The effects of a natural disaster on child behavior: evidence for posttraumatic stress.

              A prospective study of children examined both before and after a flood disaster in Bangladesh is used to test the hypothesis that stressful events play a causal role in the development of behavioral disorders in children. Six months before the disaster, structured measures of selected behavioral problems were made during an epidemiological study of disability among 2- to 9-year-old children. Five months after the disaster, a representative sample of 162 surviving children was reevaluated. Between the pre- and postflood assessments, the prevalence of aggressive behavior increased from zero to nearly 10%, and 45 of the 134 children who had bladder control before the flood (34%) developed enuresis. These results help define what may be considered symptoms of posttraumatic distress in childhood; they also contribute to mounting evidence of the need to develop and evaluate interventions aimed at ameliorating the behavioral and psychological consequences of children's exposure to extreme and traumatic situations.
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                Author and article information

                Journal
                International Review of Psychiatry
                International Review of Psychiatry
                Informa UK Limited
                0954-0261
                1369-1627
                July 11 2009
                January 2006
                July 11 2009
                January 2006
                : 18
                : 3
                : 289-297
                Article
                10.1080/09540260600709149
                16753668
                d2408727-4d72-425e-a194-2cbf5a5fd0dc
                © 2006
                History

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