Psychiatric disorders in tsunami-affected children in Ranong province, Thailand.
OBJECTIVE
To study the prevalence of psychiatric disorders in children affected by the Asian tsunami in Ranong province, Southern Thailand 10 months after the disaster.


METHODS
The subjects were 47 boys and 47 girls, age 1-18 years, who were affected by the tsunami. They were participants in the Psychosocial Care and Protection System for Tsunami-Affected Children in Ranong Province project. The subjects were interviewed by a psychiatrist and diagnoses were made according to DSM IV criteria.


RESULTS
Of the 94 children, 47 (50%) had at least one psychiatric diagnosis: posttraumatic stress disorder (PTSD): n = 31 (33%); major depression: n = 9 (9.6%); adjustment disorder: n = 9 (9.6%), and separation anxiety disorder: n = 3 (3.2%). The psychiatric diagnoses, specifically PTSD, were significantly associated with the child's age and exposure to the traumatic events.


CONCLUSIONS
Ten months after the tsunami disaster, there is a high prevalence of psychiatric disorders in children, suggesting the importance of early identification, intervention and follow-up.
Piyavhatkul
Nawanant
N
Department of Psychiatry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. nawanant@kku.ac.th
Pairojkul
Srivieng
S
Suphakunpinyo
Chanyut
C
D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004190:Disasters; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000209:etiology; D008603:Mental Health; D015995:Prevalence; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000209:etiology; D013315:Stress, Psychological / Q000150:complications*; D013785:Thailand / Q000453:epidemiology; D013997:Time Factors