title: Use of and satisfaction with support received among survivors from three Scandinavian countries after the 2004 Southeast Asian tsunami.
abstract: BACKGROUND
  There is limited guidance regarding effective preventions for post-disaster mental health problems and what kind of support is preferred by disaster survivors.
  
  
  OBJECTIVE
  To describe the use of and satisfaction with support in three Scandinavian countries after the tsunami and analyzing the association between support and posttraumatic stress reactions.
  
  
  METHODS
  The sample comprises 6772 responders who returned to Scandinavia from the tsunami-struck countries of Southeast Asia in 2004.
  
  
  RESULTS
  Most were satisfied with informal support on site. Support from embassies/consulates was not received well, leaving about 64% of the Danes/Norwegians and 73% of the Swedes dissatisfied. After returning home, support from close relatives rendered highest degree of satisfaction. Consultation with general practitioner (GP) was reported by 63% of Norwegians, 40% of Danes, and 16% of Swedes. Most responders (60-77%) were satisfied with their GP, although Norwegians were least satisfied. Using support was associated with higher levels of posttraumatic stress symptoms.
  
  
  CONCLUSIONS
  Informal support was used to a high degree and rendered considerable satisfaction in all three countries, while the use of and satisfaction with formal support varied more. Lack of satisfaction with embassies and consulates may indicate deficiencies in the authorities' preparedness in assisting disaster stricken citizens abroad.
authors.affiliation: National Centre for Disaster Psychiatry/Akademiska sjukhuset/Uppsala University, 75185 Uppsala, Sweden. per-olof.michel@neuro.uu.se
authors.forename: P O
authors.initials: PO
authors.lastname: Michel
authors.forename: S
authors.initials: S
authors.lastname: Rosendal
authors.forename: L
authors.initials: L
authors.lastname: Weisaeth
authors.forename: T
authors.initials: T
authors.lastname: Heir
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001210:Asia, Southeastern; D017028:Caregivers / Q000592:standards; D004190:Disasters; D005260:Female; D058005:General Practitioners / Q000592:standards; D006801:Humans; D008297:Male; D057240:Patient Preference / Q000523:psychology / Q000706:statistics & numerical data; D010549:Personal Satisfaction; D010819:Physician's Role; D012537:Scandinavian and Nordic Countries; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data; D014195:Travel / Q000523:psychology* / Q000706:statistics & numerical data; D016896:Treatment Outcome; D057192:Tsunamis