title: Psychological consequences and quality of life among medical rescuers who responded to the 2010 Yushu earthquake: A neglected problem.
abstract: A comprehensive study was conducted 8 months after the 2010 Yushu earthquake to assess the prevalence of posttraumatic stress disorder (PTSD) among medical rescuers and the rescuers' quality of life. Additionally, the study examines differences between local and supporting forces, as well as the relationship between PTSD and lower quality of life (QoL), and the risk factors for both. A total of 338 rescuers (including 123 local rescuers and 215 supporting ones) were randomly selected from Yushu County (the epicenter) and Xining City using multistage systematic sampling. Two standardized instruments, the PTSD Checklist-Civilian Version (PCL-C) and the Chinese version of the WHOQOL-BREF, were used to evaluate the prevalence of PTSD and obtain the rescuers' QoL. Being between 40 and 50 years old, a nurse, Tibetan, having been in serious danger or having received mental health training before this earthquake were significantly and independently associated with PTSD symptoms. Compared with supporting rescuers, local rescuers were more likely to develop PTSD and to report a lower QoL. Additional mental health services and training should be available to at-risk medical rescuers and groups to ensure they are adequately prepared for relief efforts and to maintain their mental health after assistance in disaster relief.
authors.affiliation: Department of Military Health Management, College of Military Health Management, Second Military Medical University, Shanghai 200433, China.
authors.forename: Peng
authors.initials: P
authors.lastname: Kang
authors.affiliation: Department of Military Health Management, College of Military Health Management, Second Military Medical University, Shanghai 200433, China.
authors.forename: Yipeng
authors.initials: Y
authors.lastname: Lv
authors.affiliation: Office of Teaching and Training, Division of Graduate, Second Military Medical University, Shanghai 200433, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Hao
authors.affiliation: Department of Military Health Management, College of Military Health Management, Second Military Medical University, Shanghai 200433, China.
authors.forename: Bihan
authors.initials: B
authors.lastname: Tang
authors.affiliation: Department of Military Health Management, College of Military Health Management, Second Military Medical University, Shanghai 200433, China.
authors.forename: Zhipeng
authors.initials: Z
authors.lastname: Liu
authors.affiliation: Department of Military Health Management, College of Military Health Management, Second Military Medical University, Shanghai 200433, China.
authors.forename: Xu
authors.initials: X
authors.lastname: Liu
authors.affiliation: Department of Military Health Management, College of Military Health Management, Second Military Medical University, Shanghai 200433, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Military Health Management, College of Military Health Management, Second Military Medical University, Shanghai 200433, China. Electronic address: zllrmit@163.com.
authors.forename: Lulu
authors.initials: L
authors.lastname: Zhang
mesh_terms: D000328:Adult; D002681:China; D003430:Cross-Sectional Studies; D064891:Disaster Victims / Q000523:psychology* / Q000706:statistics & numerical data; D055866:Earthquakes; D004634:Emergency Medical Technicians / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008503:Medical Staff / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D009104:Multiple Trauma / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012066:Relief Work; D018635:Rescue Work; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Earthquake; Local forces; Medical rescuers; Posttraumatic stress disorder (PTSD); Quality of life (QoL); Support forces