A meta-analysis of risk factors for depression in adults and children after natural disasters

作者：Bihan Tang, Xu Liu, Yuan Liu, Chen Xue, Lulu Zhang · 发表于：BMC Public Health · 年份：2014 · DOI：10.1186/1471-2458-14-623 · 被引用次数：334 · 研究领域：Posttraumatic Stress Disorder Research、COVID-19 and Mental Health、Traumatic Brain Injury Research

BACKGROUND: A number of studies have shown a range of negative psychological symptoms (e.g. depression) after exposure to natural disasters. The aim of this study was to determine risk factors for depression in both children and adults who have survived natural disasters. METHODS: Four electronic databases (PubMed, Embase, Web of Science, and PsychInfo) were used to search for observational studies (case-control, cross-sectional, and cohort studies) about depression following natural disasters. The literature search, study selection, and data extraction were conducted independently by two authors. Thirty-one articles were included in the study, of which twenty included adult participants and eleven included child participants. Summary estimates were obtained using random-effects models. Subgroup analysis, sensitivity analysis, and publication bias tests were performed on the data. RESULTS: The prevalence of depression after natural disasters ranged from 5.8% to 54.0% in adults and from 7.5% to 44.8% in children. We found a number of risk factors for depression after exposure to natural disasters. For adults, the significant predictors were being female ;not married;holding religious beliefs; having poor education; prior trauma; experiencing fear, injury, or bereavement during the disaster; or losing employment or property, suffering house damage as a result of the disaster. For children, the significant predictors were prior trauma; being trapped during the disaster; experien...