Post-traumatic Stress Disorder among Medical Personnel after Nepal earthquake, 2015.

BACKGROUND Health professionals involved in a disaster are not immune to the stressors. However, little attention is given on the psychological consequences among these professionals. This study has explored the frequency of posttraumatic stress disorder (PTSD) among them after the Nepal earthquake 2015. METHODS A descriptive cross sectional study was carried out amongst the medical professionals at Manmohan Memorial Teaching Hospital, Kathmandu to assess the PTSD among them after the Nepal earthquake 2015. Two months after the post disaster the standard PTSD Checklist for DSM-5 (PCL 5) was administered to medical personnel of a hospital(n=64) along with demographic features, disaster related experience and working hours. PTSD was defined by two ways: 1.using DSM V diagnostic criteria (the presence of at least one intrusion, one avoidance, two negative alterations in cognitions/mood and two alterations in arousal and reactivity symptoms); and 2. a cutoff score of 30. RESULTS The overall prevalence of PTSD was 21.9% and 17.1% using cutoff score and diagnostic criteria respectively. Females scored significantly higher than males. No significant difference was observed according to age, marital status, profession, previous disaster experience, tragic events with relatives. Those who were present in the hospital during the initial influx of victims, witnessed patients suffering, worked extra time were at significantly high risk for development of PTSD. CONCLUSIONS This study suggest that PTSD is highly prevalent among healthcare professionals after disaster management and therefore it highlights the need for targeted interventions to specific staff who respond to large disasters to reduce the psychological burden.