Mental health effects following the eruption in Eyjafjallajökull volcano in Iceland: A population-based study

Abstract

Aim: Volcanic eruptions and other natural disasters may affect survivor’s physical and mental health. The aim of this study was to examine the mental health effects of the 2010 Eyjafjallajökull volcanic eruption in Iceland on nearby residents, by exposure level and experience. Methods: This population-based study included 1615 residents living in an area close to the Eyjafjallajökull volcano at the time of the eruption and a sample of 697 residents from a non-exposed area. All participants received a questionnaire 6–9 months after the eruption assessing mental health (GHQ-12, PSS-4 and PC-PTSD). The exposed group also received questions related to the experience of the eruption. Results: Replies were received from 1146 participants in the exposed group (71%) and 510 participants in the non-exposed group (73%). Compared to the non-exposed group, participants living in the high-exposed area were at increased risk of experiencing mental distress (GHQ) 6–9 months following the eruption (odds ratio (OR) 1.45%; 95% confidence interval (CI) 1.11–1.90). High-exposed participants were furthermore at increased risk of experiencing symptoms of post-traumatic stress disorder (PTSD) compared to those living in the low-exposed area (OR 3.71; 95% CI 1.34–15.41). We further found that those who had direct experience of the eruption were more likely to suffer from symptoms of mental distress, PTSD symptoms and perceived stress, compared to those less exposed. Conclusions: The findings indicate that screening for these factors (e.g. experience of the event) could potentially aid in identifying those most vulnerable to developing psychological morbidity after this unique type of disaster.

Keywords

Disaster volcanic eruption physical health mental health stress PTSD

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References

Guha-Sapir

Hoyois

Below

. Annual disaster statistical review 2012: the numbers and trends. Brussels: Centre for Research on the Epidemiology of Disasters (CRED), 2013.

Noji

. Medical and public health consequences of natural and biological disasters. Nat Hazards Rev 2001;2:143–56.

Kokai

Fujii

Shinfuku

et al . Natural disaster and mental health in Asia. Psychiatry Clin Neurosci 2004;58:110–6.

Norris

Friedman

Watson

et al . 60,000 disaster victims speak: part I. An empirical review of the empirical literature, 1981–2001. Psychiatry 2002;65:207–39.

Chen

Yeh

Yang

et al . Psychiatric morbidity and post-traumatic symptoms among survivors in the early stage following the 1999 earthquake in Taiwan. Psychiatry Res 2001;105:13–22.

Norris

Friedman

Watson

. 60,000 disaster victims speak: part II. Summary and implications of the disaster mental health research. Psychiatry 2002;65:240–60.

Yang

Yeh

Chen

et al . Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. Gen Hosp Psychiat 2003;25:253–61.

Galea

Nandi

Vlahov

. The epidemiology of post-traumatic stress disorder after disasters. Epidemiol Rev 2005;27:78–91.

Shore

Tatum

Vollmer

. Evaluation of mental effects of disaster, Mount St-Helens eruption. Am J Public Health 1986;76:76–83.

10.

Briem

. Health effects of the volcanic eruption in Eyjafjallajökull. EPI-ICE – Newsletter from Directorate of Health in Iceland 2010;6:1–2.

11.

Carlsen

Hauksdottir

Valdimarsdottir

et al . Health effects following the Eyjafjallajokull volcanic eruption: a cohort study. BMJ Open 2012;2:e001851.

12.

Karlsdóttir

SGÁ

Höskuldsson

Brandsdóttir

et al . The 2010 Eyjafjallajökull eruption, Iceland. Reykjavík: Icelandic Meterological Office, the Institute of Earth Sciences of the University of Iceland, Department of Civil Protection and Emergency Management of the National Commissioner of the Icelandic Police, 2012.

13.

Carlsen

Gislason

Benediktsdottir

et al . A survey of early health effects of the Eyjafjallajokull 2010 eruption in Iceland: a population-based study. BMJ Open 2012;2:e000343.

14.

Hlodversdottir

Petursdottir

Carlsen

et al . Long-term health effects of the Eyjafjallajokull volcanic eruption: a prospective cohort study in 2010 and 2013. BMJ Open 2016;6:e011444.

15.

Stohl

Prata

Eckhardt

et al . Determination of time- and height-resolved volcanic ash emissions and their use for quantitative ash dispersion modeling: the 2010 Eyjafjallajokull eruption. Atmos Chem Phys 2011;11:4333–51.

16.

Thorsteinsson

Johannsson

Stohl

et al . High levels of particulate matter in Iceland due to direct ash emissions by the Eyjafjallajokull eruption and resuspension of deposited ash. J Geophys Res Solid Earth 2012. DOI: 10.1029/2011JB008756.

17.

Goldberg

Hillier

. A scaled version of the General Health Questionnaire. Psychol Med 1979;9:139–45.

18.

Goldberg

Gater

Sartorius

et al . The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 1997;27:191–7.

19.

Hankins

. The reliability of the twelve-item general health questionnaire (GHQ-12) under realistic assumptions. BMC Public Health 2008;8:355.

20.

Cohen

Kamarck

Mermelstein

. A global measure of perceived stress. J Health Soc Behav 1983;24:385–96.

21.

Hauksdóttir

McClure

Jonsson

et al . Increased stress among women following an economic collapse—a prospective cohort study. Am J Epidemiol 2013;177:979–88.

22.

Prins

Ouimette

Kimerling

et al . The primary care PTSD screen (PC-PTSD): development and operating characteristics. Prim Care Psychiatry 2003;9:9–14.

23.

SPSS v.22. SPSS Inc. Chicago, IL.

24.

Team

. R: a language and environment for statistical computing.R Foundation for Statistical Computing, Vienna, Austria, 2012.

25.

Goto

Wilson

Kahana

et al . The Miyake Island volcano disaster in Japan: loss, uncertainty, and relocation as predictors of PTSD and depression. J Appl Soc Psychol 2006;36:2001–26.

26.

Araki

Nakane

Ohta

et al . The nature of psychiatric problems among disaster victims. Psychiatry Clin Neurosci 1998;52 Suppl:S317–9.

27.

Goenjian

Walling

Steinberg

et al . A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. Am J Psychiatry 2005;162:2302–8.

28.

Ohta

Araki

Kawasaki

et al . Psychological distress among evacuees of a volcanic eruption in Japan: a follow-up study. Psychiatry Clin Neurosci 2003;57:105–11.

29.

Carr

Lewin

Webster

et al . Psychosocial sequelae of the 1989 Newcastle earthquake: I. Community disaster experiences and psychological morbidity 6 months post-disaster. Psychol Med 1995;25:539–55.