Floods in Nigeria have led to widespread displacement, resulting in significant psychological distress among victims. Post-traumatic stress disorder (PTSD) is a prevalent mental health concern among displaced populations. This study investigated the effects of resilience, education and gender on PTSD among displaced victims of the flood in Nigeria. A cross-sectional survey of 721 adult displaced victims (men = 329, women = 292) aged 18–85 years drawn from three randomly selected communities in Ogbaru Local Government Area of Anambra State, Nigeria, was conducted. Participants completed the Harvard Trauma Questionnaire and Resilience scale (RS-14) and provided demographic information (educational level and gender). Results of the analysis showed that resilience significantly predicted PTSD, and educational qualification significantly predicted PTSD among displaced flood victims. Gender did not predict PTSD among displaced flood victims. This study highlighted the crucial role of resilience and education in mitigating PTSD symptoms among displaced flood victims in Nigeria. Gender differences in PTSD symptoms were also observed. Resilience-building programmes and education-based interventions are needed to enhance coping skills among displaced flood victims to ensure their mental health safety in the aftermath of trauma.
AbiolaT., & UdofiaO. (2011). Psychometric assessment of the Wagnild & Young’s resilience scale in Kano, Nigeria. BMC Research Notes, 4, 500–509. https://doi.org/10.1186/1756-0500- 4
2.
AkukweT. I., AjibadeI., & McBean. (2014). Determinants of flooding in Port Harcourt Metropolis, Nigeria. Journal of Humanities and Social Science, 19(11), 64–72.
3.
Alliance Development Works. (2012). World risk report 2012: Focus-environmental degradation and disasters. http://www.droughtmanagement.info/literature/UNU_world_risk_report_2012_2012.pdf
4.
AmselL., & MarshallR. D. (2003). Clinical management of subsyndromal psychological sequela of 9/11 terror attacks. In CoatesS. W., RosenthalJ. L., & SchechterD. S. (Eds.), Trauma and human bonds. The Analytic Press.
5.
BananoG. A., GaleaS., BaccaiarslliA. S., & VlahovD. (2007). What predicts psychological resilience after disaster? The role of demographics, resources and life stress. Journal of Consulting and Clinical Psychology, 75, 675–682.
6.
BhatejaA., KumarP., BawankuleS., BallalS., KumarS., BhatM., SharmaS., KumarM. R., RustagiS., KhatibM., RaiN., SahS., LakhanpalS., BushiG., ShabilM., GohK., & SatapathyP. (2025). Post-traumatic stress disorder among road traffic accident survivors: A systematic review and meta-analysis. Transportation Research Interdisciplinary Perspectives, 30. https://doi.org/101374. 10.1016/j.trip.2025.101374
7.
BibiA., KalimS., & KhalidM. A. (2018). Post-traumatic stress disorder and resilience among adult burn patients in Pakistan: A cross-sectional study. https://academic.oup.com/burnstrauma/article/doi/10.1186/s41038-018-0110-7/5680415
8.
BirhanZ., DeressaY., ShegawM., AsnakewS., & MekonenT. (2023). Posttraumatic stress disorder in a war-affected area of Northeast Ethiopia: A cross-sectional study. BMC Psychiatry, 23(1), 627. https://doi.org/10.1186/s12888-023-05116-w
9.
BoullionG. Q., PavlacicJ. M., SchulenbergS. E., BuchananE. M., & StegerM. F. (2020). Meaning, social support, and resilience as predictors of posttraumatic growth: A study of the Louisiana flooding of August 2016. American Journal of Orthopsychiatry, 90(5), 578–585. https://doi.org/10.1037/ort0000464
10.
ChenL., & LiuA. (2015). The incidence of posttraumatic stress disorder after floods: A meta-analysis. Society for Disaster Medicine and Public Health. https://doi.org/ 10.1017/dmp.2015.17
11.
ChmitorzA., KunzlerA., HelmreichI., TüscherO., KalischR., KubiakT., WessaM., & LiebK. (2018). Intervention studies to foster resilience: A systematic review and proposal for a resilience framework in future intervention studies. Clinical Psychology Review, 59, 78–100. https://doi.org/10.1016/j.cpr.2017.11.002
12.
DahlanA. Z., DahlanA.BorhaniS. N., & RusdiB. H. (2016). Posttraumatic stress disorder and quality of life among flood disaster victims. Procedia: Social and Behavioural Sciences, 234(2016), 125–134.
13.
DhunganaS., KoiralaR., OjhaS., & ThapaS. (2022). Resilience and its association with post-traumatic stress disorder, anxiety, and depression symptomatology in the aftermath of trauma: A cross-sectional study from Nepal. European Psychiatry, 65(Suppl 1), S673–S674. https://doi.org/10.1192/j.eurpsy.2022.1732\
14.
DuanW., HoM. Y., TangX., LiT., & ZhangY. (2014). Character strength-based intervention to promote satisfaction with life in the Chinese university context. Journal of Happiness Study, 15, https://doi.org/10.1007/s10902-013-9479-y
15.
EdeM. O., AdeneF. M., OkekeC. I., MezieobiD. I., IsiwuE. N., & AbdullahiY. (2021). The effect of rational emotive behavior therapy on post-traumatic depression in flood victims. Journal of Rational-Emotive & Cognitive-Behavior Therapy (2022)40, 124–143. https://doi.org/10.1007/s 10942-021-00401-7
16.
ElklitA., & BrinkO. (2004). Acute stress disorder as a predictor of posttraumatic stress disorder in physical assault victims. Journal of Interpersonal Violence, 19, 709–726. https://doi.org/10.1177/0886260504263872
17.
EriegaE. G., ChidozieI. G., TundeO. T., & AdebunmiW. A. (2014). Personality and demographic factors as correlates of posttraumatic stress disorder (PTSD) among flood victims. British Journal of Education, 2(3), 82–88.
18.
FatimaZ., & MaqboolS. (2017). Prevalence of post-traumatic stress disorder and depression among affected individuals of Kashmir after six months of flood. International Journal of Applied Research, 3(6), 184–188.
19.
FrankenbergE., SikokiB., SuriastiniW., & ThomasD. (2013). Education, vulnerability, and resilience after a natural disaster. Ecology and Society: A Journal of Integrative Science for Resilience and Sustainability, 18(2), 16. https://doi.org/10.5751/ES-05377-180216
20.
HarmeningW. M. (2014). Crisis intervention: The criminal justice response to chaos, mayhem, and disorder. Pearson.
21.
IfeagwaziC. M., ChukwuorjiJ. C., & ZacchaeusE. A. (2014). Alienation and psychological wellbeing: Moderation by resilience. Social Indicators Research, 120(2), 525–544. https://doi.org/10.1007/s11205-014-0602-1
22.
International Federation of Red Cross and Red Crescent Societies (IFRC). (2019). Nigeria floods: Disaster relief emergency fund.
23.
IsbirG. G., InciF., OnalH., & YidizP. D. (2016). The effects of antenatal education on fear of childbirth, maternal self-efficacy and posttraumatic stress disorder (PTSD) symptoms following childbirth: An experimental study. Applied Nursing Research, 32, 227–32. https://doi.org/10.1016/j.apnr.2016.07.013
24.
IslamM. S., SolaimanM., IslamM., TusherT., & KabirM. (2016). Impacts of flood on Char livelihoods and its adaptation techniques by the local people. Bangladesh Journal of Scientific Research, 28(2), 123–135. https://doi.org/10.3329/bjsr.v28i2.26783.
25.
JonesA. L., RaffertyJ., CochranS. D., AbelsonJ., HannaM. R., & MaysV. M. (2022). Prevalence, severity and burden of post-traumatic stress disorder in black men and women across the adult life span. Journal of Aging and Health, 34(3), 401–412. https://doi.org/10.1177/08982643221086071
26.
KoliK., & BegumS. (2025). Gender Disparities in Disaster Preparedness: Insights from Rural Bangladesh. 10.2139/ssrn.5038265.
27.
KumpferK. L. (1999). Factors and processes contributing to resilience: The resilience framework. Kluwer Academic and Plenum Publishers.
28.
KwanC. (2018). Older people’s resilience in the context of climate-disaster: A single instrumental case study of older women in poverty who are widowed, head of household, and living in a disaster-affected community in the Philippines. Retrieved from https://prism.ucalgary.ca/handle/1880/107605
29.
LuyM., ZannellaM., Wegner-SiegmundtC., MinagawaY., LutzW., & CaselliG. (2019). The impact of increasing education levels on rising life expectancy: a decomposition analysis for Italy, Denmark, and the USA. Genus, 75(1), 11. https://doi.org/10.1186/s41118-019-0055-0
30.
MannS. K., MarwahaR., & TorricoT. J. (2024). Posttraumatic stress disorder. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559129/
31.
MaoW., EboreimeE., ShalabyR., NkireN., AgyapongB., PazderkaH., Obuobi-DonkorG., AduM., OwusuE., OluwasinaF., ZhangY., & AgyapongV. I. O. (2022). One year after the flood: Prevalence and correlates of posttraumatic stress disorder among residents in Fort McMurray. Behavioural Sciences, 12(3), 69. https://doi.or/10.3390/bs12030069
32.
McDermottB. M., CobhamV. E., BerryH., & StallmanH. M. (2010). Vulnerability factors for disaster-induced child post-traumatic stress disorder: The case for low family resilience and previous mental illness. Australian & New Zealand Journal of Psychiatry, 44(4), 384–389.
33.
MetzM., WhitehillR., & AlraqiqH. M. (2022). Personality traits and risk of posttraumatic stress disorder among dental residents during COVID-19 crisis. Journal of Dental Education, 86(12), 1562–1572. https://doi.org/10.1002/jdd.13034
34.
MollicaR. F., Caspi-YavinY., BolliniP., TruongT., TorS., & LavelleJ. (1992). The Harvard trauma questionnaire: Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. Journal of Nervous and Mental Disease, 180, 111–116.
35.
MollicaR. F., McDonaldL. S., MassagliM. P., & SiloveD. (2004). Measuring trauma, measuring torture. Harvard Program in Refugee Trauma.
36.
National Emergency Management. (2018). Update on flood in Nigeria: JRC emergency report #022. European Commission Joint Research Center. http:/floodlist.com/Africa/Nigeria-floods-niger-benue-rivers-september-2018
37.
NasirR., ZainahA. Z., & KhairudinR. (2012). Psychological effects on victims of the Johor flood 2006/2007. Asian Social Science, 8(8), 126–133.
38.
Navarro FloresC. M., VázquezA. L., YoungJ., Orengo-AguayoR., & StewartR. W. (2025). After the storm, the calm never came: Hurricane Maria-related stressors and PTSD symptoms among Puerto Rican youth. Psychological Trauma: Theory, Research, Practice and Policy, 17(1), 48–56. https://doi.org/10.1037/tra0001837
NishaC., KiranP., & JosephB. (2014). Assessment of posttraumatic stress disorder among disaster-affected children in a High school in Uttarkashi district, Uttarkashi, India. International Journal of Health System and Disaster Management, 2, 237–240. https://doi.org/10.4103/2347-9019.175676
41.
NöthlingJ., AbrahamsN., JewkesR., MhlongoS., LombardC., HemmingsS. M. J., & SeedatS. (2022). Risk and protective factors affecting the symptom trajectory of posttraumatic stress disorder post-rape. Journal of Affective Disorders, 309, 151–164. https://doi.org/10.1016/j.jad.2022.04.032
42.
OrucaL., KapetanovicA., PojskicN., MileyV., ForstbauerS., MollicaR. F., & HendersonD. C. (2008). Screening for posttraumatic stress disorder and depression in Bosnia and Herzegovina: Validating the Harvard trauma questionnaire and the Hopkins symptom checklist. International Journal of Culture and Mental Health, 1(2), 105–116.
43.
OthmanA. Z., DahlanA., BorhaniS. N., & RusdiH. (2016). Posttraumatic stress disorder and quality of life among flood disaster victims. Procedia-Social and BehaviouralSciences, 234, 125–134. https://doi.org/10.1016/j.sbspro.2016.10.227
44.
RahanaS. R., SamJ. M., & UdhayakumarP. (2021). Depression, anxiety, stress and resilience among the primary survivors of natural disaster: A study with special reference to Kerala flood. Indian Journal of Social Psychiatry, 37(4), 388–393.
45.
RasmussenA., SmithH., & KellerA. S. (2007). Factor structure of posttraumatic stress disorder symptoms among West and Central African refugees. Journal of Traumatic Stress, 20(3), 271–280.
46.
Smith-OsborneA. (2012). Supported education for returning veterans with PTSD and other mental disorders. Journal of Rehabilitation, 78(2), 4–12.
47.
SiponS., NasrahS. K., NazilN., AbdullahS., & OthmanK. (2014). Stress and religious coping among flood victims. Procedia-Social and Behavioural Sciences, 140, 605–608. https://doi.org/10.1016/j.sbspro.2014.04.478
48.
SohK. C., TayY. H., & DarjeeR. (2023). Those who commit violent crimes can be traumatised by their offences: A systematic review of offence-specific post-traumatic stress disorder. Journal of Aggression, Maltreatment & Trauma, 32(12), 1705–1725. https://doi.org/10.1080/10926771.2023.2186299
49.
ThompsonJ. M., HeberA., DavineJ., MurrayR., & McCrearyD. R. (2021). Handbook of posttraumatic stress. Routledge.
50.
TolinD. F., & FoaF. B. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychology Bulletin, 132, 959–992.
51.
United Nations Office for Disaster Risk Reduction (2020). The human cost of disaster: An overview of the last 20 years (2000–2019). https://reliefweb.int/report/world/human-cost-disaster-overview-last-20years-2019-2020.
52.
VenugopalanM., AcangaA., BakerM., ArlikattiS. (2025). Gender perspectives in disaster response: An evidence-based review. Progress in Disaster Science, 26, https://doi.org/10.1016/j.pdisas.2025.100416.
53.
WagnildG. M. & YoungH. M. (1987). Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement, 1(2), 165–178.
54.
WagnildG., & YoungH. (1993). Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement, 1(2), 165–178.
55.
XiaoH., WangD., MedeirosS. C., BilskieM. V., HagenS. C., & HallC. R. (2019). Exploration of the effects of storm surge on the extent of saltwater intrusion into the surficial aquifer in coastal east-central Florida (USA). The Science of the total environment, 648, 1002–1017. https://doi.org/10.1016/j.scitotenv.2018.08.199
