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Cited by 333Posttraumatic Stress Disorder ResearchDisaster Management and ResilienceDisaster Response and Management

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

Open access
Tang, Bihan, Liu, Xu, Liu, Yuan, Xue, Chen, Zhang, Lulu·2014·BMC Public Health
DOI 10.1186/1471-2458-14-623PMC PMC4077641
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Abstract

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; experiencing injury, fear, or bereavement during the disaster; witnessing injury/death during the disaster; or having poor social support. CONCLUSIONS: The current analysis provides evidence of risk factors for depression in survivors of natural disasters. Further research is necessary to design interventions to improve the mental health of survivors of natural disasters.

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Figure 1 Risk factors for depression after natural disasters in adults.
Figure 1 Risk factors for depression after natural disasters in adults.CC BY · PubMed Central
Figure 2 Risk factors for depression after natural disasters in children.
Figure 2 Risk factors for depression after natural disasters in children.CC BY · PubMed Central

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Research works printed but not linked: 2

  1. Celiac Disease. Evidence Reports/Technology Assessments, No. 104 (Appendix D). http://www.ncbi.nlm.nih.gov/books/NBK35156,
  2. Wang T, Han B: Buddhism belief and mental health status of aging survivors in Wenchuan earthquake disaster area. Chin J Gerontol. 2009, 29: 1272-1275.

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Metadata

Authors
Tang, B., Liu, X., Liu, Y., Xue, C., & Zhang, L.
Affiliations
Second Military Medical University (CN)
Corresponding author
Zhang, Lulu
ORCID
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2014-06-19
Volume
14
Issue
1
Pages
623-623
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/1471-2458-14-623
PMC
PMC4077641
OpenAlex
W2002469321
Cited by
333
References
57
Citations by year
2026: 22 · 2025: 38 · 2024: 40 · 2023: 25 · 2022: 40 · 2021: 37 · 2020: 37 · 2019: 28 · 2018: 20 · 2017: 22 · 2016: 15 · 2015: 9
FWCI
2.32
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
National Natural Science Foundation of China (91224005, 71303249, 71103194)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Sociology and Political Science › Disaster Management and Resilience
  • Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
Keywords
depression, natural disasters, disaster survivors, risk factors, children, adults, psychological trauma, bereavement, social support, gender differences, marital status, religious beliefs, educational attainment, disaster mental health
MeSH terms
Adult, Bereavement, Child, Cross-Sectional Studies, Depressive Disorder, Disasters, Female, Humans, Male, Risk Factors, Prevalence, Survivors, Observational Studies as Topic

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