了解印度自然灾害的复原力和心理健康影响:叙述性审查

S. K. Patel, Gopal Agrawal, Bincy Mathew
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引用次数: 3

摘要

灾害是严重阻碍一个国家增长和发展速度的最突出的灾害。2016年,全球共发生191起自然灾害。灾害造成近1.1万人死亡或失踪,经济损失高达1750亿美元,为2012年以来最高(瑞士再保险,2016年)。自1970年以来,世界范围内的灾害数量翻了两番,达到每年400起左右。2015年自然灾害比上年增加13.9% (Guha-Sapir, Hoyois, and Below, 2016)。科学家认为,水文气象灾害的增加是自然和人为因素共同作用的结果。摘要:本研究旨在了解印度自然灾害及其对人们心理健康的影响之间的联系以及相关的恢复机制。自然灾害不仅影响自然环境,而且影响经济、社会生活和人民的福祉。除了宝贵生命的丧失和经济损失外,灾害还在很大程度上影响受灾人口的自然生长和心理健康。量化灾难造成的真实损失规模极具挑战性,因为有形损失是可见的,但隐性影响可能更为严重,并对受灾家庭和地区的社会经济增长产生灾难性影响。在此背景下,在现有证据有限的情况下,本研究试图了解灾害如何导致全球受灾人口的心理健康状况不佳,并试图在印度的背景下将其概念化。我们的综述记录了灾害对心理健康产生不利影响的不同途径,特别是在弱势群体中。该报告还强调了气候变化导致的灾害频率增加如何导致创伤后应激障碍、适应障碍和抑郁症。气候变化和全球变暖可能需要人口迁移,这可能导致文化适应压力。它还会导致身体疾病的发病率增加,这其次会与心理困扰有关。这项研究是在可持续发展目标的背景下提出这一重要问题的第一步,并概述了需要为灾害造成的心理健康问题的预防、服务和心理咨询设计更好的政策。本研究还建议进行更多的纵向研究,以了解与灾害有关的心理健康问题的发展,并制定适当的缓解战略。
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Understanding the resilience and mental health impacts of natural disasters in India: A narrative review
Disasters are the most prominent catastrophes which severely hinder the growth and pace of development of a country. In 2016, the world witnessed 191 natural catastrophes. Nearly 11,000 people died or went missing, and the profound economic loss from these disasters was estimated to be USD175 billion, the highest since 2012 (Swiss Re, 2016). Since 1970, the number of disasters worldwide has quadrupled to around 400 a year. Natural disasters increased by 13.9% in 2015 over the previous year (Guha-Sapir, Hoyois, and Below, 2016). Scientists believe that the increase in hydrometeorological disasters is due to a combination of natural and man-made factors. Global warming is continuously Abstract: The purpose of this study is to understand the linkages between natural disasters and their impact on the mental health of people as well as associated resilience mechanisms in India. Natural disasters affect not only the physical environment but also the economy, social life, and well-being of the population. In addition to the loss of precious lives and economic losses, disasters affect the natural growth and mental health of the affected populations to a great extent. It is extremely challenging to quantify the true scale of damage caused by a disaster because physical damage is visible, but hidden impacts could be much more severe and have catastrophic effects on the socioeconomic growth of the affected families and areas. Against this background and with the limited available evidence, this study has tried to understand how disasters lead to poor mental health among the affected populations around the globe and tried to conceptualize this in the Indian context. Our review documents the different pathways for disasters to adversely affect mental health, particularly among vulnerable populations. The review also highlights how an increased frequency of disasters with climate change can lead to a post-traumatic stress disorder, adjustment disorder, and depression. Changes in climate and global warming may require populations to migrate, which can lead to acculturation stress. It can also lead to increased rates of physical illnesses, which secondarily would be associated with psychological distress. This research is an initial step in bringing this important issue forward in the context of Sustainable Development Goals and outlining that better policies need to be designed for prevention, services, and psychological counseling of mental health problems due to disasters. This study also suggests for more longitudinal research to understand the development of disaster-related mental health problems and to develop adequate mitigation strategies.
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