Kevoyne H Chambers1
1School of Medicine, Jiangsu University, People’s Republic of China
Corresponding Author:
Kevoyne H Chambers
Email: [email protected]
DOAJ: b45f80ac2f09463bb8ec72461cadba96
DOI: https://doi.org/10.48107/CMJ.2024.03.002
Published Online: May 10, 2024
Copyright: This is an open-access article under the terms of the Creative Commons Attribution License which permits use, distribution, and reproduction in any medium, provided the original work is properly cited.
©2024 The Authors. Caribbean Medical Journal published by Trinidad & Tobago Medical Association
With mental health awareness month fast approaching followed by the beginning of the hurricane season in the Caribbean, I am writing to express my concern regarding the prevalence and impact of post-traumatic stress disorder (PTSD) after natural disasters in the Caribbean population. As we know, the Caribbean region is vulnerable to natural disasters, including hurricanes, earthquakes, and floods.1 These catastrophic events can have severe consequences on the mental health of those affected, leading to the development of PTSD.2
Research has shown that the prevalence of PTSD among individuals affected by natural disasters can range from 14.9% to 20.9%.3The high prevalence of PTSD can be attributed to various risk factors, including the severity of the disaster, loss of loved ones, displacement, and economic instability.4 Moreover, populations that are already vulnerable, such as children, the elderly, and those with pre-existing mental health conditions, are at higher risk of developing PTSD after natural disasters.5
The impact of PTSD on individuals and communities can be significant. The symptoms of PTSD can persist for years after the traumatic event, leading to impaired social and occupational functioning, poor quality of life, and increased risk of other mental health disorders, such as depression and anxiety.6 Furthermore, the economic burden of PTSD can be substantial, with increased healthcare costs and loss of productivity.7
Despite the significant impact of PTSD on individuals and communities, mental health services in the Caribbean region are limited. There is limited availability of trained mental health professionals, and the stigma surrounding mental health issues can prevent individuals from seeking help.8 This lack of mental health services makes it challenging to address the mental health needs of those affected by natural disasters, further exacerbating the impact of PTSD on the Caribbean populations.
To address the mental health consequences of natural disasters, we need to raise awareness about the prevalence and impact of PTSD in the Caribbean population. The government and international organizations should prioritize mental health services in disaster preparedness and response plans. These plans should include the provision of psychological first aid, access to mental health professionals, and community-based mental health services.9
Moreover, targeted interventions should be developed to address the mental health needs of vulnerable populations, such as children and the elderly, who are at higher risk of developing PTSD after natural disasters. These interventions can include group therapy, cognitive-behavioral therapy, and trauma-focused therapies.10 The use of digital technologies, such as telepsychiatry, can also increase access to mental health services in remote areas.
Finally, addressing the stigma surrounding mental health issues in the Caribbean region is crucial to increasing the utilisation of mental health services. Public awareness campaigns, community engagement, and education programs can help reduce the stigma surrounding mental health issues, encouraging individuals to seek help when needed.11
In conclusion, PTSD is a significant mental health consequence of natural disasters in the Caribbean population. The high prevalence of PTSD and the limited availability of mental health services in the region make it challenging to address the mental health needs of those affected by natural disasters. Therefore, it is essential to raise awareness about the prevalence and impact of PTSD, prioritize mental health services in disaster preparedness and response plans, develop targeted interventions for vulnerable populations, and address the stigma surrounding mental health issues in the Caribbean region.
Ethical approval statement: Not applicable
Financial disclosure or funding: Not applicable
Conflict of interest: Not applicable
Informed consent: Not applicable
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- Kessler RC, Galea S, Gruber MJ, Sampson NA, Ursano RJ, Wessely S. Trends in mental illness and suicidality after Hurricane Katrina. Molecular Psychiatry. 2008;13(4):374–84.
- North CS, Smith EM, Spitznagel EL, McMillen JC, Mallonee S, Shariat S, et al. Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA. 1999;282(8):755.
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- Karam EG, Friedman MJ, Hill ED, Kessler RC, McLaughlin KA, Petukhova M, et al. Cumulative traumas and risk thresholds: 12-month PTSD in the World Mental Health (WMH) surveys. Depression and Anxiety. 2013;31(2):130–42.
- Davis LL, Schein J, Cloutier M, Gagnon-Sanschagrin P, Maitland J, Urganus A, et al. The economic burden of posttraumatic stress disorder in the United States from a societal perspective. The Journal of Clinical Psychiatry. 2022;83(3).
- Knaak S, Mantler E, Szeto A. Mental illness-related stigma in healthcare. Healthcare Management Forum. 2017;30(2):111–6.
- Disaster technical assistance center supplemental research bulletin: Behavioral health concerns, emergency response, and trauma. Rockville: Substance Abuse and Mental Health Services Administration; 2018.https://www.samhsa.gov/sites/default/files/dtac/supplementalresearchbulletin-firstresponders-may2018.pdf
- Hobfoll SE, Watson P, Bell CC, Bryant RA, Brymer MJ, Friedman MJ, et al. Five essential elements of immediate and mid–term mass trauma intervention: Empirical evidence. Psychiatry: Interpersonal and Biological Processes. 2007;70(4):283–315.
- Stuart H. Reducing the stigma of mental illness. Global Mental Health. 2016;3.