{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:41:46Z","timestamp":1792604506647,"version":"4.5.0"},"reference-count":45,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2011,11,10]]},"published-print":{"date-parts":[[2011]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To study short- and long-term effects of experiencing a disaster in repatriated injured survivors and the differential effect of injury, need for medical treatment, loss of loved ones and danger to life on both physical and mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective online study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Open online survey among Dutch survivors of the 2004 Asian tsunami.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Of the estimated total of 464 Dutch survivors, the authors recruited 144 unique respondents (59 men and 85 women) with a total of 175 assessments made in various time periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Health outcomes were Symptom Checklist 90 (SCL-90), Impact of Event Scale (original version, in Dutch) and Beck Depression Inventory II. Correlations were calculated with socio-demographic as well as disaster-related factors: physical injury, medical care, loss of loved ones and duration of threat to life. Assessments were clustered in four post-disaster time periods (0\u20133, 4\u20136, 7\u201330 and 31\u201348\u2005months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across these periods, SCL-90 scores were significantly higher than the reference population (p&lt;0.001), with a significant linear downward trend between the groups over time (p=0.001). The same pattern occurred for the Impact of Event Scale (p&lt;0.001) and the Beck Depression Inventory II (p=0.002). Physical injury, medical care or loss of loved ones was not associated with higher total SCL-90 scores or somatic subscores. Both duration of threat to life and female sex were correlated with all measured outcome parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Exposure to the 2004 Asian tsunami had significant short- and long-term impacts on health complaints in a group of repatriated Dutch tsunami victims. Cross-sectionally, there was a trend towards recovery over 4\u2005years, although 22% still reported high psychological and physical distress 4\u2005years post-disaster. Duration of danger to life and female sex were associated with more physical and mental health complaints. In this study, neither disaster-related injury nor loss of loved ones resulted in negative health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2011-000248","type":"journal-article","created":{"date-parts":[[2011,12,21]],"date-time":"2011-12-21T00:02:37Z","timestamp":1324425757000},"page":"e000248","source":"Crossref","is-referenced-by-count":11,"title":["Disaster-related injury and predictors of health complaints after exposure to a natural disaster: an online survey"],"prefix":"10.1136","volume":"1","author":[{"given":"Geertruid M H","family":"Marres","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke P H","family":"Leenen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolanda","family":"de Vries","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul G H","family":"Mulder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Vermetten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2011,12,20]]},"reference":[{"key":"2025120520371815000_1.2.e000248.1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1007814301369"},{"key":"2025120520371815000_1.2.e000248.2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.181.5.433"},{"key":"2025120520371815000_1.2.e000248.3","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1017\/S0033291707001353","article-title":"Post-traumatic stress disorder following disasters: a systematic review","volume":"38","author":"Neria","year":"2008","journal-title":"Psychol Med"},{"key":"2025120520371815000_1.2.e000248.4","doi-asserted-by":"publisher","DOI":"10.1521\/psyc.65.3.207.20173"},{"key":"2025120520371815000_1.2.e000248.5","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxi003"},{"key":"2025120520371815000_1.2.e000248.6","unstructured":"Survey USG. 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