シンポジウム：Disaster and M ental Health

第159回日本精神神経学会総会

シ ⃞ン ⃞ポ ⃞ジ ⃞ウ ⃞ム⃞

Proﬁle and Related Factors of Psychiatric Problems amongVictims and Survivors of Jogja Earthquake
Isa M ultazam Noor, MD（Faculty of M edicine & Health Sciences Syarif Hidayatullah
the State Islamic University）― We are built for disasterWitkin（2001）
WHO （learning from todayʼs disasters fortomorrowʼs hazards）

The age was between 10‑85 years.
On the other hand, fear of mountain Merapi eruption and rumour of tsunami worsen theanxiety and panic attack of people after Jogja

The summary of free paper presentation

earthquake. This situation put them in con-

The data of this descriptive study showedstant instability and insecurity. Three suicidethat psychiatric problems on the victims andcases of the survivors were reported in Jogja-

survivors author found through hospital refer-karta after the earthquake（2 cases by hanging

rals consisted of acute stress reaction（82%）,

and 1 case by plunge into well）. The author

adjusted disorder with mixed type（13%）andfound that rescue workers at camp also had

depression（5%）. Most of the survivors experi-

psychological distress and 1 volunteer wasenced excessive fear and anxiety after thetreated in psychiatric ward because of depres-earthquake. Many of them were showing thesion.

symptoms of fear,anxiety,confusion,disorgan-

The culture of “nrimo”（submission） is

ized thinking, waking up at night because of

coping mechanism about half of victims anddreams about the eathquake,ﬂashes,over reac-survivors used post Jogja Eartquake.

tion to shocking things, fear of return to theircoping skill is veryhelpful to religious activities

home, fear of the earthquake, fear of staying

which support recovery of psychosocial condi-

inside buildings, restlessness, palpitation, andtion. The pattern of kinship in Javanese com-behavioural and emotional changes in children

munity is also useful to survivors recovery.

and adults.

That factor had strong inﬂuence on fulﬁlling

Based on the medical record of the patientsThissocial support.

who were hospitalized at Dr Sardjito hospital

Monitoring of 28 days with psychophar-from 2nd to 20th of June 2006,it was found thatmacological support showed these results: 4145 patients experienced psychological distress.

respondents were psychologicaly recovered andWe found that 55% of the patients came from4 respondents were still having psychiatricBantul and 45% came from other regions, ofsymptoms, such as anxiety, pessimism, sleep

whom 18% were men and 82% were women.

disorder,and somatic symptoms（dizziness）onPowered by TCPDF (www.tcpdf.org)

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精神経誌（2010）112 巻 2 号

the follow up within 24 days after the earth-should be emphasized like as psychological ﬁrst

quake. Within 16th day,71% respondents wereaid by primary health care channel. Presence

physically and psychologically recovered,whileof psychiatric morbidity in victims and survi-

20% were recovered after 16th day,and 9% stillvors depends on provision of mental healthshowed some symptoms on the last follow up.

services in community. It is very important to

The psychopharmaceuticals used were ﬂuox-

understand the characteristics of the communi-etine, alprazolam, and lorazepam. Generally,

ty aﬀected by the disaster before performing

Jogjakartaʼ
s people had good resiliance andpsychosocial interventions.

mental strength by social life in an extended

solving psychiatric problems among victims

kinship（family）system.

and survivors in disaster areas should he adjust-Based on the explanation above, psychiatric problems in the aftermath of disasters

Intervention fored owing to cultural diﬀerences.