Clinical trial NCT04911933: Development of Mental Health Outcomes Following the 2020 Petrinja Earthquake
Official title: Development of Mental Health Outcomes Following the 2020 Petrinja Earthquake in Croatia: a Longitudinal Study
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Mental Health Disorder
Post Traumatic Stress Disorder
Depression
Anxiety
Panic Disorder
Keywords: disaster
earthquake
mental health
family therapy
resilience
social support
systemic psychotherapy
narrative psychotherapy
Lead sponsor: Neuropsychiatric Hospital dr Ivan Barbot
Sponsor class: OTHER
First posted: 2021-06-03
Enrollment: 350
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: On 29 December 2020, an earthquake struck Petrinja in Croatia. The aim of this study is to assesses prevalence of symptoms of posttraumatic stress disorder, depression, anxiety, and panic disorder among exposed inhabitants and examine the effect of family therapy on mental health as part of a public health emergency response and rapid assessment.

Detailed description: The strong earthquake measuring 6.4 on the Richter scale hit the area of Petrinja town in Croatia on December 29 2020, causing numerous casualties and widespread material damage. The maximum felt intensity was estimated at VIII (Heavily damaging) to IX (Destructive) on the European macroseismic scale, and it is the worst earthquake in Croatia in the last 140 years. Since the initial strong earthquake, the Petrinja area has been hit by numerous aftershocks, magnitudes ranging from 1.2 to 4.8 on the Richter scale, increasing distress of residents and contributing to further damage of houses and buildings. The earthquake and the constant aftershocks caused strong psychological and physiological reactions in children and adults directly affected as well as a large population of people living in the surrounding areas at the time when Croatia was facing a second "lockdown" during the COVID-19 pandemic.

As part of a public health emergency response, we conducted a rapid assessment among survivors in the most severely affected area by the earthquake. Findings from previous researches among survivors of natural disasters have been mixed in prevalence of mental health problems and treatments outcomes. The aim of this study is to assesses prevalence of symptoms of posttraumatic stress disorder, depression, anxiety, and panic disorder among exposed inhabitants and examine the effect of systemic family therapy on mental health during the first year following the earthquake. Qualitative methodology will be used to augment quantitative findings. The study sample consisted of 350 individuals residing in the earthquake area. Participants were selected from total number of patients requested psychological and psychiatric help during first two months after disaster. A follow up study will be conducted at 6 and 12 months to assess the change in their mental health status.

Eligibility criteria: Inclusion Criteria:

* People were in the earthquake area while it occured

Exclusion Criteria:

* People were not in the earthquake area while it occured

Primary outcomes:
measure: Post traumatic stress symptoms - Assessing change over time
timeFrame: baseline, 6 months, 12 months
measure: Depression and anxiety symptoms - Assessing change over time
timeFrame: baseline, 6 months, 12 months
measure: Panic disorder symptoms - Assessing change over time
timeFrame: baseline, 6 months, 12 months
Secondary outcomes:
measure: Resilience- Assessing change over time
timeFrame: baseline, 6 months, 12 months
measure: Social support - Assessing change over time
timeFrame: baseline, 6 months, 12 months
Other outcomes:
Locations:
city: Petrinja
country: Croatia
facility: Neuropsychiatric Hospital dr Ivan Barbot
Study officials:
affiliation: Neuropsychiatric Hospital dr Ivan Barbot
name: Dragan Puljic, MD
role: PRINCIPAL_INVESTIGATOR
References: