Post-Traumatic Stress and Joint Hypermobility Syndrome Among Children and Adolescents in Selected Schools of Nepal after the 2015 Earthquakes

Posted: 24 Aug 2022

See all articles by Cristian-Daniel Llach López

Cristian-Daniel Llach López

University of Barcelona - Institute of Neuroscience

Guillem Pailhez

Autonomous University of Barcelona

Carla Conejo-González

Catalunya La Pedrera Foundation

Pradip Man Singh

Nepal Medical College

Antoni Bulbena

Autonomous University of Barcelona

Abstract

A substantial body of literature has traditionally addressed the connection between the exposure to catastrophic events and the development of post-traumatic stress disorder (PTSD). However, little is known about its prevalence and risk factors. The data of this study were collected 4 months after the 2015 earthquakes in Nepal, with the aim of providing new evidence to the field and documenting a new potential predisposing factor: the joint hypermobility syndrome (JHS). 941 subjects from three different regions of the country, aged 8-18 years, were assessed with self-completed questionnaires. PTSD was analysed considering three sub-dimensions: the severity of symptoms, functional impairment, and both taken together. The severity of symptoms was predicted by the distance to the epicentre. Females showed more severe symptomatology, but conversely a lower perturbation in the daily functioning. Younger children reported a more severe functional impairment. JHS group was significantly more prone to suffer from severe PTSD symptoms. The influence of the analysed predisposing factors in the development of PTSD is discussed. Especially, the connection between JHS and PTSD is described with reference to the neuroconnective endophenotype. It might be useful to consider the role of each variable when planning a mass intervention after a disaster.

Note:

Funding Information: The main financial support for the conduct of the research was provided by Amics del Nepal (AN, https://www.amicsnepal.org/en/home/), a non-governmental organization based in Barcelona, Spain.

Declaration of Interests: The authors declare no competing interests.

Ethics Approval Statement: Approval to conduct the study was obtained from the competent Ethical Committee, the Nepal Health Research Council (NHRC).

Keywords: PTSD, Joint Hypermobility Syndrome, Nepal, Earthquake, Children, Adolescents

Suggested Citation

Llach López, Cristian-Daniel and Pailhez, Guillem and Conejo-González, Carla and Singh, Pradip Man and Bulbena, Antoni, Post-Traumatic Stress and Joint Hypermobility Syndrome Among Children and Adolescents in Selected Schools of Nepal after the 2015 Earthquakes. Available at SSRN: https://ssrn.com/abstract=4193333

Cristian-Daniel Llach López (Contact Author)

University of Barcelona - Institute of Neuroscience ( email )

Guillem Pailhez

Autonomous University of Barcelona ( email )

Carla Conejo-González

Catalunya La Pedrera Foundation ( email )

Pradip Man Singh

Nepal Medical College ( email )

Nepal

Antoni Bulbena

Autonomous University of Barcelona ( email )

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