Epidemiologic Reviews Copyright © 2005 by the Johns Hopkins Bloomberg School of Public Health All rights reserved
ARTICLES |
Medically Unexplained Physical Symptoms in the Aftermath of Disasters
1 National Institute for Public Health and the Environment, Bilthoven, the Netherlands
2 Institute of Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands
3 Netherlands Institute for Health Services Research, Utrecht, the Netherlands
Correspondence to Bellis van den Berg, P.O. Box 1, Postbak 10, 3720 BA Bilthoven, the Netherlands (e-mail: bellis.van.den.berg@rivm.nl).
Received for publication September 2, 2004; accepted for publication December 27, 2004.
MUPS, medically unexplained physical symptoms
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INTRODUCTION |
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Many studies have examined the health problems among survivors of disasters, showing that the most frequently reported symptoms after disasters are mental health problems, such as posttraumatic stress symptoms, depression, and anxiety (1
, 2).
In the last decade, the Netherlands was struck by a few national disasters. On October 4, 1992, an El Al Boeing 747 airplane crashed into two apartment buildings in an Amsterdam suburb. Six years after the airplane crash, a study of the health effects of the crash was conducted. This study showed that, in addition to mental health problems, physical symptoms were very prevalent among the survivors of the plane crash (3, 4). On May 13, 2000, a fireworks depot exploded in a residential area of the city of Enschede. The explosions and subsequent fire killed 22 people and injured over 900 people, and about 500 homes were severely damaged or destroyed.
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METHOD |
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RESULTS |
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What is the prevalence rate of MUPS among survivors of disasters at different points in time?
Percentages. Mean score. Course over time. Which factors are associated with MUPS among survivors of disasters?
Predisposing factors. Precipitating factors. Perpetuating factors.
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DISCUSSION |
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