Objective: The nature of disaster research makes it difficult to adequately measure the impact that significant events have on a population. Large, representative samples are required, ideally with comparable data collected before the event. When Christchurch, New Zealand, was struck by multiple, devastating earthquakes, there presented an opportunity to investigate the effects of dose-related quakes (none, one, two or three over a 9-month period) on the cognition of Canterbury’s elderly population through the New Zealand Brain Research Institute’s (NZBRI’s) cognitive screening study. The related effects of having a concomitant medical condition, sex, age and estimated- full scale IQ (Est-FSIQ) on cognition were also investigated. Method: 609 participants were tested on various neuropsychological tests and a self-rated dementia scale in a one hour interview at the NZBRI. Four groups were established, based on the number of major earthquakes experienced at the time of testing: “EQ-dose: None” (N = 51) had experienced no quakes; “EQ-dose: One” (N = 193) had experienced the initial quake in September 2010; “EQ-dose: Two” (N = 82) also experienced the most devastating February 2011 quake; and “EQ-dose: Three” (N = 265) also the June 2011 quake at testing. Results: Two neuropsychological variables of Trail A and the AD8 were impacted by an EQ-dose effect, while having a medical condition was associated with poorer function on the MoCA, Rey Copy and Recall, Trail A, and AD8. Having a major medical condition led to worse performance on the Rey Copy and Recall following the major February earthquake. Males performed significantly better on Trail A and Rey Planning, while females better on the MoCA. Older participants (>73) had significantly lower scores on the MoCA than younger participants (<74), while those with a higher Est-FSIQ (>111) had better scores on the MoCA and Rey Recall than participants with a lower Est-FSIQ. Finally, predicted variable analysis (based on calculated, sample-specific Z-scores) failed to find a significant earthquake effect when variables of age, sex and Est-FSIQ were controlled for, while there was a significant effect of medical condition on each measure. Conclusion: The current thesis provides evidence suggesting resilience amongst Canterbury’s elderly population in the face of the sequence of significant quakes that struck the region over a year from September 2010. By contrast, having a major medical condition was a ‘more significant life event’ in terms of impact on cognition in this group.
Picture this, you are relaxing at home enjoying the afternoon sun. It is another beautiful Christchurch day in late 2017. There is a knock at the door, you’ve been expecting it. It is a member of the Christchurch Health and Development Study, here to conduct your prearranged interview. The interview request did not come as a surprise of course, you have been participating in these interviews yourself sporadically throughout your adult life, and prior to that you attended many alongside your parents. In fact, you have been answering the studies interview your whole life. Transcripts of these interviews sit in the studies database alongside copies of school reports, health records and a wealth of other information. It has been this way since birth, since your mother was approached back in 1977, not long after you had arrived in this world, and asked if she would consent to participating in the study. She, along with many other Cantabrian new mothers from that year, agreed and the Christchurch Health and Development Study was born. Since then, these interviews have become a matter of routine for you. As life went on many things changed, but one thing that was constant was the sporadic visit from an interviewer of the study. The current interview is a little different from most of the others, however. Last time an interviewer visited in 2012, you were asked if you would like to conduct an earthquake-specific interview, you agreed. This time, the same question was asked. Why? Well because you were there that day of course. The day of the 22nd February 2011 when a major earthquake struck Canterbury. You were there in the centre of the city as buildings came crashing down and people ran for safety. You were there for the chaos. Your knee dully aches, it never did quite heal properly and strangely seems to flare up whenever you think back to that day. A lasting reminder. It is a difficult subject, but you agree to the second earthquake-specific interview. You understand the purpose of the study, and the value of the data collected. You take a sip of the cup of tea politely made upon the interviewer’s arrival, lean back into the comfort of your couch and cast your mind back to that fateful day. So, what does this study mean? Why still participate, all these years later? Over time it has become more apparent as to how valuable this information could be, considering all the experiences through the life course, and to think of the experiences that others in the cohort have had too. How differently have events affected people from all walks of life, who just so happened to be born within the same few months. We can use the data from this study to better understand situations when using life course characteristics which can hopefully influence decision making and population health within New Zealand.
