A copy of the CanCERN online newsletter published on 2 March 2012
A copy of the CanCERN online newsletter published on 22 December 2012
A copy of the CanCERN online newsletter published on 16 December 2011
A copy of the CanCERN online newsletter published on 5 November 2011
A copy of the CanCERN online newsletter published on 14 October 2011
A copy of the CanCERN online newsletter published on 2 September 2011
A copy of the CanCERN online newsletter published on 30 September 2011
A copy of the CanCERN online newsletter published on 9 September 2011
A copy of the CanCERN online newsletter published on 16 September 2011
A copy of the CanCERN online newsletter published on 26 August 2011
A copy of the CanCERN online newsletter published on 6 October 2011
A copy of the CanCERN online newsletter published on 27 January 2012
A copy of the CanCERN online newsletter published on 23 September 2011
A copy of the CanCERN online newsletter published on 28 October 2011
A copy of the CanCERN online newsletter published on 24 August 2012
A copy of the CanCERN online newsletter published on 25 January 2013
A copy of the CanCERN online newsletter published on 23 November 2012
A copy of the CanCERN online newsletter published on 11 January 2013
A copy of the CanCERN online newsletter published on 15 November 2012
A copy of the CanCERN online newsletter published on 14 September 2012
A copy of the CanCERN online newsletter published on 21 November 2012
A copy of the CanCERN online newsletter published on 19 October 2012
A copy of the CanCERN online newsletter published on 31 August 2012
A copy of the CanCERN online newsletter published on 26 October 2012
A copy of the CanCERN online newsletter published on 18 January 2013
A copy of the CanCERN online newsletter published on 30 November 2012
People who've bought houses in Canterbury since the September 2010 earthquake and are still battling with insurance companies over repairs, have been told that if they want to take the matter to court, today is their last chance. Earthquake claims specialist Lisa Taylor from the law firm Anthony Harper joins us.
While it is well known that challenging and distressing events can negatively impact people’s psychological and physical state, increasingly researchers have investigated how challenging or stressful life circumstances can lead to the phenomenon of posttraumatic growth: positive psychological or life changes that can emerge from potentially traumatic events. Posttraumatic growth has been investigated primarily with people displaying varying levels of posttraumatic stress symptoms and other psychopathology due to theories suggesting that resilience would prohibit posttraumatic growth. Few studies have examined growth amongst resilient people. The current study examined posttraumatic growth in a sample of sixty psychologically healthy people who experienced the Canterbury earthquake sequence of 2010-2011. The current study is a follow-up study that used thematic analysis to explore: (1) Whether posttraumatic growth is evident nine years after the Canterbury earthquake sequence and approximately six years after baseline assessment; and (2) What themes may facilitate the posttraumatic growth process in psychologically healthy people. Data were collected using semi-structured interviews. Thematic analysis revealed four themes describing participants’ experiences of growth: New possibilities, reappraisal of life and priorities, positive changes in self-perception and closer more meaningful relationships. Themes describing posttraumatic growth provide evidence for research question one. Thematic analysis revealed three main themes and multiple subthemes that may facilitate the process of growth in psychologically healthy people: Hardship, optimistic positive appraisal and people helping people. Themes describing processes that may lead to growth provide evidence for research question two. Results of the current study provide insights about the experience of growth in psychologically healthy people and cognitive and psychosocial factors that may facilitate growth in resilient individuals.
Natural hazard disasters often have large area-wide impacts, which can cause adverse stress-related mental health outcomes in exposed populations. As a result, increased treatment-seeking may be observed, which puts a strain on the limited public health care resources particularly in the aftermath of a disaster. It is therefore important for public health care planners to know whom to target, but also where and when to initiate intervention programs that promote emotional wellbeing and prevent the development of mental disorders after catastrophic events. A large body of literature assesses factors that predict and mitigate disaster-related mental disorders at various time periods, but the spatial component has rarely been investigated in disaster mental health research. This thesis uses spatial and spatio-temporal analysis techniques to examine when and where higher and lower than expected mood and anxiety symptom treatments occurred in the severely affected Christchurch urban area (New Zealand) after the 2010/11 Canterbury earthquakes. High-risk groups are identified and a possible relationship between exposure to the earthquakes and their physical impacts and mood and anxiety symptom treatments is assessed. The main research aim is to test the hypothesis that more severely affected Christchurch residents were more likely to show mood and anxiety symptoms when seeking treatment than less affected ones, in essence, testing for a dose-response relationship. The data consisted of mood and anxiety symptom treatment information from the New Zealand Ministry of Health’s administrative databases and demographic information from the National Health Index (NHI) register, when combined built a unique and rich source for identifying publically funded stress-related treatments for mood and anxiety symptoms in almost the whole population of the study area. The Christchurch urban area within the Christchurch City Council (CCC) boundary was the area of interest in which spatial variations in these treatments were assessed. Spatial and spatio-temporal analyses were done by applying retrospective space-time and spatial variation in temporal trends analysis using SaTScan™ software, and Bayesian hierarchical modelling techniques for disease mapping using WinBUGS software. The thesis identified an overall earthquake-exposure effect on mood and anxiety symptom treatments among Christchurch residents in the context of the earthquakes as they experienced stronger increases in the risk of being treated especially shortly after the catastrophic 2011 Christchurch earthquake compared to the rest of New Zealand. High-risk groups included females, elderly, children and those with a pre-existing mental illness with elderly and children especially at-risk in the context of the earthquakes. Looking at the spatio-temporal distribution of mood and anxiety symptom treatments in the Christchurch urban area, a high rates cluster ranging from the severely affected central city to the southeast was found post-disaster. Analysing residential exposure to various earthquake impacts found that living in closer proximity to more affected areas was identified as a risk factor for mood and anxiety symptom treatments, which largely confirms a dose-response relationship between level of affectedness and mood and anxiety symptom treatments. However, little changes in the spatial distribution of mood and anxiety symptom treatments occurred in the Christchurch urban area over time indicating that these results may have been biased by pre-existing spatial disparities. Additionally, the post-disaster mobility activity from severely affected eastern to the generally less affected western and northern parts of the city seemed to have played an important role as the strongest increases in treatment rates occurred in less affected northern areas of the city, whereas the severely affected eastern areas tended to show the lowest increases. An investigation into the different effects of mobility confirmed that within-city movers and temporary relocatees were generally more likely to receive care or treatment for mood or anxiety symptoms, but moving within the city was identified as a protective factor over time. In contrast, moving out of the city from minor, moderately or severely damaged plain areas of the city, which are generally less affluent than Port Hills areas, was identified as a risk factor in the second year post-disaster. Moreover, residents from less damaged plain areas of the city showed a decrease in the likelihood of receiving care or treatment for mood or anxiety symptoms compared to those from undamaged plain areas over time, which also contradicts a possible dose-response relationship. Finally, the effects of the social and physical environment, as well as community resilience on mood and anxiety symptom treatments among long-term stayers from Christchurch communities indicate an exacerbation of pre-existing mood and anxiety symptom treatment disparities in the city, whereas exposure to ‘felt’ earthquake intensities did not show a statistically significant effect. The findings of this thesis highlight the complex relationship between different levels of exposure to a severe natural disaster and adverse mental health outcomes in a severely affected region. It is one of the few studies that have access to area-wide health and impact information, are able to do a pre-disaster / post-disaster comparison and track their sample population to apply spatial and spatio-temporal analysis techniques for exposure assessment. Thus, this thesis enhances knowledge about the spatio-temporal distribution of adverse mental health outcomes in the context of a severe natural disaster and informs public health care planners, not only about high-risk groups, but also where and when to target health interventions. The results indicate that such programs should broadly target residents living in more affected areas as they are likely to face daily hardship by living in a disrupted environment and may have already been the most vulnerable ones before the disaster. Special attention should be focussed on women, elderly, children and people with pre-existing mental illnesses as they are most likely to receive care or treatment for stress-related mental health symptoms. Moreover, permanent relocatees from affected areas and temporarily relocatees shortly after the disaster may need special attention as they face additional stressors due to the relocation that may lead to the development of adverse mental health outcomes needing treatment.
A photograph of an earthquake-damaged bridge over the Kaiapoi River.