Authors: Vinita Sharma; Bruce Lubotsky Levin; Guitele J. Rahill; Julie A. Baldwin; Aditi Luitel; Stephanie L. Marhefka · Research
How Do Major Earthquakes Impact Young People's Mental Health Years Later?
Study explores the long-term mental health effects of earthquake exposure on college students in Nepal
Source: Sharma, V., Levin, B. L., Rahill, G. J., Baldwin, J. A., Luitel, A., & Marhefka, S. L. (2021). Post-earthquake Self-Reported Depressive Symptoms and Post-Traumatic Stress Disorder and their Correlates among College-Youths in Kathmandu, Nepal. Psychiatric Quarterly, 92(4), 1595-1609.
What you need to know
- Four years after experiencing major earthquakes, over 40% of college students showed signs of depression and nearly 20% exhibited PTSD symptoms
- Greater exposure to earthquake-related trauma was linked to higher rates of both depression and PTSD
- Having complicated romantic relationships increased risk for mental health challenges in this cultural context
The Long Shadow of Natural Disasters
When a major natural disaster strikes, the immediate focus is often on physical injuries and property damage. But what about the invisible wounds that can affect survivors’ mental health for years to come? This question is particularly important for young people, who may be especially vulnerable during their formative years.
The Nepal Earthquake Study
In 2015, Nepal experienced devastating earthquakes that caused widespread destruction and loss of life. To understand the long-term psychological impact, researchers surveyed 125 college students in Kathmandu four years after the earthquakes. They looked at how different levels of earthquake exposure - from witnessing tragic scenes to losing family members - related to ongoing mental health challenges.
Key Findings
The results revealed concerning rates of mental health issues among these young survivors. Over 43% showed signs of depression, while about 19% exhibited symptoms of PTSD. Importantly, there was a clear connection between the extent of earthquake exposure and mental health outcomes - for each additional unit of exposure measured, the odds of having both depression and PTSD increased by 26%.
The Role of Social and Cultural Factors
An interesting finding emerged around romantic relationships. Students who described their romantic situation as “complicated” were more likely to experience both depression and PTSD. This makes sense in the context of Nepal’s conservative social norms, where premarital relationships are often stigmatized and inter-caste relationships can create significant stress.
What This Means for You
If you or someone you know has lived through a natural disaster:
- Understand that psychological effects can persist long after physical recovery
- Don’t dismiss ongoing feelings of depression or anxiety as something you should “be over by now”
- Be aware that relationship stress can compound trauma-related mental health challenges
- Seek professional help if you’re struggling - it’s never too late to get support
- Pay special attention to young people’s mental health needs in the years following disasters
Conclusions
- Natural disasters can have lasting psychological impacts, particularly on young people during their developmental years
- Mental health support and screening should be a long-term priority after disasters, not just an immediate response
- Cultural and social contexts play important roles in how trauma affects mental health outcomes
- Prevention and early intervention programs should consider both disaster exposure and ongoing life stressors