Asrenee, Ab Razak
(2017)
Health and safety: vulnerable elderly: exploring the
psychological needs, mitigation behaviours and resilient in post disaster.
UNSPECIFIED thesis, UNSPECIFIED.
Abstract
The elderly are vulnerable to psychological sequels after disaster. In order to understand the disastrous on elderly psychological wellbeing, an exploratory mixed method research approach was employed in the worst htt area of
2014-Malaysian flood disaster. 156 elderly aged 60 and more, were interviewed with post flood survey, Malay Geriatric
Depression Scale (M-GDS15), Malay Impact Event Scale- Revised (M-IES-R) and WHOQoL-BREF. Three focus group
discussions were done to explore resilient factors. The quantitative data were analyzed using Pearson correlation and
multiple linear regression analysis and qualitative data with thematic analysis. Triangulation was done to generate final
resu~. Result showed 35.30% experienced traumatic stress, 41.29% depressive symptoms with 23.20% fulfilled criteria
for major depression. Depression was associated with low education level and no previous history with a flood. Younger
old age and sustained physical injury during flood were negative predictors for traumatic stress, and the duration of
involvement with flood predicts the behavioral distress. Majority (94.90%) perceived good QoL. Depression is
moderately correlated with post-traumatic stress (r = 0.342, p< 0.001 ), but negatively correlated with level of QoL in
physical wellbeing (r= -0.445, p< 0.001) and psychological status (r= -0.440, p< 0.001 ). Themes related to psychological
sequels were unpreparedness and low risk perception. The community cohesiveness and communal help emerged as
resilient themes strengthen the positive attitudes, emotion regulation and spirituality. Therefore the communal factors
are recommended to be empowered in the disaster preparedness measures.
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