Positive emotions in earthquake survivors in El Salvador (2001)

https://doi.org/10.1016/j.janxdis.2004.03.002Get rights and content

Abstract

The purpose of this study was to analyze, within a more extensive intervention program, the existence of positive emotions and positive coping in the refugees at the two largest shelters created after the earthquakes of El Salvador in January, 2001. One hundred and fifteen survivors were interviewed in the shelters about different aspects related to positive cognitions and emotions experienced during their sojourn at the camps, as well as their perception of aspects of posttraumatic growth. The results show that most of the people affected by the earthquake revealed a consistent pattern of positive reactions and emotions. The potential implications of these results in the individual sphere, as buffering elements to protect people from the effects of a traumatic experience receive comment.

Introduction

According to the World Disasters Report (IFRC-RCS, 2002) in 2001, approximately 170 million people were affected by natural disasters, catastrophes, and wars. Natural disasters were responsible for the death of 665,598 persons between 1991 and 2000, and 39,073 people were reportedly killed by disasters in 2001. The majority of persons affected by disasters live in countries from the southern hemisphere, which suggests that the increase in disasters is related not only to geographic vulnerability factors, but essentially to socioeconomic factors. In fact, on average 13 times more people die due to disasters in poor countries than in developed countries (IFRC-RCS, 2002).

It has been suggested that, natural disasters probably do not have such undesirable consequences as do traumatic events caused by humans (e.g., wars, interpersonal violence, homicides, etc.), because natural disasters do not have a component of intentionality in the damage produced, which may shatter people’s core life assumptions about a just and predictable world (Janoff-Bulman, 1992). However, natural events may have devastating consequences in another sense. For example, their typically sudden and unexpected occurrence could foment the psychological conditions of helplessness and vulnerability (Weaver & Clum, 1996). In addition, the losses that these events cause are usually multiple in an individual sense (loss of home, belongings, work, and even of loved ones) as well as in a collective sense (destruction of the social framework, community destructuring, loss of mutual support networks, etc.), with their associated mourning processes (Eisenbruch, 1991; Martı́n-Beristain, Dona, Páez, Pérez-Sales, & Fernández, 2000).

Section snippets

Life events, psychopathology, and resilience

Much of the current literature concerning the psychological consequences of traumatic events has focused on the concept of posttraumatic stress disorder (PTSD). Studies of the general population indicate a lifetime prevalence of “traumatic events” in more than 50% (Breslau, Davis, & Andreski, 1995). Taking into account that the estimated lifetime prevalence of PTSD is only 1–3% in the general population (5–15%, if the less severe forms are included)—Kessler (2000)—it is evident that research

Sample

The interviews were carried out with a random sample, stratified by sex, group, and shelter (the Cafetalón vs. Santa Gertrudis). Interviews were performed with 115 persons from the Cafetalón (63) shelter and the Santa Gertrudis shelter (52). Their age ranged from 18 to 72. Forty-two percent of the participants were men (M=37.7, S.D.=17.3).

Participants were selected through a random process consisting of interviewing every adult in one of every three tents in both camps. To avoid sampling biases

Procedure

The interviews were performed by a team of six people from the Department of Psychology of the José Simeón Cañas University, supervised by one of the authors (P.C.), and by psychologists from El Salvador who belonged to the Doctors Without Frontiers-Holland organization, and who were actually working in the shelters. All interviews were carried out between April 4 and 6, 2001 and the approximate duration of each interview was 45 min. There was an 8% rejection rate.

The interviewer began by asking

Results

In this section, we present the combined data from the users of the two shelters (Table 1), who, with the exception of the item about recalling some moment of happiness, revealed no statistically significant differences in any of the remaining items about positive aspects related to the disaster experience. Nor were there significant differences regarding sex and age in the composition of the samples from both shelters. Lastly, all the combined results of both shelters were analyzed by sex and

Discussion and comments

We believe these results should be discussed within the context of the theoretical framework of homeostatic emotional regulation, according to which, after an important vital event has occurred, people start to use active strategies to reestablish their emotional well-being. For example, according to the dynamic equilibrium model (Headey & Wearing, 1992), everyone has a set-point in subjective well-being, to which they try to return via regulatory strategies every time it is interrupted by an

Conclusions

Despite the scarcity of research on psychological resistance mechanisms, Folkman and Moskowitz (2000) have hypothesized that there are three types of coping that may be effective to generate positive emotions when experiencing adverse life events: (a) positive reappraisal, (b) problem-focused coping, and (c) lending positive meaning to ordinary life events. A closer look at the results of our study may show that, even in extraordinarily difficult circumstances, these mechanisms seem to operate,

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