Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. "Cordon managers may wish to provide flexibility in cordon access if deemed safe to do so," says Dr. Orchiston. When comparisons were made with similar large district health boards, the magnitudes of the differences were moderate to very large. International Journal of Environmental Research and Public Health. The inclusion of two time periods following the onset of the earthquake sequence meant a temporal gradient could be considered. The epicentre was 6 miles South East of Christchurch and the focus was very shallow at 3.1 miles. This study's strengths were its ability to make comparisons with a pre‐earthquake period. As a consequence, any conclusions regarding their findings must be regarded as tentative. The majority of high‐quality studies also made repeated measures in order to delineate effects over time. No meta‐analysis was planned or undertaken given the expected heterogeneity of included studies. The quake was centred 10km south-east of the city at a depth of 5km. Despite this, average levels of depression, stress and anxiety remained within the normal range. There were significant quality limitations to this paper including the lack of appropriate controls, the heavily modified form of the rating scales, and the different time periods evaluated following the earthquakes. The overall sample had prevalence rates of 41% for acute stress, 38% depression, and 43% for anxiety. This study was limited by lack of randomisation, lack of placebo treatment for the control group, the short follow‐up period, and a long period between baseline and Time 1 assessments. The authors have stated they have no conflict of interest. 1. There are relative gaps in knowledge on longer‐term outcomes and outcomes for child and old age populations. Any disagreement regarding papers for inclusion was resolved by consensus discussion focusing on the eligibility criteria. This study constituted a large sample of earthquake‐affected individuals but the response rate of 23% and the lack of pre‐earthquake measures limited the degree to which results could be generalised to the community of interest. This was a longitudinal study that allowed pre‐existing trends to be differentiated from post‐disaster trends. Let them know! This document is subject to copyright. 8. 6. Christchurch Earthquake Case Study. The help‐seeking nature of the sample means rates of probable PTSD cannot be generalised to the general population. The Christchurch cathedral was toppled over and demolished from the earthquake on Feb 22, 2011.
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