reference : Immediate and longer-term stressors and the mental health of Hurricane Ike survivors

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/report/usgcrp-climate-human-health-assessment-2016/chapter/mental-health-and-well-being/finding/exposure-weather-related-disasters-results-mental-health-consequences/reference/0acc2713-8395-425c-b4ff-9754b7257048
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reftype Journal Article
Abstract Previous research has documented that individuals exposed to more stressors during disasters and their immediate aftermath (immediate stressors) are at risk of experiencing longer-term postdisaster stressors. Longer-term stressors, in turn, have been found to play a key role in shaping postdisaster psychological functioning. Few studies have simultaneously explored the links from immediate to longer-term stressors, and from longer-term stressors to psychological functioning, however. Additionally, studies have inadequately explored whether postdisaster psychological symptoms influence longer-term stressors. In the current study, we aimed to fill these gaps. Participants (N = 448) were from population-based study of Hurricane Ike survivors and completed assessments 2-5 months (Wave 1), 5-9 months (Wave 2) and 14-18 months (Wave 3) postdisaster. Through path analysis, we found that immediate stressors, assessed at Wave 1, were positively associated with Wave 2 and Wave 3 stressors, which in turn were positively associated with Wave 2 and Wave 3 posttraumatic stress and depressive symptoms. Wave 2 posttraumatic stress symptoms were positively associated with Wave 3 stressors, and Wave 1 depressive symptoms were positively associated with Wave 2 stressors. The findings suggest that policies and interventions can reduce the impact of disasters on mental health by preventing and alleviating both immediate and longer-term postdisaster stressors.
Author Lowe, S. R.; Tracy, M.; Cerda, M.; Norris, F. H.; Galea, S.
DOI 10.1002/jts.21872
Date Dec
ISSN 1573-6598
Issue 6
Journal Journal of Traumatic Stress
Keywords Adult; Cyclonic Storms; Depression/*etiology/psychology; Female; Humans; Interviews as Topic; Male; Middle Aged; *Models, Psychological; Stress Disorders, Post-Traumatic/*etiology/psychology; Stress, Psychological/*psychology; Survivors/*psychology; Time Factors
Language eng
Notes 1573-6598 Lowe, Sarah R Tracy, Melissa Cerda, Magdalena Norris, Fran H Galea, Sandro K01 DA030449/DA/NIDA NIH HHS/United States P60 MH082598/MH/NIMH NIH HHS/United States P60MH082598/MH/NIMH NIH HHS/United States T32 MH013043/MH/NIMH NIH HHS/United States T32MH013043/MH/NIMH NIH HHS/United States Journal Article Research Support, N.I.H., Extramural United States J Trauma Stress. 2013 Dec;26(6):753-61. doi: 10.1002/jts.21872.
Pages 753-761
Title Immediate and longer-term stressors and the mental health of Hurricane Ike survivors
Volume 26
Year 2013
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.reference_type 0
_record_number 18128
_uuid 0acc2713-8395-425c-b4ff-9754b7257048