Posttraumatic Stress Disorder and Mental Distress Following the 2004 and 2005 Florida Hurricanes
| Autor: | Robert J. Ursano, Carol S. Fullerton, Leming Wang, Holly B. Herberman Mash, Joshua C. Morganstein |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Psychometrics Logistic regression Affect (psychology) Stress Disorders Post-Traumatic 03 medical and health sciences Mental distress Surveys and Questionnaires Humans Medicine 0501 psychology and cognitive sciences Socioeconomic status Aged 0303 health sciences Cyclonic Storms business.industry 05 social sciences Public Health Environmental and Occupational Health 030311 toxicology Middle Aged Mental health Collective efficacy Posttraumatic stress Distress Logistic Models Florida Quality of Life Female business Stress Psychological 050104 developmental & child psychology Demography |
| Zdroj: | Disaster Medicine and Public Health Preparedness. 13:44-52 |
| ISSN: | 1938-744X 1935-7893 |
| DOI: | 10.1017/dmp.2018.153 |
| Popis: | ObjectiveCommunity characteristics, such as perceived collective efficacy, a measure of community strength, can affect mental health outcomes following disasters. We examined the association of perceived collective efficacy with posttraumatic stress disorder (PTSD) and frequent mental distress (14 or more mentally unhealthy days in the past month) following exposure to the 2004 and 2005 hurricane seasons.MethodsParticipants were 1486 Florida Department of Health workers who completed anonymous questionnaires that were distributed electronically 9 months after the 2005 hurricane season. Participant ages ranged from 20 to 79 years (mean, 48; SD, 10.7), and the majority were female (79%), white (75%), and currently married (64%). Fifty percent had a BA/BS degree or higher.ResultsIn 2 separate logistic regression models, each adjusted for individual sociodemographics, community socioeconomic characteristics, individual injury/damage, and community storm damage, lower perceived collective efficacy was significantly associated with a greater likelihood of having PTSD (OR, 0.93; 95% CI, 0.90-0.96), and lower collective efficacy was significantly associated with frequent mental distress (OR, 0.94; 95% CI, 0.92-0.96).ConclusionsPrograms enhancing community collective efficacy may be a significant part of prevention practices and possibly lead to a reduction in the rate of PTSD and persistent distress postdisaster. (Disaster Med Public Health Preparedness. 2019;13:44–52). |
| Databáze: | OpenAIRE |
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