Differential effect of Hurricane Sandy exposure on PTSD symptom severity: comparison of community members and responders
Autor: | Adam Gonzalez, Lucero Molina, Benjamin J. Luft, Emanuela Taioli, Kristin Bevilacqua, Rehana Rasul, Rebecca M. Schwartz, Samantha Schneider, Evelyn J. Bromet |
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Rok vydání: | 2019 |
Předmět: |
Community studies
Male Psychological intervention New York Poison control Suicide prevention Occupational safety and health Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Injury prevention Medicine Humans Survivors business.industry Cyclonic Storms Public Health Environmental and Occupational Health Symptom severity Emergency Responders Human factors and ergonomics Middle Aged 030227 psychiatry Female business 030217 neurology & neurosurgery Demography |
Zdroj: | Occupational and environmental medicine. 76(12) |
ISSN: | 1470-7926 |
Popis: | ObjectivesTo evaluate whether the association between Hurricane Sandy exposures and post-traumatic stress disorder (PTSD) symptom severity was greater for exposed community members compared with responders.MethodsData were analysed from three existing studies with similar methodologies (N=1648): two community studies, Leaders in Gathering Hope Together (n=531) and Project Restoration (n=763); and the Sandy/World Trade Center Responders Study (n=354). Sandy-related PTSD symptoms were measured using the PTSD checklist-specific traumatic event and dichotomised as elevated (>30) versus low/no (ResultsResponders were somewhat older (50.5 years (SD=8.3) vs 45.8 years (SD=20.0)), more likely to identify as white (92.4% vs 48.1%) and were male (90.7% vs 38.4%). Responders were less likely to have elevated PTSD symptoms than community members (8.6% vs 31.1%; adjusted OR=0.28, 95% CI 0.17 to 0.46). While exposure was significantly related to elevated PTSD status, the effects were similar for responders and community members.ConclusionsResponders appear to be more resilient to PTSD symptoms post-Sandy than community members. Understanding the mechanisms that foster such resilience can inform interventions aimed at populations that are more vulnerable to experiencing PTSD after natural disasters. |
Databáze: | OpenAIRE |
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