Exploring the effect of life change and community resources on psychological symptoms and quality of life in the aftermath of Taiwan gas explosion in Kaohsiung

Autor: Kao, Cheng-Yang, 高晟洋
Rok vydání: 2019
Druh dokumentu: 學位論文 ; thesis
Popis: 107
Based on the past studies in 921 earthquake in Taiwan, the psychological adjustment in the aftermath of 921 earthquake was affected by peritramatic factor, exposure level, and posttraumtic factor, resources loss or life changes. According to the community resources theory formulated by Norris et al. (2008), community resources, including economic development, social capital, community capacity, information and communication, are adaptive capacities which can be networked and contribute to community resilience after a disaster strikes, improving community residents’ psychological adjustment. The main purpose of present study is to investigate how disaster exposure level, daily life change or interpersonal relationship change, and community resources affect the psychological adjustment one year after Kaohsiung Gas Explosion Accident in Taiwan, July 31st, 2014. The residents dwelling around explosion-stricken area, especially LingYa and QuianZhen district, were interviewed and surveyed by Disaster Exposure Level, Life Chang, Disaster Risk Inventory, Disaster-related Psychological Screening Test and MOS SF-12 ( N=416 ). The study finds that for the residents under higher exposure level, better changes in daily life could significantly predict better psychological adjustment, but for the residents with elevated community resources, no significant improvement in psychological adjustment for those with worse or better changes in daily life. Instead, for those both under lower exposure level and with more community resources, better changes in life significantly predicts higher post-traumatic stress symptoms. Exposure level, community resources and interpersonal relationship change have no significant interaction effect on psychological adjustment. However, better changes in life could buffer disaster exposure effect on depressive symptoms and physical health, one indicator of QoL, as well as better changes in interpersonal relationship. More community resources can significantly predict better mental health, an indicator of QoL, only if the life changes better. Finally, results in the present study are discussed with theories of community resources and other researches on post-disaster mental health, and it is pointed out that the mobilization of community resources may form psychological burden on residents, which may worsen one’s posttraumatic stress symptoms. It is concluded that community resources could improve residents’ psychological adjustment better through all residents’ collective actions and interaction between residents and the community resources. Moreover, compared to studies in 921 earthquake, better changes in daily life and interpersonal relationship could protect psychological adjustment from disaster exposure effect. Disaster exposure in Gas Explosion still harms resident’s psychological adjustment one year after the accident.
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