Post-traumatic stress symptomatology and displacement among Hurricane Harvey survivors
Post-traumatic stress symptomatology and displacement among Hurricane Harvey survivors
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DOI：
10.1016/j.socscimed.2020.113634
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发表时间：
2021-01-08
影响因子：
5.4
通讯作者：
Fitzpatrick, Kevin M.
中科院分区：
文献类型：
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作者：
Fitzpatrick, Kevin M.
遭受自然灾害会使个人遭受严重的身心健康后果。研究确定了一些重要的压力源，这些压力源对于确定什么可能加剧这种暴露风险以及哪些类型的社会/心理资源可能有助于减轻这些负面结果非常重要。本研究使用 2017 年 8 月飓风哈维在德克萨斯州墨西哥湾沿岸登陆两个月后采访的有针对性的成年人配额样本（n = 316），研究了脆弱性、压力源和资源的交叉点及其与创伤后应激症状的关系。该抽样群体的压力很高，超过四分之一的受访者报告症状足够严重，足以满足 PTSD 的临床病例标准。结果显示，不同类别的创伤后应激症状存在显着差异；年轻人、非白人和在风暴期间离开家园的人更有可能属于症状计数最高的类别。回归结果证实了双变量结果，并且正如假设的那样，压力源与受访者中较高的症状报告相关，而社会和心理资源与较低的症状报告相关。我们的研究是报告哈维灾后脆弱性、压力源和资源之间关系的唯一研究之一，我们的工作强调了确定谁处于危险之中、哪些因素可以潜在地减轻这种风险以及对于灾后需要心理健康服务的幸存者来说后果有多严重的重要性。显然，还需要做更多的工作，特别是在确定资源方面，以防止遭受自然灾害造成的巨大破坏和破坏。
Exposure to natural disasters predisposes individuals to significant physical and mental health consequences. Research identifies a number of stressors important to determining what might exacerbate this exposure risk, as well as what types of social/psychological resources might help mitigate these negative outcomes. Using a targeted quota sample of adults (n = 316) interviewed two months after Hurricane Harvey made landfall on the Gulf Coast of Texas in August 2017, the present study examines the intersection of vulnerabilities, stressors, and resources and their relationship with post-traumatic stress symptomatology. Stress is high among this sampled group with over one-quarter of respondents reporting high enough symptoms to meet the clinical caseness criteria for PTSD. Results show significant variation across categorical groupings of post-traumatic stress symptoms; younger persons, nonwhites, and those displaced from their home during the storm were more likely to be found in the highest symptom count category. Regression results confirm the bivariate results and as hypothesized, stressors were associated with higher symptom reporting among respondents, and social and psychological resources were associated with lower symptom reporting. With one of the only studies to report these relationships between vulnerability, stressors, and resources in the post-disaster Harvey setting, our work underscores the importance of identifying who is at risk, what factors can potentially mitigate that risk, and just how severe the consequences can be for survivors requiring mental health services after a disaster. Clearly, more work is needed, particularly on the identification of resources acting as protection against the overwhelming circumstances of exposure to devastation and destruction caused by natural disasters.