Hurricane Katrina: Maternal Depression Trajectories and Child Outcomes.
Hurricane Katrina: Maternal Depression Trajectories and Child Outcomes.
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DOI：
10.1007/s12144-015-9338-6
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发表时间：
2015-09
期刊：
影响因子：
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通讯作者：
Kelley ML
中科院分区：
文献类型：
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作者：
Lai BS;Tiwari A;Beaulieu BA;Self-Brown S;Kelley ML
作者研究了遭受卡特里娜飓风影响的母亲两年内的抑郁轨迹。分析了抑郁轨迹的风险和保护因素，以及与儿童结局的关联。这项研究包括 283 名母亲（时间 1 时的年龄，M = 39.20 岁，SD = 7.21；62% 为非裔美国人）。卡特里娜飓风过后两年内，母亲们在四个时间点接受了评估。母亲在时间 1 报告创伤后压力症状、飓风暴露、创伤性生活事件和社会支持。在时间 2、3 和 4 模拟抑郁症状。青少年在时间 4 报告他们的痛苦症状（创伤后压力、抑郁和焦虑）。潜在阶级成长分析确定了暴露于卡特里娜飓风的母亲中的三种母亲抑郁轨迹：低（61%）、复原力（29%）和 慢性（10%）。社会支持被认为是母亲的保护因素。确定了卡特里娜飓风后母亲抑郁症的三个主要轨迹。社会支持对母亲有保护作用。确定的轨迹与儿童的痛苦结果无关。这些结果对灾难应对、筛查工作和针对家庭的干预措施具有影响。未来的研究需要调查可能影响母婴结局的额外风险和保护因素。
The authors examined depression trajectories over two years among mothers exposed to Hurricane Katrina. Risk and protective factors for depression trajectories, as well as associations with child outcomes were analyzed. This study included 283 mothers (age at time 1, M = 39.20 years, SD = 7.21; 62% African American). Mothers were assessed at four time points over two years following Hurricane Katrina. Mothers reported posttraumatic stress symptoms, hurricane exposure, traumatic life events, and social support at time 1. Depressive symptoms were modeled at times 2, 3, and 4. Youth reported their distress symptoms (posttraumatic stress, depression, and anxiety) at time 4. Latent class growth analyses identified three maternal depression trajectories among mothers exposed to Hurricane Katrina: low (61%), resilient (29%), and chronic (10%). Social support was identified as a protective factor among mothers. Three main trajectories of maternal depression following Hurricane Katrina were identified. Social support was protective for mothers. Identified trajectories were not associated with children’s distress outcomes. These results have implications for disaster responses, screening efforts, and interventions targeted towards families. Future studies warrant the investigation of additional risk and protective factors that can affect maternal and child outcomes.