The Influence of Flood Exposure and Subsequent Stressors on Youth Social-Emotional Health
The Influence of Flood Exposure and Subsequent Stressors on Youth Social-Emotional Health
复制标题
DOI：
10.1037/ort0000418
复制
发表时间：
2020-01-01
影响因子：
3.3
通讯作者：
Terzieva, Antoniya
中科院分区：
文献类型：
--
作者：
Felix, Erika D.;Nylund-Gibson, Karen;Terzieva, Antoniya
大多数灾害心理健康研究侧重于灾害暴露与痛苦之间的关系，往往忽视了它对社会情感健康的影响，尽管它对灾后的复原力和福祉有影响。在德克萨斯州多次洪水之后，486名年龄在10-19岁的青少年（M = 13.74岁，SD = 2.57； 52.9%为男性）完成了灾害暴露、灾后生活压力源和社会情绪健康的测量。使用混合回归模型，我们研究了不同潜在灾害暴露等级（高、中等、社区和低暴露）中生活压力源与社会情绪健康之间关系的差异。在考虑了生活压力源的平均水平后，社会情绪健康的平均水平在不同的暴露类别中没有差异；然而，生活压力源与社会情感健康之间的关系强度却没有影响。自灾难发生以来，高暴露组的青少年平均生活压力水平最高。因此，每个额外的生活压力源并没有导致社会情绪健康的变化，这表明压力水平已经饱和。对于中等和社区接触班的年轻人来说，生活压力源的增加确实降低了他们的社交情绪健康，也许会使他们陷入压力过载。对于低暴露组，生活压力源没有影响。这意味着灾后心理健康筛查和支持，根据暴露水平和可能影响长期社会情感健康的持续压力因素进行调整。公共政策相关声明灾难暴露和随后的生活压力因素会影响社会情绪健康。压力超载可能发生在暴露程度最高的人身上，但对于暴露程度较低的人来说，额外的生活压力会影响社交情绪健康。决策者需要考虑如何在灾难恢复的长期过程中支持各种灾难幸存者及其不断变化的需求，而不仅仅是眼前的影响。
Most disaster mental health research focuses on the relationship between disaster exposure and distress, often neglecting its influence on social-emotional health, despite implications for resilience and well-being after the disaster. Following multiple floods in Texas, a sample of 486 youth aged 10-19 years old (M = 13.74 years, SD = 2.57; 52.9% male) completed measures of disaster exposure, life stressors since the disaster, and social-emotional health. Using mixture regression modeling, we examined differences in the relationship between life stressors and social-emotional health across latent classes of disaster exposure (high, moderate, community, and low exposure). After accounting for mean levels of life stressors, the mean levels of social-emotional health did not differ across exposure classes; however, the strength of the relationship between life stressors and social-emotional health did. Youth in the high exposure group had the highest mean level of life stressors since the disaster. Thus, each additional life stressor did not result in changes in social-emotional health, suggesting saturated stress levels. For youth in the moderate and community exposure classes, increases in life stressors did lower social-emotional health, perhaps pushing them into stress overload. For the low exposure group, life stressors did not have an influence. This has implications for postdisaster mental health screening and support, tailored by levels of exposure and attuned to ongoing stressors that may impact long-term social-emotional health.Public Policy Relevance StatementDisaster exposure and subsequent life stressors can affect social-emotional health. Stress overload may happen for the most highly exposed, but for more moderately exposed, additional life stressors impact social-emotional health. Policymakers need to consider how to support the range of disaster survivors and their changing needs over the long haul of disaster recovery, not only the immediate impact.