Media Coverage, Forecasted Posttraumatic Stress Symptoms, and Psychological Responses Before and After an Approaching Hurricane
Media Coverage, Forecasted Posttraumatic Stress Symptoms, and Psychological Responses Before and After an Approaching Hurricane
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DOI：
10.1001/jamanetworkopen.2018.6228
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发表时间：
2019-01-01
影响因子：
13.8
通讯作者：
Silver, Roxane Cohen
中科院分区：
文献类型：
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作者：
Thompson, Rebecca R.;Holman, E. Alison;Silver, Roxane Cohen
与灾难相关的媒体报道的重要性与消极的心理健康结果相关。然而，使个人容易受到这种接触的风险因素尚不清楚。与飓风相关的媒体暴露预计将解释预测的创伤后应激反应(PTS)与飓风后适应之间的关系。目的检查预测的创伤后应激反应和媒体报道作为媒体报道即将到来的灾难(飓风伊尔玛)背景下负面心理健康结果的风险因素。设计、背景和参与者在具有代表性的社区样本中对来自佛罗里达州的1637名成年人进行概率抽样，受访者完成了两项在线调查：第一次是在飓风伊尔玛登陆前60小时(2017年9月8日至11日)，第二次是大约一个月后(第二波；2017年10月12日至29日)。分层后的权重被用于促进基于总体的推断。分析2018年10月19日至31日的数据。主要结果和测量创伤后应激反应、心理困扰、功能障碍和对未来事件的担忧。结果第一波调查包括1637名参与者(应答率57.0%)；第二波追踪1478名参与者(保留90.3%)(加权女性比例62.2%；平均[SD]年龄59.1[15.2]岁)。最终的加权样本非常接近佛罗里达州的美国人口普查基准。使用结构方程模型的数据分析表明，暴露在媒体对飓风的报道中(Beta=0.21；95%CI，0.11-0.31；P
IMPORTANCE Exposure to disaster-related media coverage is associated with negative mental health outcomes. However, risk factors that render individuals vulnerable to this exposure are unknown. Hurricane-associated media exposure was expected to explain the association between forecasted posttraumatic stress (PTS) and adjustment after the hurricane.OBJECTIVE To examine forecasted PTS responses and media coverage as risk factors for negative mental health outcomes in the context of media coverage of an approaching disaster (Hurricane Irma).DESIGN, SETTING, AND PARTICIPANTS In a representative probability community sample of 1637 adults from Florida, respondents completed 2 online surveys: the first during the 60 hours before Hurricane Irma's landfall (wave 1; September 8-11, 2017) and the second approximately 1 month later (wave 2; October 12-29, 2017). Poststratification weights were applied to facilitate population-based inferences. Data were analyzed from October 19 through 31, 2018.MAIN OUTCOMES AND MEASURES Posttraumatic stress responses, psychological distress, functional impairment, and worry about future events.RESULTS The wave 1 survey included 1637 participants (57.0% response rate); 1478 participants were retained at the wave 2 follow-up (90.3% retention) (weighted proportion of women, 62.2%; mean [SD] age, 59.1 [15.2] years). The final weighted sample closely approximated US Census benchmarks for the state of Florida. Data analyses using structural equation modeling revealed that exposure to media coverage of the hurricane (beta = 0.21; 95% CI, 0.11-0.31; P