Risk and protective factors for psychopathology among older versus younger adults after the 2004 Florida hurricanes
Risk and protective factors for psychopathology among older versus younger adults after the 2004 Florida hurricanes
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DOI：
10.1097/01.jgp.0000221327.97904.b0
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发表时间：
2006-12-01
影响因子：
7.2
通讯作者：
Galea, Saudro
中科院分区：
文献类型：
--
作者：
Acierno, Ron;Ruggiero, Kenneth J.;Galea, Saudro
目的：先前的研究表明，老年人在灾难后对精神病理学的恢复力增加。然而，人们对灾后精神疾病的年龄风险和保护因素的差异知之甚少。方法：作者使用随机数字拨号方法调查了居住在直接受2004年飓风影响的佛罗里达县的1,130名老年人（60岁以上）和413名年轻人。评估的风险和保护因素包括人口统计学、社会支持、流离失所、发生的美元损失、感知的积极结果和自我评价的健康状况。结果变量包括精神疾病诊断和统计手册、第四版定义的创伤后应激障碍（PTSD）、重度抑郁障碍（MDD）和广泛性焦虑障碍（GAD）的症状计数。结果：老年人报告的PTSD、MDD和GAD症状较少。解释性风险变量占方差的很大比例，但在不同年龄组之间存在有意义的差异。结论：虽然老年人的症状较轻，但他们的心理反应似乎与灾害的经济后果更密切相关。
Objective: Previous research demonstrates increased resiliency to psychopathology after disasters among older adults. However, little is known about differences in age-based risk and protective factors for postdisaster mental illness. Method: The authors used random-digit dialing methodology to survey 1,130 older adults (60+ years) and 413 younger adults residing in Florida counties directly affected by the 2004 hurricanes. Assessed risk and protective factors included demographics, social support, displacement, incurred dollar losses, perceived positive outcomes, and self-rated health status. Outcome variables included symptom counts of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-defined posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD). Results: Older adults reported fewer symptoms of PTSD, MDD, and GAD. Explanatory risk variables accounted for large proportions of variance, but differed in meaningful ways across age groups. Conclusion: Although older adults are less symptomatic, their psychologic reactions appear more closely connected to economic consequences of disasters.