Depression and PTSD among Houston Residents who Experienced Hurricane Harvey and COVID-19: Implications for Urban Areas Affected by Multiple Disasters.
Depression and PTSD among Houston Residents who Experienced Hurricane Harvey and COVID-19: Implications for Urban Areas Affected by Multiple Disasters.
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经历过飓风哈维和 COVID-19 的休斯顿居民的抑郁症和创伤后应激障碍：对受多种灾害影响的城市地区的影响。
DOI：
10.1007/s11524-023-00767-2
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Galea,Sandro
中科院分区：
文献类型：
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作者：
Cohen,GregoryH;Wang,Ruochen;Sampson,Laura;Lowe,SarahR;Ettman,CatherineK;Abdalla,SalmaM;Wellenius,GregoryA;Cabral,Howard;Ruggiero,Kenneth;Galea,Sandro
关于COVID-19大流行和其他重大灾难对心理健康的综合影响，人们知之甚少。2017年，哈维飓风袭击墨西哥湾沿岸，造成巨大损失、大量人员流离失所，约100人死亡，随后于2020年爆发新冠肺炎疫情。我们从88个指定的超级社区随机抽取了1167名休斯顿人，并调查了他们的人口统计数据，特定事件的创伤和压力源，以及当前抑郁症和创伤后应激障碍（PTSD）的症状。我们估计了哈维飓风后三年多抑郁症（5.8%）和创伤后应激障碍（12.6%）的患病率，并评估了特定事件压力源和创伤对当前心理健康的相对影响。总的来说，我们观察到的证据是突出的城市环境中的居民在多种灾害的背景下，两个关键的发现。首先，压力源是抑郁症的主要影响因素，而压力源和创伤都影响PTSD。第二，压力源和创伤对抑郁和PTSD症状的影响随着时间的推移而减弱。
Little is known about the combined impact of the COVID-19 pandemic and other major disasters on mental health. Hurricane Harvey hit the Gulf Coast in 2017, resulting in substantial costs, significant levels of displacement, and approximately 100 deaths, and was followed in 2020 by the COVID-19 pandemic. We randomly sampled 1167 Houstonians from 88 designated super-neighborhoods and surveyed them about their demographics, event-specific traumas and stressors, and symptoms of current depression and post-traumatic stress disorder (PTSD). We estimated the prevalence of depression (5.8%) and PTSD (12.6%) more than three years after Hurricane Harvey, and assessed the relative influence of event-specific stressors and traumas on current mental health. Overall, we observed evidence for two key findings that are salient for residents of urban environments in the context of multiple disasters. First, stressors were primary influences on depression, whereas both stressors and traumas influenced PTSD. Second, the influences of stressors and traumas on depression and PTSD symptoms faded with time.