Longitudinal Impact of Hurricane Sandy Exposure on Mental Health Symptoms
Longitudinal Impact of Hurricane Sandy Exposure on Mental Health Symptoms
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DOI：
10.3390/ijerph14090957
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发表时间：
2017-09-01
影响因子：
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通讯作者：
Taioli, Emanuela
中科院分区：
文献类型：
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作者：
Schwartz, Rebecca M.;Gillezeau, Christina N.;Taioli, Emanuela
2012年10月，飓风桑迪袭击美国东海岸，造成数十亿美元的损失和严重的身心健康问题。风暴的长期心理健康后果及其预测因素尚未得到研究。纽约市和长岛居民在基线和1年后（N = 130）完成了关于他们最初的飓风桑迪暴露和心理健康症状的问卷调查。基线和随访之间焦虑评分（平均差异=-0.33，p < 0.01）和创伤后应激障碍（PTSD）评分（平均差异=-1.98，p = 0.001）在统计学上显著降低。经历人身和财产损害与长期PTSD症状呈正相关（ORadj 1.2，95%CI [1.1-1.4]），但与焦虑或抑郁无关。基线时有焦虑、抑郁或PTSD是随访时持续焦虑（ORadj 2.8 95% CI [1.1-6.8]）、抑郁（ORadj 7.4 95% CI [2.3-24.1]）和PTSD（ORadj 4.1 95% CI [1.1-14.6]）的显著预测因子。暴露于飓风桑迪对PTSD症状的影响会随着时间的推移而持续存在。鉴于气候变化可能导致更频繁和更强烈的飓风，未来的飓风恢复工作必须考虑飓风暴露对心理健康的长期影响，特别是在提供适当的援助和治疗时对创伤后应激障碍的影响。
Hurricane Sandy hit the eastern coast of the United States in October 2012, causing billions of dollars in damage and acute physical and mental health problems. The long-term mental health consequences of the storm and their predictors have not been studied. New York City and Long Island residents completed questionnaires regarding their initial Hurricane Sandy exposure and mental health symptoms at baseline and 1 year later (N = 130). There were statistically significant decreases in anxiety scores (mean difference = -0.33, p < 0.01) and post-traumatic stress disorder (PTSD) scores (mean difference = -1.98, p = 0.001) between baseline and follow-up. Experiencing a combination of personal and property damage was positively associated with long-term PTSD symptoms (ORadj 1.2, 95% CI [1.1-1.4]) but not with anxiety or depression. Having anxiety, depression, or PTSD at baseline was a significant predictor of persistent anxiety (ORadj 2.8 95% CI [1.1-6.8], depression (ORadj 7.4 95% CI [2.3-24.1) and PTSD (ORadj 4.1 95% CI [1.1-14.6]) at follow-up. Exposure to Hurricane Sandy has an impact on PTSD symptoms that persists over time. Given the likelihood of more frequent and intense hurricanes due to climate change, future hurricane recovery efforts must consider the long-term effects of hurricane exposure on mental health, especially on PTSD, when providing appropriate assistance and treatment.