Depressive Symptoms among Firefighters and Related Factors after the Response to Hurricane Katrina
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The National Institute for Occupational Safety and Health conducted an evaluation regarding physical and psychological health symptoms among New Orleans firefighters 13 weeks after Hurricane Katrina struck the U.S. Gulf Coast on August 29, 2005. This report examines associations between depressive symptoms and concurrent comorbidity. Depressive symptoms were twice as likely among those with either lower respiratory symptoms or skin rash. Firefighters housed with their families were less likely to report depressive symptoms compared to those not living with their families. Perceived low supervisor support was associated with depressive symptoms, whereas participating in group counseling was not. The results underscore the need for the incorporation of physical and psychological health follow-up of emergency responders after natural disasters to better understand, monitor, and treat their health conditions.
- Knabb RD, Rhome JR, Brown DP. Tropical cyclone report: Hurricane Katrina, 23–30 August 2005. In: National Oceanic and Atmospheric Administration, ed. National Hurricane Center. Miami, FL: National Weather Service; 2005.
- International Association of Fire Fighters. Reports from the Hurricane Frontlines: Katrina. Washington, DC: International Association of Fire Fighters; 2005.
- CDC. Health hazard evaluation of police officers and firefighters after Hurricane Katrina—New Orleans, Louisiana, October 17–28 and November 30–December 5, 2005. MMWR Morb Mortal Wkly Rep. 2006;55(16):456–458.
- Fullerton CS, Ursano RJ, Wang L. Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. Am J Psychiatry. 2004;161(8):1370–1376. CrossRef
- Simons JS, Gaher RM, Jacobs GA, et al. Associations between alcohol use and PTSD symptoms among American Red Cross disaster relief workers responding to the 9/11/2001 attacks. Am J Drug Alcohol Abuse. 2005;31(2):285–304.
- Ursano RJ, Fullerton CS, Vance K, Kao TC. Posttraumatic stress disorder and identification in disaster workers. Am J Psychiatry. 1999;156(3):353–359.
- Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D (Center for Epidemiological Studies Depression) depression symptoms index. J Aging Health. 1993;5(2):179–193. CrossRef
- Shinar D, Gross CR, Price TR, et al. Screening for depression in stroke patients: the reliability and validity of the Center for Epidemiologic Studies Depression Scale. Stroke. 1986;17(2):241–245.
- Weissman MM, Myers JK. Rates and risks of depressive symptoms in a United States urban community. Acta Psychiatr Scand. 1978;57(3):219–231.
- Weissman MM, Sholomskas D, Pottenger M, et al. Assessing depressive symptoms in five psychiatric populations: a validation study. Am J Epidemiol. 1977;106(3):203–214.
- Tapp LC, Baron S, Bernard B, et al. Physical and mental health symptoms among NYC transit workers seven and one-half months after the WTC attacks. Am J Ind Med. 2005;47(6):475–483. CrossRef
- Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3:21. CrossRef
- McCulloch CE, Searle SR. Generalized, Linear, and Mixed Models. New York: Wiley; 2000. CrossRef
- CDC. Surveillance for illness and injury after hurricane Katrina—New Orleans, Louisiana, September 8–25, 2005. MMWR Morb Mortal Wkly Rep. 2005;54(40):1018–1021.
- CDC. Infectious disease and dermatologic conditions in evacuees and rescue workers after Hurricane Katrina—multiple states, August–September, 2005. MMWR Morb Mortal Wkly Rep. 2005;54(38):961–964.
- CDC. Injury and illness surveillance in hospitals and acute-care facilities after Hurricanes Katrina And Rita—New Orleans area, Louisiana, September 25–October 15, 2005. MMWR Morb Mortal Wkly Rep. 2006;55(2):35–38.
- Greco T, Eckert G, Kroenke K. The outcome of physical symptoms with treatment of depression. J Gen Intern Med. 2004;19(8):813–818. CrossRef
- Henningsen P, Zimmermann T, Sattel H. Medically unexplained physical symptoms, anxiety, and depression: a meta-analytic review. Psychosom Med. 2003;65(4):528–533. CrossRef
- Lloyd-Williams M, Dennis M, Taylor F. A prospective study to determine the association between physical symptoms and depression in patients with advanced cancer. Palliat Med. 2004;18(6):558–563. CrossRef
- Mustapha A. Depression can cause severe physical symptoms. Br J Nurs. 2005;14(9):482.
- Schatzberg A. Depression and physical symptoms: the mind–body connection (academic highlights). J Clin Psychiatry. 2004(65):867–876. CrossRef
- Trivedi MH. The link between depression and physical symptoms. Prim Care Companion J Clin Psychiatry. 2004;6(Suppl 1):12–16.
- Joy D, Probert R, Bisson JI, Shepherd JP. Posttraumatic stress reactions after injury. J Trauma. 2000;48(3):490–494. CrossRef
- Ginexi EM, Weihs K, Simmens SJ, Hoyt DR. Natural disaster and depression: a prospective investigation of reactions to the 1993 midwest floods. Am J Community Psychol. 2000;28(4):495–518. CrossRef
- Armenian HK, Morikawa M, Melkonian AK, et al. Risk factors for depression in the survivors of the 1988 earthquake in Armenia. J Urban Health. 2002;79(3):373–382.
- Regehr C, Goldberg G, Glancy GD, Knott T. Posttraumatic symptoms and disability in paramedics. Can J Psychiatry. 2002;47(10):953–958.
- Regehr C, Hill J, Glancy GD. Individual predictors of traumatic reactions in firefighters. J Nerv Ment Dis. 2000;188(6):333–339. CrossRef
- Brummett BH, Barefoot JC, Vitaliano PP, Siegler IC. Associations among social support, income, and symptoms of depression in an educated sample: the UNC Alumni Heart Study. Int J Behav Med. 2003;10(3):239–250. CrossRef
- Park KO, Wilson MG, Lee MS. Effects of social support at work on depression and organizational productivity. Am J Health Behav. 2004;28(5):444–455.
- Depressive Symptoms among Firefighters and Related Factors after the Response to Hurricane Katrina
Journal of Urban Health
Volume 84, Issue 2 , pp 153-161
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- Depressive symptoms
- Disaster response
- Social support.
- Author Affiliations
- 1. Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA
- 2. Division of Surveillance, Hazard Evaluations and Field Studies, National Institute for Occupational Safety and Health, 4676 Columbia Parkway, R-10, Cincinnati, OH, USA