Abstract
This article provides a detailed examination of the relationship between disaster-related experiences and mental health outcomes among a sample of drug using African American Hurricane Katrina evacuees. Face-to-face structured interviews were administered to Hurricane Katrina evacuees (n = 350) residing in voucher assisted apartment complexes in Houston, Texas (2006–2007). We use Ordinary Least Squares and logistic regression models to examine both the relevance of disaster-related experiences and the interactive relationships between disaster-related experiences and post-disaster mental health outcomes including psychological distress, severe depression, somatic symptoms, and posttraumatic stress disorder. Results indicate that disaster-related experiences including negative life changes, disaster exposure, post-disaster stressors, and resource loss, have unique, inverse relationships with mental health. While resource loss has the strongest inverse relationship with mental health, disaster exposure has a negative interactive effect on psychological distress and anxiety. Although highly vulnerable populations report low levels of mental health nearly 2 years following a disaster experience, there is a convergence in mental health outcomes with high levels of disaster experiences and disaster exposure that suggests mental resiliency.
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Notes
Male, less than H.S. education, unemployed, left city before Katrina, with other variables set at means.
References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
Boscarino, J. A. (1996). Posttraumatic stress disorder, exposure to combat, and lower plasma cortisol among Vietnam veterans: Findings and clinical implications. Journal of Consulting and Clinical Psychology, 64(1), 191–201.
Bourque, L. B., Siegel, J. M., & Shoaf, K. I. (2002). Psychological distress following urban earthquakes in California. Prehospital and disaster medicine: the official journal of the national association of EMS physicians and the world association for emergency and disaster medicine in association with the acute care foundation, 17(2), 81–90.
Chae, E. H., Kim, T. W., Rhee, S. J., & Henderson, T. D. (2005). The impact of flooding on the mental health of affected people in South Korea. Community Mental Health Journal, 41(6), 633–645.
David, D., Mellman, T. A., Mendoza, L. M., Kulick-Bell, R., Ironson, G., & Schneiderman, N. (1996). Psychiatric morbidity following hurricane Andrew. Journal of Traumatic Stress, 9(3), 607–612.
De la Fuente, R. (1990). The mental health consequences of the 1985 earthquakes in Mexico. International Journal of Mental Health, 19, 21–29.
Freedy, J. R., Shaw, D. L., Jarrell, M. P., & Masters, C. R. (1992). Towards an understanding of the psychological impact of natural disasters: An application of the conservation of resources stress model. Journal of Traumatic Stress, 5(3), 441–454.
Freedy, J. R., Kilpatrick, D. G., & Resnick, H. S. (1993). Natural disasters and mental health: Theory, assessment, and intervention. (Special Issue) Journal of Social Behavior and Personality, 8(5), 49–103.
Freedy, J. R., Saladin, M. E., Kilpatrick, D. G., Resnick, H. S., & Saunders, B. E. (1994). Understanding acute psychological distress following natural disaster. Journal of Traumatic Stress, 7(2), 257–273.
Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Bucuvalas, M., Gold, J., et al. (2002). Psychological sequelae of the September 11 terrorist attacks in New York City. New England Journal of Medicine, 346(13), 982–987.
Gleser, G. C., Green, B. L., & Winger, C. (1981). Prolonged psychosocial effects of disaster: A study of buffalo creek. New York: Academic Press.
Goenjian, A. K., Molina, L., Steinberg, A. M., Fairbanks, L. A., Alvarez, M. L., Goenjian, H. A., et al. (2001). Posttraumatic stress and depressive reactions among Nicaraguan adolescents after hurricane Mitch. American Journal of Psychiatry, 158(5), 788.
Goldberg, D. P., & Gaeter, R. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine, 27(1), 191–197.
Heckathorn, D. D. (1997). Respondent-driven sampling: A new approach to the study of hidden populations. Social Problems, 174–199.
Heckathorn, D. D., Broadhead, R. S., & Sergeyev, B. (2001). A methodology for reducing respondent duplication and impersonation in samples of hidden populations. Journal of Drug Issues, 31(2), 543–564.
Kessler, R., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. (1995). Post-traumatic stress disorder in the national comorbidity survey. Archives of General Psychology, 52(12), 1048–1060.
Makowska, Z., Merecz, D., Moscicka, A., & Kolasa, W. (2002). The validity of general health question-naires, GHQ-12 And GHQ-28, in mental health studies of working people. International Journal of Occupational Medicine and Environmental Health, 15, pp. 353: Instytut Medycyny Pracy im. Jerzego Nofera.
Melchior, L. A., & Huba, G. J. (1993). A short depression index for women. Educational and Psychological Measurement, 53(4), 1117–1125.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 loma prieta earthquake. Journal of Personality and Social Psychology, 61(1), 115.
Norris, F. H. (1992). Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups. Journal of Consulting and Clinical Psychology, 60(3), 409–418.
Norris, F. H., & Kaniasty, K. (1996). Received and perceived social support in times of stress: A test of the social support deterioration deterrence model. Journal of Personality and Social Psychology, 71(3), 498–511.
Norris, F. H., Perilla, J. L., Riad, J. K., Kaniasty, K., & Lavizzo, E. A. (1999). Stability and change in stress, resources, and psychological distress following natural disaters: Findings from hurricane Andrew. Anxiety, Stress and Coping, 12(4), 363–396.
Norris, F. H., Friedman, M. J., Watson, P. J., Byrne, C. M., Diaz, E., & Kaniasty, K. (2002). 60, 000 Disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry: Interpersonal and Biological Processes, 65(3), 207–239.
Perilla, J. L., Norris, F. H., & Lavizzo, E. A. (2002). Ethnicity, culture, and disaster response: Identifying and explaining ethnic differences in PTSD six months after hurricane Andrew. Journal of Social and Clinical Psychology, 21(1), 20–45.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.
Rubonis, A. V., & Bickman, L. (1990). Psychological impairment in the wake of disaster: The disaster-psychopathology relationship. Psychological Bulletin, 109(3), 384–399.
Smith, E., Robins, L., Przybeck, T., Goldring, E., & Solomon, S. (1986). Psychosocial consequences of a disaster. In J. H. Shore (Ed.), Disaster stress studies: New methods and findings (pp. 50–76). Washington, DC: American Psychiatric Press, Inc.
StataCorp. (2005). Stata statistical software: Release 9. College Station, TX: StataCorp LP.
Swallow, B. L., Lindow, S. W., Masson, E. A., & Hay, D. M. (2003). The use of the general health questionnaire (GHQ-28) to estimate prevalence of psychiatric disorder in early pregnancy. Psychology, Health and Medicine, 8(2), 213–217.
Vlahov, D., & Galea, S. (2004). Epidemiologic research and disasters. Annals of Epidemiology, 14(8), 532–534.
Vlahov, D., Galea, S., Resnick, H., Ahern, J., Boscarino, J. A., Bucuvalas, M., et al. (2002). Increased use of cigarettes, alcohol, and marijuana among Manhattan, New York, residents after the September 11th terrorist attacks. American Journal of Epidemiology, 155(11), 988–996.
Vlahov, D., Galea, S., Ahern, J., Rudenstine, S., Resnick, H., Kilpatrick, D., et al. (2006). Alcohol drinking problems among New York City residents after the September 11 terrorist attacks. Substance Use and Misuse, 41, 1295–1311.
Yehuda, R. (2002). Post-traumatic stress disorder. New England Journal of Medicine, 346(2), 108–114.
Yin, Z., Valdez, A., Mata, A. G., & Kaplan, C. D. (1996). Developing a field-intensive methodology for generating a randomized sample for gang research. Free Inquiry-Special Issue: Gang, Drugs and Violence, 24(2), 195–204.
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Cepeda, A., Saint Onge, J.M., Kaplan, C. et al. The Association Between Disaster-Related Experiences and Mental Health Outcomes Among Drug Using African American Hurricane Katrina Evacuees. Community Ment Health J 46, 612–620 (2010). https://doi.org/10.1007/s10597-009-9286-4
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DOI: https://doi.org/10.1007/s10597-009-9286-4