Abstract
The authors examined depression trajectories over two years among mothers exposed to Hurricane Katrina. Risk and protective factors for depression trajectories, as well as associations with child outcomes were analyzed. This study included 283 mothers (age at time 1, M = 39.20 years, SD = 7.21; 62 % African American). Mothers were assessed at four time points over two years following Hurricane Katrina. Mothers reported posttraumatic stress symptoms, hurricane exposure, traumatic life events, and social support at time 1. Depressive symptoms were modeled at times 2, 3, and 4. Youth reported their distress symptoms (posttraumatic stress, depression, and anxiety) at time 4. Latent class growth analyses identified three maternal depression trajectories among mothers exposed to Hurricane Katrina: low (61 %), resilient (29 %), and chronic (10 %). Social support was identified as a protective factor among mothers. Three main trajectories of maternal depression following Hurricane Katrina were identified. Social support was protective for mothers. Identified trajectories were not associated with children’s distress outcomes. These results have implications for disaster responses, screening efforts, and interventions targeted towards families. Future studies warrant the investigation of additional risk and protective factors that can affect maternal and child outcomes.
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References
Altindag, A., Ozen, S., & Sir, A. (2005). One-year follow-up study of posttraumatic stress disorder among earthquake survivors in Turkey. Comprehensive Psychiatry, 46, 328–333. doi:10.1016/j.comppsych.2005.01.005.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington: American Psychiatric Association.
Beardslee, W. R., Gladstone, T. R., Wright, E. J., & Cooper, A. B. (2003). A family-based approach to the prevention of depressive symptoms in children at risk: evidence of parental and child change. Pediatrics, 112(2), e119–e131.
Beardslee, W. R., Lester, P., Klosinski, L., Saltzman, W., Woodward, K., Nash, W., . . . Leskin, G. (2011). Family-centered preventive intervention for military families: Implications for implementation science. Prevention Science, 12(4), 339–348. doi: 10.1007/s11121-011-0234-5
Benight, C. C. (2004). Collective efficacy following a series of natural disasters. Anxiety, Stress & Coping, 17(4), 401–420.
Boe, H. J., Holgersen, K. H., & Holen, A. (2010). Reactivation of posttraumatic stress in male disaster survivors: the role of residual symptoms. Journal of Anxiety Disorders, 24(4), 397–402.
Bonanno, G. A., Rennicke, C., & Dekel, S. (2005). Self-enhancement among high-exposure survivors of the September 11th terrorist attack: resilience or social maladjustment? Journal of Personality and Social Psychology, 88(6), 984–998. doi:10.1037/0022-3514.88.6.984.
Boscarino, J. A. A. R. E. (2009). PTSD onset and course following the World Trade Center disaster: findings and implications for future research. Social Psychiatry & Psychiatric Epidemiology, 44(10), 887–898. doi:10.1007/s00127-009-0011-y.
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68(5), 748.
CDC. (2006). Public health response to Hurricanes Katrina and Rita – United States, 2005. MMWR: Morbidity & Mortality Weekly Report, 55(9), 229–231.
Charuvastra, A., & Cloitre, M. (2008). Social bonds and posttraumatic stress disorder. Annual Review of Psychology, 59, 301.
Cohen, S., & Hoberman, H. M. (1983). Positive events and social supports as buffers of life change stress1. Journal of Applied Social Psychology, 13(2), 99–125.
Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: an introductory report. Psychological Medicine, 13(03), 595–605.
Felix, E., Hernandez, L. A., Bravo, M., Ramirez, R., Cabiya, J., & Canino, G. (2011). Natural disaster and risk of psychiatric disorders in Puerto Rican children. Journal of Abnormal Child Psychology, 39(4), 589–600. doi:10.1007/s10802-010-9483-1.
Finch, C., Emrich, C., & Cutter, S. (2010). Disaster disparities and differential recovery in New Orleans. Population & Environment, 31(4), 179–202. doi:10.1007/s11111-009-0099-8.
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: the posttraumatic diagnostic scale. Psychological Assessment, 9(4), 445.
Furr, J. M., Comer, J. S., Edmunds, J. M., & Kendall, P. C. (2010). Disasters and youth: a meta-analytic examination of posttraumatic stress. Journal of Consulting and Clinical Psychology, 78(6), 765–780. doi:10.1037/a0021482.
Galea, S., Tracy, M., Norris, F., & Coffey, S. F. (2008). Financial and social circumstances and the incidence and course of PTSD in Mississippi during the first two years after Hurricane Katrina. Journal of Traumatic Stress, 21(4), 357–368. doi:10.1002/jts.20355.
Ginexi, E. M., Weihs, K., Simmens, S. J., & Hoyt, D. R. (2000). Natural disaster and depression: a prospective investigation of reactions to the 1993 Midwest floods. American Journal of Community Psychology, 28(4), 495–518.
Goenjian, A. K., Steinberg, A. M., Najarian, L. M., Fairbanks, L. A., Tashjian, M., & Pynoos, R. S. (2000). Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. The American Journal of Psychiatry, 157(6), 911–916.
Henry, D. B., Tolan, P. H., & Gorman-Smith, D. (2004). Have there been lasting effects associated with the September 11, 2001, terrorist attacks among inner-city parents and children? Professional Psychology: Research and Practice, 35(5), 542–547. doi:10.1037/0735-7028.35.5.542.
Ibañez, G. E., Buck, C. A., Khatchikian, N., & Norris, F. H. (2004). Qualitative analysis of coping strategies among Mexican disaster survivors. Anxiety, Stress & Coping, 17(1), 69–85.
Jung, T., & Wickrama, K. A. S. (2008). An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass, 2(1), 302–317. doi:10.1111/j.1751-9004.2007.00054.x.
Kelley, M. L., Self-Brown, S., Le, B., Bosson, J. V., Hernandez, B. C., & Gordon, A. T. (2010). Predicting posttraumatic stress symptoms in children following Hurricane Katrina: a prospective analysis of the effect of parental distress and parenting practices. Journal of Traumatic Stress, 23(5), 582–590. doi:10.1002/jts.20573.
Kessler, R. C., Galea, S., Jones, R. T., & Parker, H. A. (2006). Mental illness and suicidality after hurricane Katrina. Bulletin of the World Health Organization, 84(11), 1–21. doi:10.2471/BLT.06.033019.
Knabb, D. R., Rhome, R. J., & Brown, P. D. (2005). Tropical cyclone report: Hurricane Katrina 23–30 August 2005. Miami: National Hurricane Center (National Oceanic and Atmospheric Administration).
La Greca, A. M., Silverman, W. K., Vernberg, E. M., & Prinstein, M. J. (1996). Symptoms of posttraumatic stress in children after hurricane Andrew: a prospective study. Journal of Consulting and Clinical Psychology, 64(4), 712–723. doi:10.1037/0022-006x.66.6.883.
La Greca, A. M., Silverman, W. K., Lai, B. S., & Jaccard, J. (2010). Hurricane-related exposure experiences and stressors, other life events, and social support: concurrent and prospective impact on children’s persistent posttraumatic stress symptoms. Journal of Consulting and Clinical Psychology, 78(6), 794–805. doi:10.1037/a0020775.
La Greca, A. M., Lai, B. S., Llabre, M. M., Silverman, W. K., Vernberg, E. M., & Prinstein, M. J. (2013). Children’s postdisaster trajectories of PTS symptoms: predicting chronic distress. Child & Youth Care Forum, 42(4), 351–369. doi:10.1007/s10566-013-9206-1.
Lai, B. S., La Greca, A. M., Auslander, B. A., & Short, M. B. (2013). Children’s symptoms of posttraumatic stress and depression after a natural disaster: comorbidity and risk factors. Journal of Affective Disorders, 146(1), 71–78. doi:10.1016/j.jad.2012.08.041.
Lai, B. S., Auslander, B. A., Fitzpatrick, S. L., & Podkowirow, V. (2014a). Disasters and depressive symptoms in children: a review. Child & Youth Care Forum, 43(4), 489–504. doi:10.1007/s10566-014-9249-y.
Lai, B. S., La Greca, A. M., & Llabre, M. M. (2014b). Children’s sedentary activity after hurricane exposure. Psychological Trauma: Theory, Research, Practice and Policy, 6(3), 280–289. doi:10.1037/a0033331.
Lewinsohn, P. M., Zeiss, A. M., & Duncan, E. M. (1989). Probability of relapse after recovery from an episode of depression. Journal of Abnormal Psychology, 98(2), 107–116.
Lowe, S. R., & Rhodes, J. E. (2013). Trajectories of psychological distress among low‐income, female survivors of Hurricane Katrina. American Journal of Orthopsychiatry, 83(2), 398.
Lowe, S. R., Chan, C. S., & Rhodes, J. E. (2011). The impact of child-related stressors on the psychological functioning of lower-income mothers after Hurricane Katrina. Journal of Family Issues, 32(10), 1303–1324. doi:10.1177/0192513x11412492.
Masten, A. S. (2014). Invited commentary: resilience and positive youth development frameworks in developmental science. Journal of Youth and Adolescence, 43(6), 1018–1024. doi:10.1007/s10964-014-0118-7.
Meewisse, M. L., Olff, M., Kleber, R., Kitchiner, N. J., & Gersons, B. P. (2011). The course of mental health disorders after a disaster: predictors and comorbidity. Journal of Traumatic Stress, 24(4), 405–413. doi:10.1002/jts.20663.
Muthén, B., & Asparouhov, T. (2008). Growth mixture modeling: Analysis with non-Gaussian random effects. Longitudinal data analysis, 143–165.
Muthen, B., & Muthen, L. (1998–2007). Mplus user’s guide (5th ed.). Los Angeles: Muthen & Muthen.
Nandi, A., Tracy, M., Beard, J. R., Vlahov, D., & Galea, S. (2009). Patterns and predictors of trajectories of depression after an urban disaster. Annals of Epidemiology, 19, 761–770. doi:10.1016/j.annepidem.2009.06.005.
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. doi:10.1521/psyc.65.3.207.20173.
Norris, F. H., Murphy, A. D., Baker, C. K., & Perilla, J. L. (2004). Postdisaster PTSD over four waves of a panel study of Mexico’s 1999 flood. Journal of Traumatic Stress, 17(4), 283–292.
Norris, F. H., Tracy, M., & Galea, S. (2009). Looking for resilience: understanding the longitudinal trajectories of responses to stress. Social Science & Medicine, 68(12), 2190–2198. doi:10.1016/j.socscimed.2009.03.043.
Overstreet, S., Salloum, A., & Badour, C. (2010). A school-based assessment of secondary stressors and adolescent mental health 18months post-Katrina. Journal of School Psychology, 48(5), 413–431.
Panyayong, B., & Pengjantr, W. (2014). PTSD, depression and anxiety among tsunami affected people in Thailand: a population-based longitudinal study. Natural Science, 6, 114–120.
Peek, L. A., & Fothergill, A. (2008). Displacement, gender, and the challenges of parenting after Hurricane Katrina. NWSA Journal, 3, 69.
Pietrzak, R. H., Southwick, S. M., Tracy, M., Galea, S., & Norris, F. H. (2012). Posttraumatic stress disorder, depression, and perceived needs for psychological care in older persons affected by Hurricane Ike. Journal of Affective Disorders, 138(1–2), 96–103. doi:10.1016/j.jad.2011.12.018.
Pynoos, R., Rodriguez, N., Steinberg, A., Stuber, M., & Frederick, C. (1998). The UCLA PTSD reaction index for DSM IV (revision 1). Los Angeles: UCLA Trauma Psychiatry Program.
Reynolds, C. R., & Kamphaus, R. W. (2004). BASC-2 behavioral assessment system for children manual (2nd ed.). Circle Pines: American Guidance Services.
Sastry, N., & VanLandingham, M. (2009). One year later: mental illness prevalence and disparities among New Orleans residents displaced by Hurricane Katrina. American Journal of Public Health, 99(Suppl 3), S725–S731. doi:10.2105/AJPH.2009.174854.
Scheeringa, M. S., & Zeanah, C. H. (2008). Reconsideration of harm’s way: onsets and comorbidity patterns of disorders in preschool children and their caregivers following Hurricane Katrina. Journal of Clinical Child & Adolescent Psychology, 37(3), 508–518.
Self-Brown, S., Lai, B. S., Thompson, J. E., McGill, T., & Kelley, M. L. (2013). Posttraumatic stress disorder symptom trajectories in Hurricane Katrina affected youth. Journal of Affective Disorders, 147(1), 198–204.
Self-Brown, S., Lai, B. S., Harbin, S., & Kelley, M. L. (2014). Maternal posttraumatic stress disorder symptom trajectories following Hurricane Katrina: an initial examination of the impact of maternal trajectories on the well-being of disaster-exposed youth. International Journal of Public Health, 59(6), 957–965.
Seplaki, C. L., Goldman, N., Weinstein, M., & Lin, Y.-H. (2006). Before and after the 1999 Chi-Chi earthquake: traumatic events and depressive symptoms in an older population. Social Science & Medicine, 62, 3121–3132. doi:10.1016/j.socscimed.2005.11.059.
Steinberg, A. M., Brymer, M. J., Decker, K. B., & Pynoos, R. S. (2004). The University of California at Los Angeles post-traumatic stress disorder reaction index. Current Psychiatry Reports, 6(2), 96–100.
Twisk, J., & Hoekstra, T. (2012). Original article: classifying developmental trajectories over time should be done with great caution: a comparison between methods. Journal of Clinical Epidemiology, 65, 1078–1087. doi:10.1016/j.jclinepi.2012.04.010.
Vernberg, E. M., La Greca, A. M., Silverman, W. K., & Prinstein, M. J. (1996). Prediction of posttraumatic stress symptoms in children after Hurricane Andrew. Journal of Abnormal Psychology, 105(2), 237.
Weems, C. F., & Graham, R. A. (2014). Resilience and trajectories of posttraumatic stress among youth exposed to disaster. Journal of Child and Adolescent Psychopharmacology, 24(1), 2–8.
Weems, C. F., Taylor, L. K., Cannon, M. F., Marino, R. C., Romano, D. M., Scott, B. G., . . . Triplett, V. (2010). Post traumatic stress, context, and the lingering effects of the Hurricane Katrina disaster among ethnic minority youth. J Abnorm Child Psychol, 38(1), 49–56. doi: 10.1007/s10802-009-9352-y
Ye, Y., Fang, F., Lingyan, L., & Qingguo, H. (2014). Trajectory and predictors of depressive symptoms among adolescent survivors following the Wenchuan earthquake in China: a cohort study. Social Psychiatry & Psychiatric Epidemiology, 49(6), 943–952. doi:10.1007/s00127-014-0821-4.
Yelland, C., Robinson, P., Lock, C., La Greca, A., Kokegei, B., Ridgway, V., & Lai, B. (2010). Bushfire impact on youth. Journal of Traumatic Stress, 23(2), 274–277.
Zwiebach, L., Rhodes, J., & Roemer, L. (2010). Resource loss, resource gain, and mental health among survivors of Hurricane Katrina. Journal of Traumatic Stress, 23(6), 751–758. doi:10.1002/jts.20579.
Acknowledgments
This material is based upon work supported by the US Department of Homeland Security under Award Number: 2008-ST-061-ND 0001 and a research grant from the National Institute of Mental Health (RMH-078148A).
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The views and conclusions contained in this document are those of the authors and should not be interpreted as necessarily representing the official policies, either expressed or implied, of the US Department of Homeland Security.
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Lai, B.S., Tiwari, A., Beaulieu, B.A. et al. Hurricane Katrina: Maternal Depression Trajectories and Child Outcomes. Curr Psychol 34, 515–523 (2015). https://doi.org/10.1007/s12144-015-9338-6
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DOI: https://doi.org/10.1007/s12144-015-9338-6