Race and Social Problems

, Volume 4, Issue 3–4, pp 144–157 | Cite as

Predictors of Posttraumatic Stress and Growth Among Black and White Survivors of Hurricane Katrina: Does Perceived Quality of the Governmental Response Matter?

Article

Abstract

Data from the Baseline Survey of the Hurricane Katrina Community Advisory Group Study (Kessler 2009) were used to explore the predictors of posttraumatic growth and posttraumatic stress among black (n = 265) and white (n = 715) adult survivors of Hurricane Katrina. We focus on the perceived quality of the governmental response and cognitive processing related to the response on posttraumatic outcomes, and whether there were racial group differences. We also consider the impact of demographic factors and severity of stress. Results of hierarchical linear regression showed that being black, older, having lower educational attainment, and experiencing greater perceived stress and loss during Katrina positively predicted greater posttraumatic growth. Being female, living below the poverty line, and experiencing greater perceived stress and loss positively predicted posttraumatic stress symptoms. More positive views of the governmental response were associated with greater posttraumatic growth and more negative views with greater posttraumatic stress symptomology. Moreover, it was found that race significantly moderated the effect between perceived quality of the response and posttraumatic stress. Subgroup analysis corroborated the interaction effect and showed that while perceived quality of the governmental response significantly predicted posttraumatic stress for black survivors, it was not a significant predictor for white survivors. This study sheds light on some of the factors and conditions under which positive and negative post-trauma outcomes occurred after Katrina. We propose that racial group differences in the impact of perceived quality of the response on posttraumatic stress may be related to views among some black survivors that the emergency response was discriminatory.

Keywords

Trauma Natural disaster Emergency response Posttraumatic growth Hurricane Katrina 

References

  1. Adams, G., O’Brien, L. T., & Nelson, J. C. (2006). Perceptions of racism in Hurricane Katrina: A liberation psychology analysis. Analyses of Social Issues and Public Policy, 6(1), 215–235.CrossRefGoogle Scholar
  2. Ai, A. L., Plummer, C., Heo, G., Lemieux, C. M., Simon, C. E., Taylor, P., et al. (2011). Racial identity-related differential attributions of inadequate responses to Hurricane Katrina: A social identity perspective. Race and Social Problems, 3(1), 13–24.CrossRefGoogle Scholar
  3. Allison, P. (2002). Missing data: Quantitative application in the social sciences. Thousand Oakes, CA: Sage Publications, Inc.Google Scholar
  4. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4 ed.). Washington, DC: American Psychiatric Association.Google Scholar
  5. Anderson, E. (2006). Inadequate responses, limited expectations. In E. L. Birch & S. M. Wachter (Eds.), Rebuilding urban places after disaster: Lessons from Hurricane Katrina (pp. 193–200). Philadelphia: University of Pennsylvania Press.Google Scholar
  6. Boland, M., Sweeney, M. R., Scallan, E., Harrington, M., & Staines, A. (2006). Emerging advantages and drawbacks of telephone surveying in public health research in Ireland and the U.K. BMC Public Health, 6(1), 208.CrossRefGoogle Scholar
  7. Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59(1), 20–28.CrossRefGoogle Scholar
  8. Bourque, L. B., Siegel, J. M., Kano, M., & Wood, M. M. (2006). Weathering the storm: The impact of hurricanes on physical and mental health. Annals of the American Academy of Political and Social Science, 604, 129–150.CrossRefGoogle Scholar
  9. Bowman, S., Kapp, L., & Belasco, A. (2005, September 19). Hurricane Katrina: DOD disaster response. CRS Report for Congress. Retrieved October 18, 2010 from http://www.fas.org/sgp/crs/natsec/RL33095.pdf.
  10. 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), 748–766.CrossRefGoogle Scholar
  11. Brewin, C., Galea, S., Jones, R. T., Kendrick, D., Kessler, R., King, D., et al. (2006). Overview of baseline survey results: Hurricane Katrina community advisory group. Retrieved November 9, 2009, from www.hurricanekatrina.med.harvard.edu.
  12. Brewin, C. R., Rose, S., Andrews, B., Green, J., Tata, P., McEvedy, C., et al. (2002). Brief screening instrument for posttraumatic stress disorder. British Journal of Psychiatry, 181, 158–162.Google Scholar
  13. Briere, J., & Scott, C. (2006). Principles of trauma therapy: A guide to symptoms, evaluation, and treatment. Thousand Oaks, CA: Sage Publications.Google Scholar
  14. Callebs, C., Gupta, S., Lavendera, E., Lawrence, C., & Starr, B. (2005). Convoys bring relief to New Orleans: Refugees cheer envoys, Bush signs $10.5 billion aid package. CNN. Retrieved January 17, 2011, from http://us.cnn.com/2005/US/09/02/katrina.impact/index.html.
  15. Cao, H., McFarlane, A. C., & Klimidis, S. (2003). Prevalence of psychiatric disorder following the 1988 Yun Nan (China) earthquake: the first 5-month period. Social Psychiatry and Psychiatric Epidemiology, 38, 204–212.CrossRefGoogle Scholar
  16. Carlson, E., & Dalenberg, C. (2000). A conceptual framework for the impact of traumatic experiences. Trauma, Violence & Abuse, 1(1), 4–28.CrossRefGoogle Scholar
  17. Carr, V. J., Lewin, T. J., Webster, R. A., Kenardy, J. A., Hazell, P. L., & Carter, G. L. (1997). Psychosocial sequalae of the 1989 newcastle Earthquake: II. Exposure and morbidity profiles during the first 2 years post-disaster. Psychological Medicine, 27, 167–178.CrossRefGoogle Scholar
  18. Cheng, C., Wong, W., & Tsang, K. W. (2006). Perceptions of benefits and costs during SARS outbreak: An 18-month prospective study. Journal of Consulting and Clinical Psychology, 74, 870–879.CrossRefGoogle Scholar
  19. Collins, R. L., Taylor, S. E., & Skokan, L. A. (1990). A better world or a shattered vision? Changes in perspectives following victimization. Social Cognition, 8, 263–285.CrossRefGoogle Scholar
  20. Fontana, A., & Rosenheck, R. (1998). Psychological benefits and liabilities of traumatic exposure in the war zone. Journal of Traumatic Stress, 11, 485–505.CrossRefGoogle Scholar
  21. Galea, S., Brewin, C. R., Gruber, M., Jones, R. T., King, D. W., King, L. A., et al. (2007). Exposure to hurricane-related stressors and mental illness after Hurricane Katrina. Archives of General Psychiatry, 64(12), 1427–1434.CrossRefGoogle Scholar
  22. Goenjian, A. K., Steinberg, A. M., Najarian, L. M., Fairbanks, L. A., Tashijian, M., & Pynoos, R. S. (2000). Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. American Journal of Psychiatry, 157, 911–916.CrossRefGoogle Scholar
  23. Hancock, L. (2005). In a city split and sinking before the storm, racial issues boil. The Dallas Morning News. Retrieved October 18, 2010, from http://www.dallasnews.com/sharedcontent/dws/news/katrina/stories/120405dntexkatrace.28ed58b.html.
  24. Harvard Medical School (2005). Hurricane Katrina community advisory study: Project overview. Retrieved March 24, 2011, from http://www.hurricanekatrina.med.harvard.edu/index.php.
  25. Harvey, M. R. (1996). An ecological view of psychological trauma and trauma recovery. Journal of Traumatic Stress, 9(1), 3–21.CrossRefGoogle Scholar
  26. Harvey, M. R. (2007). Towards an ecological understanding of resilience in trauma survivors: Implications for theory, research and practice. In M. R. Harvey & P. Tummala-Narra (Eds.), Sources and expressions of resilience in trauma survivors: Ecological theory, multicultural practice (pp. 9–32). New York, NY: Haworth.Google Scholar
  27. Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74(5), 797–816.CrossRefGoogle Scholar
  28. Henkel, K. E., Dovidio, J. F., & Gaertner, S. L. (2006). Institutional discrimination, individual racism, and Hurricane Katrina. Analyses of Social Issues and Public Policy, 6(1), 99–124.CrossRefGoogle Scholar
  29. Herman, J. L. (1997). Trauma and recovery. New York: Basic Books.Google Scholar
  30. Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York, NY: Free Press.Google Scholar
  31. Kaniasty, K., & Norris, F. (1995). In search of altruistic community: Patterns of social support mobilization following Hurricane Hugo. American Journal of Community Psychology, 23, 447–477.CrossRefGoogle Scholar
  32. Katz, C. L., Pellegrino, L., Pandya, A., Ng, A., & Delisi, L. E. (2002). Research on psychiatric outcomes and interventions subsequent to disasters: a review of the literature. Psychiatry Research, 110, 201–207.CrossRefGoogle Scholar
  33. Kessler, R. (2009). Hurricane Katrina community advisory group study: Baseline survey. [Computer file and code book]. ICPSR22325-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research (distributor).Google Scholar
  34. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52(12), 1048–1060.CrossRefGoogle Scholar
  35. Knabb, R., Rhome, J., & Brown, D. (2006). National hurricane center tropical cyclone report: Hurricane Katrina 2330 August 2005. Retrieved May 17, 2012 from, http://www.hurricane.com/hurricanes/hurricane-katrina/hurricane-katrina.php.
  36. Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17(1), 11–21.CrossRefGoogle Scholar
  37. McFarland, C., & Alvaro, C. (2000). The impact of motivation on temporal comparisons: Coping with traumatic events by perceiving personal growth. Journal of Personality and Social Psychology, 79, 327–343.CrossRefGoogle Scholar
  38. McLaughlin, K. A., Berglund, P., Gruber, M. J., Kessler, R. C., Sampson, N. A., & Zaslavsky, A. M. (2011). Recovery from PTSD following Hurricane Katrina. Depression and Anxiety, 28, 439–446.CrossRefGoogle Scholar
  39. ABC News (2006). Available housing for Katrina evacuees caught in federal red tape: VA offered FEMA thousands of single-family homes; deal formalized four months after storm hit. Retrieved October 18, 2010 from http://abcnews.go.com/WNT/HurricaneKatrina/story?id=1503846.
  40. Norris, F. (1992). Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups. Journal of Consulting and Clinical Psychology, 60, 409–418.CrossRefGoogle Scholar
  41. Norris, F. H., 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, 283–292.CrossRefGoogle Scholar
  42. Norris, F. H., Byrne, C. M., Diaz, E., & Kaniasty, K. (2001). 50,000 disaster victims speak. An empirical review of the empirical literature, 1981–2001. Washington, DC: The National Center for PTSD and the Center for Mental Health Services.Google Scholar
  43. Ozer, E. J., & Weiss, D. S. (2004). Who develops posttraumatic stress disorder? Current Directions in Psychological Science, 13, 169–172.CrossRefGoogle Scholar
  44. Park, C. L., & Ai, A. L. (2006). Meaning making and growth: New directions for research on survivors of trauma. Journal of Loss & Trauma, 11, 389–407.CrossRefGoogle Scholar
  45. Park, C. L., & Fenster, J. R. (2004). Stress-related growth: Predictors of occurrence and correlates with psychological adjustment. Journal of Social and Clinical Psychology, 23(2), 195–215.CrossRefGoogle Scholar
  46. Park, C. L. & Helgeson, V. S. (2006). Introduction to the special section: Growth following highly stressful events—current status and future directions. Journal of Consulting and Clinical Psychology, 74(5), 791–796.CrossRefGoogle Scholar
  47. Park, C. L., & Lechner, S. (2006). Measurement issues in assessing growth following stressful life experiences. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 47–67). New York, NY: Erlbaum.Google Scholar
  48. Pew Research Center (2005). Huge racial divide over Katrina and its consequences: Two-in-three critical of Bush’s relief efforts. Retrieved October 2, 2010, from http://people-press.org/reports/pdf/255.pdf.
  49. Pole, N., Gone, J., & Kulkarni, M. (2008). Posttraumatic stress disorder among ethnoracial minorities in the United States. Clinical Psychology: Science and Practice, 15(1), 35–61.CrossRefGoogle Scholar
  50. Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth: a meta-analysis. Journal of Loss & Trauma, 14(5), 364–388.CrossRefGoogle Scholar
  51. Rank, M. R. (2009). Measuring the economic racial divide across the course of American lives. Race and Social Problems, 1(2), 57–66.CrossRefGoogle Scholar
  52. Sameroff, A. J., & Rosenblum, K. L. (2006). Psychosocial constraints on the development of resilience. Annals of the New York Academy of Sciences, 1094, 116–124.CrossRefGoogle Scholar
  53. Sanders, K. (2005). Katrina victims blame racism for slow aid: Emotions flare as Black survivors testify before special House panel. NBC News. Retrieved October 2, 2010, from http://www.msnbc.msn.com/cleanprint/CleanPrintProxy.aspx?1286025572197.
  54. Select Bipartisan Committee to Investigate the Preparation for and Response to Hurricane Katrina (2006). A failure of initiative: Final report. United States Government Printing Office. Retrieved March 21, 2011 from http://www.gpoaccess.gov/katrinareport/fullreport.pdf.
  55. Shaefer, J., & Moos, R. (1998). The context for posttraumatic growth: Life crises, individual and social resources, and coping. In R. Tedeschi, C. Park, & L. Calhoun (Eds.), Posttraumatic growth: Positive changes in the aftermath of crisis (pp. 99–126). Mahway, NJ: Erlbaum.Google Scholar
  56. Shapiro, T. M., & Oliver, M. L. (1997). Black wealth/White wealth: A new perspective. New York, NY: Routledge.Google Scholar
  57. Sherman, A. & Shapiro, I. (2005). Essential facts about the victims of Hurricane Katrina. Center on Budget and Policy Prioirities. Retrieved May 18, 2012 from, http://www.cbpp.org/cms/?fa=view&id=658.
  58. Silverman, W. K., & La Greca, A. M. (2002). Children experiencing disasters: Definitions, reactions, and predictors of outcomes. In A. M. La Greca, W. K. Silverman, E. M. Vernberg, & M. C. Roberts (Eds.), Helping children cope with disasters and terrorism (pp. 11–33). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  59. Stockton, H., Hunt, N., & Joseph, S. (2011). Cognitive processing, rumination, and posttraumatic growth. Journal of Trauma Stress, 24(1), 85–92.CrossRefGoogle Scholar
  60. Swickert, R., & Hittner, J. (2009). Social support mediates the relationship between gender and posttraumatic growth. Journal of Health Psychology, 14(3), 387–393.CrossRefGoogle Scholar
  61. Tang, C. S. (2006). Positive and negative postdisaster psychological adjustment among adult survivors of the Southeast Asian earthquake-tsunami. Journal of Psychometric Research, 61(5), 699–705.CrossRefGoogle Scholar
  62. Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471.CrossRefGoogle Scholar
  63. Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.CrossRefGoogle Scholar
  64. The big disconnect on New Orleans: The official version; then there’s the in-the-trenches version. (2005). CNN. Retrieved October 18, 2010, from http://www.cnn.com/2005/US/09/02/katrina.response/index.html.
  65. Tronick, E. (2006). The inherent stress of normal daily life and social interaction leads to the development of coping and resilience, and variation in resilience in infants and young children. Annals of the New York Academy of Sciences, 1094, 83–104.CrossRefGoogle Scholar
  66. Tyler, M., & Rogers, J. R. (2005). A federal perspective on EAPs and emergency preparedness. International Journal of Emergency Mental Health, 7(3), 179–186.Google Scholar
  67. Utsey, S. O., Giesbrecht, N., Hook, J., & Stanard, P. M. (2008). Cultural, sociofamilial, and psychological resources that inhibit psychological distress in African-Americans exposed to stressful life events and race-related stress. Journal of Counseling Psychology, 55(1), 49–62.CrossRefGoogle Scholar
  68. Von Drehle, D. & Salmon, J. (2005). Displacement of historic proportions. The Washington Post. Retrieved May 17, 2012 from, http://www.washingtonpost.com/wp-dyn/content/article/2005/09/01/AR2005090102406.html.
  69. Wilson, W. J. (2009). Toward a framework for understanding forces that contribute to or reinforce racial inequality. Race and Social Problems, 1(3), 3–11.CrossRefGoogle Scholar
  70. Yang, L. H., Kleinman, A., Link, B. G., Phelan, J. C., Lee, S., & Good, B. (2007). Culture and stigma: Adding moral experience to stigma theory. Social Science and Medicine, 64(7), 1524–1535.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Boston College Graduate School of Social WorkChestnut HillUSA

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