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Perceptions of Resilience and Physical Health Symptom Improvement Following Post Disaster Integrated Health Services

  • Howard J. Osofsky (a1), Carl F. Weems (a2), Rebecca A. Graham (a1), Joy D. Osofsky (a1), Tonya C. Hansel (a1) and Lucy S. King (a3)...

Abstract

Objective

Theorists and researchers have linked resilience with a host of positive psychological and physical health outcomes. This paper examines perceptions of resilience and physical health symptoms in a sample of individuals exposed to multiple community disasters following involvement in integrated mental health services.

Methods

A multiwave naturalistic design was used to follow 762 adult clinic patients (72% female; 28% minority status), ages 18-92 years (mean age=40 years), who were evaluated for resilience and physical health symptoms prior to receiving services and at 1, 3, and 6 months’ follow-up.

Results

Data indicated increases in perceptions of resilience and decreased physical health symptoms reported over time. Results also indicated that resilience predicted physical health symptoms, such that resilience and physical health symptoms were negatively associated (ie, improved resilience was associated with decreases in physical health symptoms). These effects were primarily observed for those individuals with previous exposure to natural disasters.

Conclusions

Findings provide correlational evidence for behavioral health treatment provided as part of a stepped-care, collaborative model in reducing physical health symptoms and increasing resilience post-disaster. Controlled trials are warranted. (Disaster Med Public Health Preparedness. 2019;13:223–229)

Copyright

Corresponding author

Correspondence and reprint requests to Rebecca A. Graham, Louisiana State University Health Sciences Center, Department of Psychiatry, 1542 Tulane Avenue, New Orleans, LA 70112 (rgrah4@lsuhsc.edu).

References

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1. Bonanno, GA. Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol. 2004;59(1):20-28. doi: 10.1037/0003-066X.59.1.20.
2. Bonanno, GA, Westphal, M, Mancini, AD. Resilience to loss and potential trauma. Annu Rev Clin Psychol. 2011;7:511-535. doi: 10.1146/annurev-clinpsy-032210-104526.
3. Garmezy, N, Rutter, M. Acute reactions to stress. Child Adolesc Psychiatr. 1985;2:152-176.
4. Rutter, M. Resilience in the face of adversity. Protective factors and resistance to psychiatric disorder. Br J Psychiatry. 1985;147(6):598-611.
5. Abramson, DM, Grattan, LM, Mayer, B, et al. The Resilience Activation Framework: a conceptual model of how access to social resources promotes adaptation and rapid recovery in post-disaster settings. J Behav Health Serv Res. 2015;42(1):42-57.
6. Hansel, TC, Osofsky, JD, Osofsky, HJ. Louisiana State University Health Sciences Center Katrina Inspired Disaster Screenings (KIDS): psychometric testing of the national child traumatic stress network hurricane assessment and referral tool. Child Youth Care Forum. 2015;44(4):567-582.
7. Lowe, SR, Sampson, L, Gruebner, O, Galea, S. Psychological resilience after Hurricane Sandy: the influence of individual-and-community-level factors on mental health after a large-scale natural disaster. PloS One. 2015;10(5):e0125761.
8. Masten, AS. Ordinary magic: resilience in development. New York: Guilford Publishers; 2014.
9. Masten, AS, Narayan, AJ, Silverman, WK, Osofsky, JD. (2015). Children in war and disaster. In Lerner RM (Ed.), Bornstein MH, Leventhal T (vol. Eds.) Handbook of child psychology and developmental science. Vol. 4. Ecological settings and processes in developmental systems, 7th edition (pp. 704-745). New York: Wiley.
10. Masten, AS, Obradovic, J. Disaster preparation and recovery: lessons from research on resilience in human development. Ecol Soc. 2008;13(1):9.
11. Rutter, M. Resilience concepts and findings: implications for family therapy. J Fam Ther. 1999;21(2):119-144.
12. Fergusson, DM, Horwood, LJ, Boden, JM, Mulder, RT. Impact of a major disaster on the mental health of a well-studied cohort. JAMA Psychiatry. 2014;71(9):1025-1031.
13. Goldstein, BD, Osofsky, HJ, Lichtveld, MY. The Gulf oil spill. N Engl J Med. 2011;364(14):1334-1348.
14. Rubonis, AV, Bickman, L. Psychological impairment in the wake of disaster: the disaster–psychopathology relationship. Psychol Bull. 1991;109(3):384-399.
15. Osofsky, HJ, Osofsky, JD, Wells, JH, Weems, C. Integrated care: meeting mental health needs after the Gulf oil spill. Psychiatr Serv. 2014;65(3):280-283.
16. Osofsky, HJ, Osofsky, JD. Hurricane Katrina and the Gulf oil spill: lessons learned. Psychiatr Clin North Am. 2013;36(3):371-383.
17. Osofsky, HJ, Osofsky, JD, Hansel, TC. Deepwater horizon oil spill: mental health effects on residents in heavily affected areas. Disaster Med Public Health Prep. 2011;5(04):280-286.
18. Osofsky, HJ, Palinkas, LA, Galloway, JM. Mental health effects of the Gulf oil spill. Disaster Med Public Health Prep. 2010;4(4):273-276.
19. Kronenberg, ME, Hansel, TC, Brennan, AM, et al. Children of Katrina: lessons learned about post-disaster symptoms and recovery patterns. Child Dev. 2010;81(4):1241-1259.
20. Osofsky, HJ, Osofsky, JD, Kronenberg, M, et al. Posttraumatic stress symptoms in children after Hurricane Katrina: predicting the need for mental health services. Am J Orthopsychiatry. 2009;79(2):212-220.
21. Kim, SC, Plumb, R, Gredig, QN, et al. Medium‐term post‐Katrina health sequelae among New Orleans residents: predictors of poor mental and physical health. J Clin Nurs. 2008;17(17):2335-2342.
22. Sastry, N, Gregory, J. The effect of Hurricane Katrina on the prevalence of health impairments and disability among adults in New Orleans: differences by age, race, and sex. Soc Sci Med. 2013;80:121-129.
23. National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling. Deep water: the Gulf oil disaster and the future of offshore drilling. Report to the President; 2011. http://www.iadc.org/archived-2014-osc-report/documents/DEEPWATER_ReporttothePresident_FINAL.pdf. Published January 11, 2011. Accessed May 14, 2018.
24. Couch, SR, Coles, CJ. Community stress, psychosocial hazards, and EPA decision-making in communities impacted by chronic technological disasters. Am J Public Health. 2011;101(S1):S140-S148.
25. Galea, S, Tracy, M, Norris, F, Coffey, SF. Financial and social circumstances and the incidence and course of PTSD in Mississippi during the first two years after Hurricane Katrina. J Trauma Stress. 2008;21(4):357-368.
26. Kessler, RC, Galea, S, Jones, RT, Parker, HA. Mental illness and suicidality after Hurricane Katrina. Bull World Health Organ. 2006;84(12):930-939.
27. Weems, CF, Taylor, LK, Costa, NM, et al. Effect of a school-based test anxiety intervention in ethnic minority youth exposed to Hurricane Katrina. J Appl Dev Psychol. 2009;30(3):218-226.
28. Sheehan, DV, Harnett-Sheehan, K, Raj, BA. The measurement of disability. Int Clin Psychopharmacol. 1996;11:89-95.
29. Connor, KM, Davidson, JR. Development of a new resilience scale: the Connor‐Davidson Resilience Scale (CD‐RISC). Depress Anxiety. 2003;18(2):76-82.
30. Vaishnavi, S, Connor, K, Davidson, JR. An abbreviated version of the Connor-Davidson Resilience Scale (CD-RISC), the CD-RISC2: psychometric properties and applications in psychopharmacological trials. Psychiatry Res. 2007;152(2):293-297.
31. Kroenke, K, Spitzer, RL, Williams, JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64(2):258-266.
32. Spitzer, RL, Williams, JBW, Kroenke, K, et al. Utility of a new procedure for diagnosing mental disorders in primary care: the PRIME-MD 1000 study. JAMA. 1994;272:1749-1756.
33. Raudenbush, SW, Bryk, AS, Cheong, YF. HLM 7: hierarchical linear and nonlinear modeling. Skokie, Illinois: Scientific Software International; 2011.
34. Crawford, SL, Tennstedt, SL, McKinlay, JB. A comparison of analytic methods for non-random missingness of outcome data. J Clin Epidemiol. 1995;48(2):209-219.
35. Tate, RL, Hokanson, JE. Analyzing individual status and change with hierarchical linear models: illustration with depression in college students. J Pers. 1993;61:181-206.
36. Caldera, T, Palma, L, Kullgren, G, Penayo, U. Psychological impact of Hurricane Mitch in Nicaragua in a one-year perspective. Soc Psychiatry Psychiatr Epidemiol. 2001;36:108-114. doi: 10.1007/s001270050298.
37. Masten, AS, Osofsky, JD. Disasters and their impact on child development: introduction to the special section. Child Dev. 2010;81(4):1029-1039.
38. Yehuda, R, Flory, JD, Southwick, S, Charney, DS. Developing an agenda for translational studies of resilience and vulnerability following trauma exposure. Ann N Y Acad Sci. 2006;1071(1):379-396.
39. Norris, FH, Stevens, SP, Pfefferbaum, B, et al. Community resilience as a metaphor, theory, set of capacities, and strategy for disaster readiness. Am J Community Psychol. 2008;41(1-2):127-150.

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