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Prevalence and Predictors of Mental Health Distress Post-Katrina: Findings From the Gulf Coast Child and Family Health Study

Published online by Cambridge University Press:  08 April 2013

David Abramson ,
Tasha Stehling-Ariza ,
Richard Garfield  and
Irwin Redlener
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Abstract

Background: Catastrophic disasters often are associated with massive structural, economic, and population devastation; less understood are the long-term mental health consequences. This study measures the prevalence and predictors of mental health distress and disability of hurricane survivors over an extended period of recovery in a postdisaster setting.

Methods: A representative sample of 1077 displaced or greatly affected households was drawn in 2006 using a stratified cluster sampling of federally subsidized emergency housing settings in Louisiana and Mississippi, and of Mississippi census tracts designated as having experienced major damage from Hurricane Katrina in 2005. Two rounds of data collection were conducted: a baseline face-to-face interview at 6 to 12 months post-Katrina, and a telephone follow-up at 20 to 23 months after the disaster. Mental health disability was measured using the Medical Outcome Study Short Form 12, version 2 mental component summary score. Bivariate and multivariate analyses were conducted examining socioeconomic, demographic, situational, and attitudinal factors associated with mental health distress and disability.

Results: More than half of the cohort at both baseline and follow-up reported significant mental health distress. Self-reported poor health and safety concerns were persistently associated with poorer mental health. Nearly 2 years after the disaster, the greatest predictors of poor mental health included situational characteristics such as greater numbers of children in a household and attitudinal characteristics such as fatalistic sentiments and poor self-efficacy. Informal social support networks were associated significantly with better mental health status. Housing and economic circumstances were not independently associated with poorer mental health.

Conclusions: Mental health distress and disability are pervasive issues among the US Gulf Coast adults and children who experienced long-term displacement or other serious effects as a result of Hurricanes Katrina and Rita. As time progresses postdisaster, social and psychological factors may play greater roles in accelerating or impeding recovery among affected populations. Efforts to expand disaster recovery and preparedness policies to include long-term social re-engagement efforts postdisaster should be considered as a means of reducing mental health sequelae. (Disaster Med Public Health Preparedness. 2008;2:77–86)

Keywords

mental healthsocial-ecological modellongitudinal cohortHurricane Katrina
Type
Original Research and Critical Analysis
Information
Disaster Medicine and Public Health Preparedness , Volume 2 , Issue 2 , June 2008 , pp. 77 - 86
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2008

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References

REFERENCES

1.Brodie, M, Weltzien, E, Altman, D, et alExperiences of hurricane Katrina evacuees in Houston shelters: implications for future planning. Am J Public Health. 2006; 96: 1402–1408.CrossRefGoogle ScholarPubMed
2.Weisler, RH, Barbee, JG, Townsend, MH. Mental health and recovery in the Gulf Coast after Hurricanes Katrina and Rita. JAMA. 2006; 296: 585–588.Google Scholar
3.Kessler, RC. Hurricane Katrina's impact on the care of survivors with chronic medical conditions. J Gen Intern Med. 2007; 22: 1225–1230.Google Scholar
4.Kessler, RC, Galea, S, Jones, RT, Parker, HA. Mental illness and suicidality after Hurricane Katrina. Bull WHO. 2006; 84: 930–939.Google Scholar
5.Wang, PS, Gruber, MJ, Powers, RE, et alMental health service use among Hurricane Katrina survivors in the eight months after the disaster. Psychiatr Serv. 2007; 58: 1403–1411.Google Scholar
6.Satcher, D, Friel, S, Bell, R. Natural and manmade disasters and mental health. JAMA. 2007; 298: 2540–2542.CrossRefGoogle ScholarPubMed
7.Quarantelli, EL. The Disaster Research Center (DRC) field studies of organized behavior in the crisis time period of disasters. Stallings RA Methods of Disaster Research. Philadelphia: XLibris; 2002.Google Scholar
8. US Census Bureau. 2005 Gulf Coast area data profiles. American community survey. http://www.census.gov/acs/www/Products/Profiles/gulf_coast/profiles.htm. Accessed February 28, 2008.Google Scholar
9. Federal Emergency Management Agency. Individual assistance program global report, Vol. 28. February 15, 2008. http://www.fema.gov/hazard/hurricane/2005katrina/weekly_ia.shtm. Accessed February 28, 2008.Google Scholar
10.Manyena, SB. The concept of resilience revisited. Disasters. 2006; 30: 433–450.Google Scholar
11.Kish, L. Survey Sampling. New York: J. Wiley; 1965.Google Scholar
12.Amir, M, Lewin-Epstein, N, Becker, G, Buskila, D. Psychometric properties of the SF-12 (Hebrew version) in a primary care population in Israel. Med Care. 2002; 40: 918–928.Google Scholar
13.Fleishman, JA, Zuvekas, SH. Global self-rated mental health: associations with other mental health measures and with role functioning. Med Care. 2007; 45: 602–609.Google Scholar
14.Van Griensven, F, Chakkraband, ML, Thienkrua, W, et alMental health problems among adults in tsunami-affected areas in southern Thailand. JAMA. 2006; 296: 537–548.CrossRefGoogle ScholarPubMed
15.Ware, JE. Improvements in short-form measures of health status: introduction to a series. J Clin Epidemiol. 2008; 61: 1–5.Google Scholar
16. Ware JE, Gandek B, Aaronson N et al. Testing the SF-12 summary health measures in nine countries: results from the IQOLA Project. Qual Life Res. 1997;6:417–417.Google Scholar
17.Ware, JE, Kosinski, M, Keller, SD. A 12-item short-form health survey—construction of scales and preliminary tests of reliability and validity. Med Care. 1996; 34: 220–233.Google Scholar
18.Ware, JE, Kosinski, M, Keller, SD. SF-36 Physical & Mental Health Summary Scales: A User's Manual. 5th ed. Lincoln, RI: QualityMetric; 1994.Google Scholar
19.Gill, SC, Butterworth, P, Rodgers, B, Mackinnon, A. Validity of the mental health component scale of the 12-item Short-Form Health Survey (MCS-12) as measure of common mental disorders in the general population. Psychiatry Res. 2007; 152: 63–71.Google Scholar
20.Norris, FH, Friedman, MJ, Watson, PJ, et al60,000 disaster victims speak: I. An empirical review of the empirical literature, 1981–2001. Psychiatry. 2002; 65: 207–239.CrossRefGoogle Scholar
21.Litwak, E, Messeri, P, Wolfe, S, et alOrganizational theory, social supports, and mortality rates—a theoretical convergence. Am Sociol Rev. 1989; 54: 49–66.Google Scholar
22.Messeri, P, Silverstein, M, Litwak, E. Choosing optimal support groups—a review and reformulation. J Health Soc Behav. 1993; 34: 122–137.Google Scholar
23.Royston, P. Multiple imputation of missing values: update. Stata J. 2005; 5: 188–201.Google Scholar
24.Schafer, JL. Multiple imputation: a primer. Stat Methods Med Res. 1999; 8: 3–15.Google Scholar
25.Morris, J, van Ommeren, M, Belfer, M, et alChildren and the Sphere standard on mental and social aspects of health. Disasters. 2007; 31: 71–90.Google Scholar
26.Project Sphere. Humanitarian Charter and Minimum Standards in Disaster Response. Oxford, UK: Oxfam Publishing; 2004.Google Scholar
27.Silove, D, Steel, Z, Psychol, M. Understanding community psychosocial needs after disasters: implications for mental health services. J Postgrad Med. 2006; 52: 121–125.Google Scholar
28.May, PJ. Recovering From Catastrophes: Federal Disaster Relief Policy and Politics. Westport, CT: Greenwood Press; 1985.Google Scholar
29.Platt, RH. Disasters and Democracy: The Politics of Extreme Natural Events. Washington, DC: Island Press; 1999.Google Scholar
30.Norris, FH, Murphy, AD, Baker, CK, Perilla, JL. Postdisaster PTSD over four waves of a panel study of Mexico's 1999 flood. J Trauma Stress. 2004; 17: 283–292.Google Scholar
31.Galea, S, Nandi, A, Vlahov, D. The epidemiology of post-traumatic stress disorder after disasters. Epidemiol Rev. 2005; 27: 78–91.Google Scholar
32.Shaw, JA, Applegate, B, Schorr, C. Twenty-one-month follow-up study of school-age children exposed to Hurricane Andrew. J Am Acad Child Adolesc Psychiatry. 1996; 35: 359–364.Google Scholar
33.Van Ommeren, M, Saxena, S, Saraceno, B. Aid after disasters. BMJ. 2005; 330: 1160–1161.Google Scholar