American Journal of Orthopsychiatry · 2010 · 251 citations · 67 references
MedicineChild HealthPsychiatryHealth PsychologyMental Health CareTrauma-related DisordersDisaster EpidemiologyFamily CopingFamily ResilienceFamily StressorsMental HealthStress-related DisordersAdverse Health EffectsDisaster-related LossDisaster-related MorbidityDisaster-related Post-traumatic Stress DisorderLow IncomeMental Health ImpactsMental Health ServicesPhysical Health Condition
The purpose of this study was to document changes in mental and physical health among 392 low-income parents exposed to Hurricane Katrina and to explore how hurricane-related stressors and loss relate to post-Katrina well-being. The prevalence of probable serious mental illness doubled, and nearly half of the respondents exhibited probable posttraumatic stress disorder. Higher levels of hurricane-related loss and stressors were generally associated with worse health outcomes, controlling for baseline sociodemographic and health measures. Higher baseline resources predicted fewer hurricane-associated stressors, but the consequences of stressors and loss were similar regardless of baseline resources. Adverse health consequences of Hurricane Katrina persisted for a year or more and were most severe for those experiencing the most stressors and loss. Long-term health and mental health services are needed for low-income disaster survivors, especially those who experience disaster-related stressors and loss.
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A Global Measure of Perceived Stress
Sheldon Cohen, Robin Mermelstein · Journal of Health and Social Behavior · 1983 · 32.4K citations
Screening for Serious Mental Illness in the General Population
Ronald C. Kessler, Peggy R. Barker, Lisa J. Colpe et al. · Archives of General Psychiatry · 2003 · 5.7K citations