Citation

Tharp AT, Vasterling JJ, Sullivan G, Han X, Davis T, Deitch EA, Constans J. Disaster Med. Public Health Prep. 2011; 5(Suppl 2): S227-S34.

Affiliation

Baylor College of Medicine, USA. atharpn@cdc.gov

Copyright

(Copyright © 2011, Society for Disaster Medicine and Public Health, Publisher Cambridge University Press)

DOI

10.1001/dmp.2011.47

PMID

21908700

Abstract

BACKGROUND: Identifying individuals at risk for mental health problems after a disaster often involves assessing potentially traumatic exposures inherent to the disaster. Survivors of disasters also may have been exposed, both before and during the event, to trauma not directly related to the disaster. A substantial literature suggests exposure to interpersonal violence may have more severe negative outcomes than exposure to non-violent events; however, it is unclear whether violent vs nonviolent exposures before and during a disaster have differential effects on post-disaster psychological functioning. METHODS: We examined the associations of violent and nonviolent exposures before and during Hurricane Katrina with post-disaster psychological functioning in a sample of male military veterans. RESULTS: Violent and nonviolent exposures post-Hurricane Katrina as well as pre-Katrina violent exposures were significantly associated with symptoms of posttraumatic stress disorder, panic, and generalized anxiety disorder more than 2 years after the storm. Moreover, veterans who reported violent exposures pre-Katrina were more than 4 times more likely to have re-experienced interpersonal violence during Katrina than those who did not report such exposures. CONCLUSIONS: Results suggest assessing disaster-specific experiences in addition to pre-disaster interpersonal violence may be important for identifying and triaging individuals at risk for post-disaster mental health problems.

Language: en