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Mental Health Outcomes Among Adults in Galveston and Chambers Counties After Hurricane Ike

  • Kenneth J. Ruggiero, Kirstin Gros, Jenna L. McCauley, Heidi S. Resnick, Mark Morgan, Dean G. Kilpatrick, Wendy Muzzy and Ron Acierno...
Abstract

Objective: To examine the mental health effects of Hurricane Ike, the third costliest hurricane in US history, which devastated the upper Texas coast in September 2008.

Method: Structured telephone interviews assessing immediate effects of Hurricane Ike (damage, loss, displacement) and mental health diagnoses were administered via random digit-dial methods to a household probability sample of 255 Hurricane Ike–affected adults in Galveston and Chambers counties.

Results: Three-fourths of respondents evacuated the area because of Hurricane Ike and nearly 40% were displaced for at least one week. Postdisaster mental health prevalence estimates were 5.9% for posttraumatic stress disorder, 4.5% for major depressive episode, and 9.3% for generalized anxiety disorder. Bivariate analyses suggested that peritraumatic indicators of hurricane exposure severity—such as lack of adequate clean clothing, electricity, food, money, transportation, or water for at least one week—were most consistently associated with mental health problems.

Conclusions: The significant contribution of factors such as loss of housing, financial means, clothing, food, and water to the development and/or maintenance of negative mental health consequences highlights the importance of systemic postdisaster intervention resources targeted to meet basic needs in the postdisaster period.

(Disaster Med Public Health Preparedness. 2012;6:26–32)

Copyright
Corresponding author
Correspondance: Kenneth J. Ruggiero, PhD, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President St, MSC 861, Charleston, SC 29425 (e-mail: ruggierk@musc.edu).
References
Hide All
1National Oceanic and Atmospheric Administration. State of the Climate. Hurricanes and Tropical Storms for September 2008. http://www.ncdc.noaa.gov/. Accessed February 17, 2010.
2.Berg, R.Tropical Cyclone Report Hurricane Ike. Miami, FL: National Hurricane Center; 2009. http://www.nhc.noaa.gov/pdf/TCR-AL092008_Ike_3May10.pdf. Accessed February 7, 2012.
3.Office of the Governor. Texas Rebounds. Helping Our Communities Recover from the 2008 Hurricane Season. Austin, TX: Office of the Governor; 2008. http://governor.state.tx.us/files/press-office/Texas-Rebounds-report.pdf. Accessed October 14, 2009.
4.Federal Emergency Management Agency. Hurricane Ike Impact Report. Washington, DC: FEMA; 2008. http://www.fema.gov/pdf/hazard/hurricane/2008/ike/impact_report.pdf. Accessed October 15, 2009.
5.Centers for Disease Control and Prevention (CDC). Hurricane Ike rapid needs assessment - Houston, Texas, September 2008. MMWR Morb Mortal Wkly Rep. 2009;58 (38):10661071.
6.Norris, FH, Sherrieb, K, Galea, S.Prevalence and consequences of disaster-related illness and injury from Hurricane Ike. Rehabil Psychol. 2010;55 (3):221230.
7.Peters, RJ Jr, Meshack, AA, Amos, C, Scott-Gurnell, K, Savage, C, Ford, K.The association of drug use and post-traumatic stress reactions due to Hurricane Ike among Fifth Ward Houstonian youth. J Ethn Subst Abuse. 2010;9 (2):143151.
8.Forrester, MB.Impact of Hurricane Ike on Texas poison center calls. Disaster Med Public Health Prep. 2009;3 (3):151157.
9.Seale, GS.Emergency preparedness as a continuous improvement cycle: perspectives from a postacute rehabilitation facility. Rehabil Psychol. 2010;55 (3):247254.
10.Vo, AH, Brooks, GB, Bourdeau, M, Farr, R, Raimer, BG.University of Texas Medical Branch telemedicine disaster response and recovery: lessons learned from Hurricane Ike. Telemedicine e-Health. 2010;16(5):627-633.
11.Acierno, R, Ruggiero, KJ, Galea, S, et alPsychological sequelae resulting from the 2004 Florida hurricanes: implications for postdisaster intervention. Am J Public Health. 2007;97(suppl 1)S103S108.
12.Galea, S, Brewin, CR, Gruber, M, et alExposure to hurricane-related stressors and mental illness after Hurricane Katrina. Arch Gen Psychiatry. 2007;64 (12):14271434.
13.Galea, S, Nandi, A, Vlahov, D.The epidemiology of post-traumatic stress disorder after disasters. Epidemiol Rev. 2005;27:7891.
14.Norris, FH, Elrod, CL.Psychosocial consequences of disaster: a review of past research. In: Norris FH, Galea S, Friedman MJ, Watson PJ, eds. Methods for Disaster Mental Health Research. New York, NY: Guilford Press; 2006:20-42.
15.van Griensven, F, Chakkraband, MLS, Thienkrua, W, et alThailand Post-Tsunami Mental Health Study Group. Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA. 2006;296 (5):537548.
16.Rizzo, L, Brick, JM, Park, I.A minimally intrusive method for sampling persons in random digit dial surveys. Public Opin Q. 2004;68:267274.
17.Freedy, JR, Saladin, ME, Kilpatrick, DG, Resnick, HS, Saunders, BE.Understanding acute psychological distress following natural disaster. J Trauma Stress. 1994;7 (2):257273.
18.Kilpatrick, DG, Resnick, HS, Saunders, BE, Best, CL.The National Women's Study PTSD Module. Charleston, SC: Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina; 1989.
19.Resnick, HS, Kilpatrick, DG, Dansky, BS, Saunders, BE, Best, CL.Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. J Consult Clin Psychol. 1993;61 (6):984991.
20.Kilpatrick, DG, Ruggiero, KJ, Acierno, R, Saunders, BE, Resnick, HS, Best, CL.Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: results from the National Survey of Adolescents. J Consult Clin Psychol. 2003;71 (4):692700.
21.Kilpatrick, DG, Resnick, HS, Freedy, JR, et alThe posttraumatic stress disorder field trial: evaluation of the PTSD construct: Criteria A through E. In: Widiger TA, Francis AJ, Pincus HA, First MB, Roth R, Davis W, eds. DSM-IV Sourcebook. Washington, DC: American Psychiatric Press; 1988:803-804.
22.Galea, S, Ahern, J, Resnick, H, et alPsychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002;346 (13):982987.
23.Spitzer, RL, Williams, J, Gibbon, M, et alStructured Clinical Interview for DSM-IV. Washington, DC: American Psychiatric Press; 1995.
24.US Census Bureau. Census 2000, Summary File 1. American FactFinder. http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t#none. Accessed February 8, 2012.
25.Kessler, RC, McGonagle, KA, Zhao, S, et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51 (1):819.
26.Galea, S, Tracy, M, Norris, FH, 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):357368.
27.Norris, FH, Wind, L.The experience of disaster. trauma, loss, adversities, and community effects. In: Neria Y, Galea S, Norris FH, eds. Mental Health Consequences of Disasters. New York, NY: Cambridge University Press; 2009:29-44.
28.Smith, AHome broadband 2010. Washington, DC: Pew Internet and American Life Project; 2010. http://www.pewinternet.org/Reports/2010/Home-Broadband-2010.aspx. Accessed October 13, 2010.
29.Blumberg, SJ, Luke, JV.Wireless substitution: early release of estimates from the National Health Interview Survey, July-December 2009. Atlanta, GA: National Center for Health Statistics. Centers for Disease Control and Prevention; 2010. http://www.cdc.gov/nchs/nhis.htm. Accessed February 9, 2012.
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
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