Evacuation
HOW EVACUEES RESPOND WHILE EXPERIENCING TRAUMA
(Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1854990/)
Trauma and Stress Response Among Hurricane Katrina Evacuees
Mary Alice Mills, BA, Donald Edmondson, MA, and Crystal L. Park, PhD
Additional article information
Abstract
Objectives. Hurricane Katrina’s impact on public health has been significant and multifaceted, with trauma-related psychological sequelae likely to result in a sizable burden of disease. Data were collected that assessed acute stress disorder (ASD) prevalence and factors related to ASD symptomatology among sheltered evacuees.
Methods. On days 12 to 19 after Katrina, evacuees at a major emergency shelter completed surveys that assessed demographics, Katrina-specific experiences, and ASD symptomatology.
Results. Sixty-two percent of the sample met ASD threshold criterion. Projections based on the predictive power of ASD to posttraumatic stress disorder (PTSD) suggest that 38% to 49% of the sample will meet PTSD criteria 2 years post-disaster. Female gender (odds ratio [OR] = 4.08), positive psychiatric history (OR=5.84), injury (OR=2.75), increased life-threat perception (OR=1.37), and decreased sense of personal control (OR=1.56) were significantly related to ASD. Black race was associated with greater symptom severity (B=7.85, SE[B]=3.50).
Conclusions. Katrina-related trauma and its psychological sequelae will remain a significant public health issue for years to come. The identification of several vulnerability factors related to ASD and PTSD provides a brief sketch of those at greatest risk.
Between late August and September 4, 2005, the Red Cross operated 470 shelters and evacuation centers across the nation to accommodate survivors of Hurricane Katrina.1 More than 386000 evacuees received medical or mental health services from such shelters,2 and survivors remained widely dispersed for significant periods, temporarily residing in all 50 US states and the District of
(Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1854990/)
Trauma and Stress Response Among Hurricane Katrina Evacuees
Mary Alice Mills, BA, Donald Edmondson, MA, and Crystal L. Park, PhD
Additional article information
Abstract
Objectives. Hurricane Katrina’s impact on public health has been significant and multifaceted, with trauma-related psychological sequelae likely to result in a sizable burden of disease. Data were collected that assessed acute stress disorder (ASD) prevalence and factors related to ASD symptomatology among sheltered evacuees.
Methods. On days 12 to 19 after Katrina, evacuees at a major emergency shelter completed surveys that assessed demographics, Katrina-specific experiences, and ASD symptomatology.
Results. Sixty-two percent of the sample met ASD threshold criterion. Projections based on the predictive power of ASD to posttraumatic stress disorder (PTSD) suggest that 38% to 49% of the sample will meet PTSD criteria 2 years post-disaster. Female gender (odds ratio [OR] = 4.08), positive psychiatric history (OR=5.84), injury (OR=2.75), increased life-threat perception (OR=1.37), and decreased sense of personal control (OR=1.56) were significantly related to ASD. Black race was associated with greater symptom severity (B=7.85, SE[B]=3.50).
Conclusions. Katrina-related trauma and its psychological sequelae will remain a significant public health issue for years to come. The identification of several vulnerability factors related to ASD and PTSD provides a brief sketch of those at greatest risk.
Between late August and September 4, 2005, the Red Cross operated 470 shelters and evacuation centers across the nation to accommodate survivors of Hurricane Katrina.1 More than 386000 evacuees received medical or mental health services from such shelters,2 and survivors remained widely dispersed for significant periods, temporarily residing in all 50 US states and the District of