1
|
Yang Y, Li Z, Wen J. Long term impact of Wenchuan earthquake on population mental and behavioral disorders in heavily-stricken areas: An ecological study based on big data. J Affect Disord 2024; 361:589-595. [PMID: 38908558 DOI: 10.1016/j.jad.2024.06.070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Revised: 04/20/2024] [Accepted: 06/19/2024] [Indexed: 06/24/2024]
Abstract
BACKGROUND This study aimed to explore and evaluate the development trends and differential changes in the prevalence of mental and behavioral disorders among the earthquake survivors in exposure groups (highly hard-hit areas) and control groups (general disaster areas) from 2015 to 2019, as well as to investigate the potential influencing factors. METHODS Data was obtained from the Sichuan Health Information System and the Sichuan Health Yearbook, the prevalence of the exposure group and the control group were calculated, the difference between the two groups was evaluated using the prevalence rate ratio, and a fixed effect model was developed to investigate the potential influencing factors of the prevalence. RESULTS The prevalence by gender and age in the exposure group was always greater than those in the control group (RR>1), although the disparity between the two proceeded to diminish with time. The urbanization rate (β = 0.0448, P < 0.05) and disaster area levels (β = 0.0104, P < 0.05) were risk factors for the prevalence of mental and behavioral disorders. LIMITATIONS The study only collected data at the group level following the Wenchuan earthquake. Consequently, the findings are only applicable at the group level. Furthermore, diagnostic criteria for various types of mental and behavioral disorders diseases were not provided. CONCLUSIONS The earthquake has a significant long-term impact on mental health. It is necessary to continuously monitor the mental health of Wenchuan earthquake survivors and take appropriate post-disaster intervention measures.
Collapse
Affiliation(s)
- Yanlin Yang
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu 610041, PR China
| | - Zhuyue Li
- Medical Equipment Innovation Research Center, West China School of Medicine, Med+X Center for Manufacturing, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China
| | - Jin Wen
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu 610041, PR China.
| |
Collapse
|
2
|
Bakirci E, Sar V, Cetin A. Assessment of the Psychological Effects on Firefighters in the Aftermath of the Pazarcik and Elbistan Earthquakes in 2023. J Behav Health Serv Res 2024:10.1007/s11414-024-09896-1. [PMID: 39009820 DOI: 10.1007/s11414-024-09896-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/26/2024] [Indexed: 07/17/2024]
Abstract
In February 2023, two catastrophic earthquakes in Turkey resulted in over 50,000 fatalities and over 300,000 injuries. This study investigated the psychological effects on firefighters who engage in rescue operations following these earthquakes, focusing on trauma-related symptoms, depression, anxiety, stress, and resilience. The research employed validated psychometric instruments, including the Post-earthquake Trauma Level Determination Scale (PETLDS); Depression, Anxiety, Stress Scale-21 (DASS-21); PTSD Checklist for DSM-5 (PCL-5); and Brief Resilience Scale (BRS), to assess the psychological states of firefighters. The primary goal of this study was to evaluate the psychological impact of earthquakes on firefighters. Specific objectives include quantifying trauma levels; identifying the prevalence of post-traumatic stress disorder (PTSD), depression, anxiety, and stress among firefighters; and investigating the role of psychological resilience in mitigating the effects of disaster-related psychological trauma. This study is also aimed at providing empirical evidence to inform the development of psychological support and intervention strategies for firefighters in the aftermath of these earthquakes. In this study of 223 primarily male firefighters, significant psychological impacts from earthquake trauma were observed. The PETLDS scores indicated high trauma levels in 28 participants and modest levels in 195. Subscales revealed affective responses and cognitive structure were most affected. DASS-21 scores showed higher depression, anxiety, and stress in the high trauma group. PCL-5 and BRS analyses confirmed higher PTSD symptoms and lower resilience in high-trauma individuals. Correlation analysis highlighted strong associations between trauma, psychological distress, and decreased resilience. These findings highlight the necessity for targeted mental health interventions and support mechanisms for firefighters, contribute to the establishment of training programs to enhance psychological resilience among firefighters, and add valuable insights to the field of disaster psychology.
Collapse
Affiliation(s)
- Erhan Bakirci
- Department of Civil Defense and Firefighting, Vocational School of Technical Science, Cerrahpasa University-Istanbul, Istanbul, Turkey.
| | - Vedat Sar
- Department of Psychiatry, Faculty of Medicine, Koc University, Istanbul, Turkey
| | - Ali Cetin
- Department of Obstetrics and Gynecology, Haseki Training and Research Hospital Affiliated with University of Health Sciences, Istanbul, Turkey
| |
Collapse
|
3
|
Garfin DR, Wong-Parodi G. Climate change anxiety, hurricane exposure, and climate change actions and attitudes: results from a representative, probability-based survey of US Gulf Coast residents. Lancet Planet Health 2024; 8:e378-e390. [PMID: 38849180 DOI: 10.1016/s2542-5196(24)00100-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 04/23/2024] [Accepted: 04/28/2024] [Indexed: 06/09/2024]
Abstract
BACKGROUND Exposure to climate change-related threats (eg, hurricanes) has been associated with mental health symptoms, including post-traumatic stress symptoms. Yet it is unclear whether climate change anxiety, which is understudied in representative samples, is a specific mental health threat, action motivator, or both, particularly in populations exposed to climate-change related disasters. We sought to examine the associations between exposure to hurricanes, climate change anxiety, and climate change actions and attitudes in a representative sample of US Gulf Coast residents. METHODS This study used data from a 5-year, representative, prospectively assessed, probability-based, longitudinal cohort sample of residents in Texas and Florida (USA) exposed to exogenous catastrophic hurricanes rated category 3 or greater. Participants were adults aged 18 years and older and were initially recruited from the Ipsos KnowledgePanel in the 60 h before Hurricane Irma (Sept 8-11, 2017). Relationships between climate change anxiety, hurricane exposure, hurricane-related post-traumatic stress symptoms, general functional impairment, and climate change-related individual-level actions (eg, eating a plant-based diet and driving more fuel efficient cars) and collective-level actions (eg, petition signing and donating money) and climate change action attitudes were evaluated using structural equation modelling. FINDINGS The final survey was completed by 1479 individuals (787 [53·2%] women and 692 [46·8%] men). Two climate change anxiety subscales (cognitive-emotional impairment and perceived experience of climate change) were confirmed using confirmatory factor analysis. Mean values were low for both climate change anxiety subscales: cognitive-emotional impairment (mean 1·31 [SD 0·63], range 1-5) and perceived climate change experience (mean 1·67 [SD 0·89], range 1-5); these subscales differentially predicted outcomes. The cognitive-emotional impairment subscale did not significantly correlate with actions or attitudes; its relationship with general functional impairment was attenuated by co-occurring hurricane-related post-traumatic stress symptoms, which were highly correlated with general functional impairment in all three models (all p<0·0001). The perceived climate change experience subscale correlated with climate change attitudes (b=0·57, 95% CI 0·47-0·66; p<0·0001), individual-level actions (b=0·34, 0·21-0·47; p<0·0001), and collective-level actions (b=0·22, 0·10-0·33; p=0·0002), but was not significantly associated with general functional impairment in any of the final models. Hurricane exposure correlated with climate change-related individual-level (b=0·26, 0·10-0·42; p=0·0011) and collective-level (b=0·41, 0·26-0·56; p<0·0001) actions. INTERPRETATION Expanded treatment for post-traumatic stress symptoms after disasters could help address climate change-related psychological distress; experiences with climate change and natural hazards could be inflection points to motivate action. FUNDING National Science Foundation and the National Center for Atmospheric Research.
Collapse
Affiliation(s)
- Dana Rose Garfin
- Department of Community Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
| | - Gabrielle Wong-Parodi
- Department of Earth System Science, Department of Environmental Social Sciences, and Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| |
Collapse
|
4
|
Obuobi-Donkor G, Shalaby R, Agyapong B, da Luz Dias R, Agyapong VIO. 2023 Wildfires in Canada: Living in Wildfire Regions in Alberta and Nova Scotia Doubled the Odds for Residents to Experience Likely Generalized Anxiety Disorder Symptoms. J Clin Med 2024; 13:3234. [PMID: 38892945 PMCID: PMC11172488 DOI: 10.3390/jcm13113234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Revised: 05/20/2024] [Accepted: 05/26/2024] [Indexed: 06/21/2024] Open
Abstract
Background: Wildfires have become increasingly prevalent in various regions, resulting in substantial environmental and psychological consequences that have garnered increasing attention. Objective: This study aims to examine the prevalence of likely Generalized Anxiety Disorder (GAD) and explore the determinants of likely GAD during the wildfires in Alberta and Nova Scotia. Methods: Data were collected online through a cross-sectional survey from 14 May-23 June 2023. Alberta and Nova Scotia participants self-subscribed to the program by texting 'HopeAB' or 'HopeNS' to a short code, respectively. The GAD-7-validated tool was used to collect information on likely GAD. Results: This study included 298 respondents while one hundred and twelve respondents lived in a region of Alberta/Nova Scotia affected by the wildfires (37.7%). The prevalence of likely GAD among the respondents was 41.9%. Respondents who lived in a region of Alberta/Nova Scotia recently impacted by the wildfires were twice as likely to experience GAD symptoms (OR = 2.4; 95% C.I. 1.3-4.3). Conclusions: The study's identification of a statistically significant relationship between residing in a wildfire-impacted region and likely GAD shows the association between environmental and psychological well-being. However, the relatively small sample size and self-reported assessment of GAD symptoms may limit the generalizability of the findings. Further research involving a larger sample size delving into potential predictors could facilitate strategies for mitigating the mental health consequences of natural disasters.
Collapse
Affiliation(s)
- Gloria Obuobi-Donkor
- Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada; (G.O.-D.); (R.d.L.D.)
| | - Reham Shalaby
- Department of Psychiatry, University of Alberta, Edmonton, AB T6G 2R3, Canada; (R.S.); (B.A.)
| | - Belinda Agyapong
- Department of Psychiatry, University of Alberta, Edmonton, AB T6G 2R3, Canada; (R.S.); (B.A.)
| | - Raquel da Luz Dias
- Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada; (G.O.-D.); (R.d.L.D.)
| | - Vincent Israel Opoku Agyapong
- Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada; (G.O.-D.); (R.d.L.D.)
- Department of Psychiatry, University of Alberta, Edmonton, AB T6G 2R3, Canada; (R.S.); (B.A.)
| |
Collapse
|
5
|
Tota M, Karska J, Kowalski S, Piątek N, Pszczołowska M, Mazur K, Piotrowski P. Environmental pollution and extreme weather conditions: insights into the effect on mental health. Front Psychiatry 2024; 15:1389051. [PMID: 38863619 PMCID: PMC11165707 DOI: 10.3389/fpsyt.2024.1389051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Accepted: 05/13/2024] [Indexed: 06/13/2024] Open
Abstract
Environmental pollution exposures, including air, soil, water, light, and noise pollution, are critical issues that may implicate adverse mental health outcomes. Extreme weather conditions, such as hurricanes, floods, wildfires, and droughts, may also cause long-term severe concerns. However, the knowledge about possible psychiatric disorders associated with these exposures is currently not well disseminated. In this review, we aim to summarize the current knowledge on the impact of environmental pollution and extreme weather conditions on mental health, focusing on anxiety spectrum disorders, autism spectrum disorders, schizophrenia, and depression. In air pollution studies, increased concentrations of PM2.5, NO2, and SO2 were the most strongly associated with the exacerbation of anxiety, schizophrenia, and depression symptoms. We provide an overview of the suggested underlying pathomechanisms involved. We highlight that the pathogenesis of environmental pollution-related diseases is multifactorial, including increased oxidative stress, systematic inflammation, disruption of the blood-brain barrier, and epigenetic dysregulation. Light pollution and noise pollution were correlated with an increased risk of neurodegenerative disorders, particularly Alzheimer's disease. Moreover, the impact of soil and water pollution is discussed. Such compounds as crude oil, heavy metals, natural gas, agro-chemicals (pesticides, herbicides, and fertilizers), polycyclic or polynuclear aromatic hydrocarbons (PAH), solvents, lead (Pb), and asbestos were associated with detrimental impact on mental health. Extreme weather conditions were linked to depression and anxiety spectrum disorders, namely PTSD. Several policy recommendations and awareness campaigns should be implemented, advocating for the advancement of high-quality urbanization, the mitigation of environmental pollution, and, consequently, the enhancement of residents' mental health.
Collapse
Affiliation(s)
- Maciej Tota
- Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland
| | - Julia Karska
- Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
| | - Szymon Kowalski
- Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland
| | - Natalia Piątek
- Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland
| | | | - Katarzyna Mazur
- Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland
| | - Patryk Piotrowski
- Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
| |
Collapse
|
6
|
Kornbluh M, Wilking J, Roll S, Donatello R. Exploring housing insecurity in relation to student success. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:680-684. [PMID: 35471954 DOI: 10.1080/07448481.2022.2068016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 02/24/2022] [Accepted: 04/13/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVES The relative high rates of homelessness and housing insecurity among college students has become a public health concern within the U.S. This study explores the relationship between housing instability in relation to academic and mental health outcomes. PARTICIPANTS College students attending a larger public university (N = 1,416 students; M age = 22.54; 47.2% Pell Eligible; 54.6% racially/ethnically minoritized students) were surveyed employing cluster-sampling in the Fall Semester of 2019. METHODS Participants completed validated measures of housing instability, mental health outcomes, and demographics. Additional measures were matched with survey responses through the Office of Institutional Research (i.e., GPA, Pell Grant eligibility). RESULTS Students who experienced housing insecurity and homelessness were more likely to have a lower GPA as well as poorer mental health outcomes. CONCLUSION Findings highlight implications surrounding the need for housing programs and additional financial support in an effort to bolster students' academic performance and mental well-being.
Collapse
Affiliation(s)
- Mariah Kornbluh
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Jennfier Wilking
- Department of Political Science and Criminal Justice, California State University Chico, Chico, California, USA
| | - Susan Roll
- School of Social Work, California State University Chico, Chico, California, USA
| | - Robin Donatello
- Department of Mathematics and Statistics, Chico, California, USA
| |
Collapse
|
7
|
Kornbluh M, Withers MC, Ades J, Grennan G, Mishra J. Identifying protective socio-ecological factors for college students in California's deadliest wildfire. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:356-360. [PMID: 35271421 DOI: 10.1080/07448481.2022.2047706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 02/06/2022] [Accepted: 02/23/2022] [Indexed: 06/14/2023]
Abstract
Objectives: This case study examined multi-level social-ecological supports in promoting well-being through college students impacted by one of the deadliest wildfires in U.S. history.Participants: College students attending a large public university were surveyed (N = 354, Mage = 22.7, 76.2% female, 61% white).Methods: Measures included demographics, individual factors (mindfulness, sleep problems), social support (emotional support, family support, and friendship), and sense of community. Multiple linear regression models on well-being were constructed.Results: Findings indicated that mindfulness, sleep disturbances, emotional support, family support, number of close friends, and sense of community were significant predictors of well-being.Conclusion: Findings highlight the importance of universities in proactively bolstering critical social-ecological needs of college students living in communities vulnerable to climate-change accelerated environmental disasters.
Collapse
Affiliation(s)
- Mariah Kornbluh
- Department of Psychology, University of South Carolina, Columbia, SC, USA
| | - Mathew C Withers
- Department of Psychology, California State University, Chico, Chico, CA, USA
| | - James Ades
- Department of Psychiatry, Neural Engineering and Translation Labs, University of California, San Diego, CA, USA
| | - Gillian Grennan
- Department of Psychiatry, Neural Engineering and Translation Labs, University of California, San Diego, CA, USA
| | - Jyoti Mishra
- Department of Psychiatry, Neural Engineering and Translation Labs, University of California, San Diego, CA, USA
| |
Collapse
|
8
|
Kumari N, Kumar M, Radha, Rais N, Puri S, Sharma K, Natta S, Dhumal S, Damale RD, Kumar S, Senapathy M, Deshmukh SV, Anitha T, Prabhu T, Shenbagavalli S, Balamurugan V, Lorenzo JM, Kennedy JF. Exploring apple pectic polysaccharides: Extraction, characterization, and biological activities - A comprehensive review. Int J Biol Macromol 2024; 255:128011. [PMID: 37951444 DOI: 10.1016/j.ijbiomac.2023.128011] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Revised: 10/06/2023] [Accepted: 11/08/2023] [Indexed: 11/14/2023]
Abstract
Apple (Malus domestica) is a popular and ancient fruit of the Myrtaceae family. Apple fruit is well-known for its great nutritional and phytochemical content consisted of beneficial compounds such as polyphenols, polysaccharides, sterols, and organic acids. Polysaccharides extracted from different parts of the apple fruit, including the peel, pomace, or the whole fruit, have been extensively studied. Researchers have investigated the structural characteristics of these polysaccharides, such as molecular weight, type of monosaccharide unit, type of linkage and its position and arrangement. Besides this, functional properties and physicochemical and of apple polysaccharides have also been studied, along with the effects of extraction procedures, storage, and processing on cell wall polysaccharides. Various extraction techniques, including hot water extraction, enzymatic extraction, and solvent-assisted extraction, have been studied. From the findings, it was evident that apple polysaccharides are mainly composed of (1 → 3), (1 → 6): α-β-glycosidic linkage. Moreover, the apple polysaccharides were demonstrated to exhibit antioxidant, hepatoprotective, anti-cancer, hypoilipidemic, and enzyme inhibitory properties in vitro and in vivo. The potential applications of apple polysaccharides in the food, cosmetic, pharmaceutical, nutraceutical industries have also been explored in the present review. Overall, the research on apple polysaccharides highlights their significant potential as a source of biologically active compounds with various health benefits and practical applications.
Collapse
Affiliation(s)
- Neeraj Kumari
- School of Biological and Environmental Sciences, Shoolini University of Biotechnology and Management Sciences, Solan 173229, India
| | - Manoj Kumar
- Chemical and Biochemical Processing Division, ICAR-Central Institute for Research on Cotton Technology, Mumbai, 400019, India.
| | - Radha
- School of Biological and Environmental Sciences, Shoolini University of Biotechnology and Management Sciences, Solan 173229, India
| | - Nadeem Rais
- Department of Pharmacy, Bhagwant University, Ajmer, Rajasthan 305004, India
| | - Sunil Puri
- School of Biological and Environmental Sciences, Shoolini University of Biotechnology and Management Sciences, Solan 173229, India
| | - Kanika Sharma
- Chemical and Biochemical Processing Division, ICAR-Central Institute for Research on Cotton Technology, Mumbai, 400019, India
| | - Suman Natta
- ICAR-National Research Centre for Orchids, Pakyong 737106, India
| | - Sangram Dhumal
- Division of Horticulture, RCSM College of Agriculture, Kolhapur 416004, India
| | - Rahul D Damale
- ICAR-National Research Centre on Pomegranate, Solapur 413255, India
| | - Sunil Kumar
- Indian Institute of Farming Systems Research, Modipuram 250110, India
| | - Marisennayya Senapathy
- Department of Rural Development and Agricultural Extension, College of Agriculture, Wolaita Sodo University, Wolaita Sodo, Ethiopia
| | - Sheetal Vishal Deshmukh
- Bharati Vidyapeeth (Deemed to be University), Yashwantrao Mohite Institute of Management, Karad, India
| | - T Anitha
- Department of Postharvest Technology, Horticultural College and Research Institute, Tamil Nadu Agricultural University, Periyakulam 625604, India
| | - T Prabhu
- Department of Spices and Plantation Crops, Horticultural College and Research Institute, Tamil Nadu Agricultural University, Periyakulam 625604, India
| | - S Shenbagavalli
- Department of Natural Resource and Management, Horticultural College and Research Institute, Tamil Nadu Agricultural University, Periyakulam 625604, India
| | - V Balamurugan
- Department of Agricultural Economics, Agricultural College and Research Institute, Tamil Nadu Agricultural University, Madurai, India
| | - Jose M Lorenzo
- Centro Tecnológico de la Carne de Galicia, Parque Tecnológico de Galicia, Avd. Galicia n° 4, San Cibrao das Viñas, 32900 Ourense, Spain
| | - John F Kennedy
- Chembiotech Laboratories, Advanced Science and Technology Institute, Kyrewood House, Tenbury Wells, Worcs WR15 8FF, UK
| |
Collapse
|
9
|
Isaac F, Toukhsati SR, Klein B, Di Benedetto M, Kennedy GA. Differences in Anxiety, Insomnia, and Trauma Symptoms in Wildfire Survivors from Australia, Canada, and the United States of America. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 21:38. [PMID: 38248503 PMCID: PMC10815777 DOI: 10.3390/ijerph21010038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Revised: 12/17/2023] [Accepted: 12/22/2023] [Indexed: 01/23/2024]
Abstract
Many survivors of wildfires report elevated levels of psychological distress following the trauma of wildfires. However, there is only limited research on the effects of wildfires on mental health. This study examined differences in anxiety, depression, insomnia, sleep quality, nightmares, and post-traumatic stress disorder (PTSD) symptoms following wildfires in Australia, Canada, and the United States of America (USA). One hundred and twenty-six participants from Australia, Canada, and the USA completed an online survey. The sample included 102 (81%) women, 23 (18.3%) men, and one non-binary (0.8%) individual. Participants were aged between 20 and 92 years (M age = 52 years, SD = 14.4). They completed a demographic questionnaire, the Disturbing Dream and Nightmare Severity Index (DDNSI), Generalized Anxiety Disorder Questionnaire (GAD-7), the Insomnia Severity Index (ISI), Patient Health Questionnaire (PHQ-9), the Pittsburgh Sleep Quality Index (PSQI), and PTSD Checklist (PCL-5). Results showed that participants from the USA scored significantly higher on the GAD-7 (p = 0.009), ISI (p = 0.003), and PCL-5 (p = 0.021) than participants from Australia and Canada. The current findings suggest a need for more international collaboration to reduce the severity of mental health conditions in Australia, Canada, and the USA.
Collapse
Affiliation(s)
- Fadia Isaac
- Institute of Health and Wellbeing, Federation University, Mt Helen, VIC 3350, Australia (G.A.K.)
| | - Samia R. Toukhsati
- Institute of Health and Wellbeing, Federation University, Mt Helen, VIC 3350, Australia (G.A.K.)
| | - Britt Klein
- Health Innovation and Transformation Centre, Federation University, Mt Helen, VIC 3350, Australia;
- Biopsychosocial & eHealth Research & Innovation (BeRI) Hub, Federation University, Mt Helen, VIC 3350, Australia
| | | | - Gerard A. Kennedy
- Institute of Health and Wellbeing, Federation University, Mt Helen, VIC 3350, Australia (G.A.K.)
- School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC 3083, Australia
- Institute for Breathing and Sleep, Austin Health, Heidelberg, Melbourne, VIC 3084, Australia
| |
Collapse
|
10
|
Veloso VQ, Reis FAGV, Cabral VC, do Carmo Giordano L, Dos Santos CVC, Kuhn CES. Challenges and perspectives in applying the environmental sensitivity index to pipelines: a review on the prevention and management of oil spills disasters. ENVIRONMENTAL MONITORING AND ASSESSMENT 2023; 195:1449. [PMID: 37945782 DOI: 10.1007/s10661-023-12034-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 10/23/2023] [Indexed: 11/12/2023]
Abstract
The oil spill environmental sensitivity index is a key tool for preventing and dealing with environmental disasters caused by oil spills. This study aims to review the available literature on the subject and highlight the importance of methodological advances to improve how the index is applied in continental areas, especially in regions crossed by pipelines. Most current mapping techniques focus on coastal areas and fail to consider the stretches of land that are vulnerable to geodynamic natural disasters. In this context, the need to implement environmental sensitivity indices specific for pipelines has become urgent. This study also presents an overview of the main accidents around the world and a detailed analysis of the history of Brazilian disasters related to oil spills along continental stretches, with a focus on pipelines and natural disasters. In addition, this work highlights the importance of carrying out new research in mountainous areas of Brazil and is aimed at preventing Natechs (natural hazard triggering technological disasters) and improving contingency plans. As a result, several pathways have been identified, which involves the necessity of resolving gaps in terrestrial environmental sensitivity mapping methodologies, particularly as applied to pipelines. Furthermore, solutions must be capable of integrating terrestrial, fluvial, coastal, and maritime environmental sensitivity mapping techniques. Moreover, the need to implement dynamic risk monitoring systems in real time is critical to help manage such a complex problem.
Collapse
Affiliation(s)
- Vinicius Queiroz Veloso
- Center for Applied Natural Sciences (UNESPetro) and Department of Geology, Institute of Geosciences and Exact Sciences (IGCE), São Paulo State University (UNESP), Rio Claro, SP, Brazil.
| | - Fabio Augusto Gomes Vieira Reis
- Center for Applied Natural Sciences (UNESPetro) and Department of Geology, Institute of Geosciences and Exact Sciences (IGCE), São Paulo State University (UNESP), Rio Claro, SP, Brazil
| | - Victor Carvalho Cabral
- Center for Applied Natural Sciences (UNESPetro) and Department of Geology, Institute of Geosciences and Exact Sciences (IGCE), São Paulo State University (UNESP), Rio Claro, SP, Brazil
- Geo-Umweltforschungszentrum (GUZ), University of Tuebingen, Tuebingen, Germany
| | - Lucilia do Carmo Giordano
- Center for Applied Natural Sciences (UNESPetro) and Department of Geology, Institute of Geosciences and Exact Sciences (IGCE), São Paulo State University (UNESP), Rio Claro, SP, Brazil
| | - Claudia Vanessa Corrêa Dos Santos
- Center for Applied Natural Sciences (UNESPetro) and Department of Geology, Institute of Geosciences and Exact Sciences (IGCE), São Paulo State University (UNESP), Rio Claro, SP, Brazil
| | - Caiubi Emanuel Souza Kuhn
- Geo-Umweltforschungszentrum (GUZ), University of Tuebingen, Tuebingen, Germany
- Federal University of Mato Grosso (UFMT), Cuiabá, MT, Brazil
| |
Collapse
|
11
|
Adu MK, Agyapong B, Agyapong VIO. Children's Psychological Reactions to Wildfires: a Review of Recent Literature. Curr Psychiatry Rep 2023; 25:603-616. [PMID: 37851204 DOI: 10.1007/s11920-023-01451-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/11/2023] [Indexed: 10/19/2023]
Abstract
PURPOSE OF REVIEW This review aims to synthesize currently available literature regarding the impact of wildfire on mental health, specifically the psychological reactions of children to wildfires. The information gathered from this review will help health experts understand and address the mental health needs of children during wildfire disasters and may serve as a base for future studies to evaluate evidence-based public health responses to mitigate adverse outcomes. RECENT FINDINGS The results identified post-traumatic stress disorder (PTSD), anxiety, depression, stress, alcohol/substance misuse, hopelessness, low resilience, reduced quality of life, and self-esteem as the psychological conditions manifesting in children and adolescent post-wildfire disaster. PTSD was the most evaluated psychological reaction in the participants (7 out of eight studies). This review highlights that deleterious mental health effects, such as PTSD, depression, anxiety, and suicidality, can persist in children for years post-wildfire disaster. Factors such as gender, direct exposure to the wildfire, re-traumatization, and resilience informed or ameliorated the severity of the impact of wildfire on children and adolescents. Our findings further emphasize the need for multi-year funding and programs to support children and adolescents' mental health, including children with disabilities in the communities that have experienced wildfire disasters.
Collapse
Affiliation(s)
- Medard K Adu
- Department of Psychiatry, Faculty of Medicine, Abbie J. Lane Memorial Building, Dalhousie University, QEII Health Sciences Centre, 5909 Veterans Memorial Lane, 8Th Floor, Halifax, NS, B3H 2E2, Canada
| | - Belinda Agyapong
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, T6G 2B7, Canada
| | - Vincent I O Agyapong
- Department of Psychiatry, Faculty of Medicine, Abbie J. Lane Memorial Building, Dalhousie University, QEII Health Sciences Centre, 5909 Veterans Memorial Lane, 8Th Floor, Halifax, NS, B3H 2E2, Canada.
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, T6G 2B7, Canada.
| |
Collapse
|
12
|
Li A, Toll M, Bentley R. Health and housing consequences of climate-related disasters: a matched case-control study using population-based longitudinal data in Australia. Lancet Planet Health 2023; 7:e490-e500. [PMID: 37286246 DOI: 10.1016/s2542-5196(23)00089-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 04/25/2023] [Accepted: 04/25/2023] [Indexed: 06/09/2023]
Abstract
BACKGROUND Understanding the role of how people are housed in reducing the long-term health and housing effects of climate-related disasters is crucial given our changing climate. We examine long-term health and housing trajectories and health effects of climate-related disasters in relation to housing vulnerabilities over a decade. METHODS We conducted a matched case-control study using longitudinal population-based data from the Household, Income and Labour Dynamics in Australia survey. We included data from people whose homes had been damaged by climate-related disasters (eg, flood, bushfire, or cyclone) between 2009 and 2019 and matched control cohorts with similar sociodemographic profiles who had not been exposed to disaster-related home damage during this period. We included data from de-identified individuals with at least 1 year of data before disaster and 3 years after disaster. One-to-one nearest neighbour matching was performed on the basis of demographic, socioeconomic, housing, health, neighbourhood, location, and climate characteristics 1 year before disaster. Conditional fixed-effects models for matched case-control groups were used to assess health trajectories, using eight quality-of-life domains on mental, emotional, social, and physical wellbeing, and housing trajectories, using three housing aspects of cost (ie, housing affordability and fuel poverty), security (ie, residential stability and tenure security), and condition (ie, housing quality and suitability). FINDINGS Exposure to home damage from climate-related disasters had significant negative effects on people's health and wellbeing at disaster year (difference between exposure and control groups in mental health score was -2·03, 95% CI -3·28 to -0·78; in social functioning score was -3·95, -5·57 to -2·33; and in emotional wellbeing score was -4·62, -7·06 to -2·18), with some effects lasting for 1-2 years after disaster. These effects were more severe for people who had housing affordability stress or were living in poor quality housing before the disaster. People in the exposure group had a slight increase in housing and fuel payment arrears following disasters. Homeowners had increased housing affordability stress (1 year after disaster: 0·29, 95% CI 0·02 to 0·57; 2 years after disaster: 0·25, 0·01 to 0·50), renters had a higher prevalence of acute residential instability (disaster year: 0·27, 0·08 to 0·47), and people who were exposed to disaster-related home damage had a higher prevalence of forced moves than did the control group (disaster year: 0·29, 0·14 to 0·45). INTERPRETATION Findings support the need for recovery planning and resilience building to consider housing affordability, tenure security, and housing condition. Interventions might require divergent strategies for populations in different precarious housing circumstances, and policies should target long-term housing support services for highly vulnerable groups. FUNDING The National Health and Medical Research Council Centre of Research Excellence in Healthy Housing, University of Melbourne Affordable Housing Hallmark Research Initiative Seed Funding, Australian Research Council's Centre of Excellence for Children and Families over the Life Course, and Lord Mayor's Charitable Foundation.
Collapse
Affiliation(s)
- Ang Li
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.
| | - Mathew Toll
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Rebecca Bentley
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
| |
Collapse
|
13
|
Fung HW, Liu C, Yuan GF, Liu J, Zhao J, Chien WT, Lee VWP, Shi W, Lam SKK. Association Among Negative Life Events, Sense of Security, and Depressive Symptoms in Chinese Adolescents After the 2013 Ya'an Earthquake. Disaster Med Public Health Prep 2023; 17:e352. [PMID: 36916203 DOI: 10.1017/dmp.2022.300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023]
Abstract
OBJECTIVE About a fourth of Chinese adolescents developed clinically significant depressive symptoms following a disaster. However, little is known about whether and how post-trauma negative life events and a sense of security are associated with depressive symptoms in this population. This study examined the psychological experiences of Chinese young people who had experienced the 2013 Ya'an earthquake in Sichuan, China. METHODS This cross-sectional study was conducted in 2019. A total of 693 Chinese middle school students completed a questionnaire that measured their level of depressive symptoms, trauma exposure, stressful life events, and sense of security. RESULTS Results of hierarchical multiple-regression analyses showed that the level of life stress from stressful life events was positively associated with the level of depressive symptoms (β = 0.416, P < 0.001) and the level of the sense of security was negatively associated with the level of depressive symptoms (β = -0.352, P < 0.001) when analysis controlled for age, gender, and trauma exposure. CONCLUSIONS These findings highlight the importance of considering the influence of life stressors and the sense of security in devising measures and strategies for the prevention of the manifestation of depression among young people, particularly those who were exposed to disasters.
Collapse
Affiliation(s)
- Hong Wang Fung
- Department of Social Work, Faculty of Social Sciences, The Hong Kong Baptist University, Kowloon Tong, Hong Kong Special Administrative Region, China
| | - Caimeng Liu
- College of Teacher Education, Institute of Education Science, Leshan Normal University, Leshan, China
| | - Guangzhe Frank Yuan
- South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, United States
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, United States
| | - Jiaxin Liu
- Experimental Middle School, No 2. High School, Xuzhou District, Yibin, China
| | - Jingjing Zhao
- Department of Psychology, Beijing Forestry University, Beijing, China
| | - Wai Tong Chien
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Vincent Wan Ping Lee
- Department of Social Work, Faculty of Social Sciences, The Hong Kong Baptist University, Kowloon Tong, Hong Kong Special Administrative Region, China
| | - Wei Shi
- Institute for Disaster Management and Reconstruction (IDMR), Sichuan University, China
| | - Stanley Kam Ki Lam
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
| |
Collapse
|
14
|
Belleville G, Ouellet MC, Békés V, Lebel J, Morin CM, Bouchard S, Guay S, Bergeron N, Ghosh S, Campbell T, Macmaster FP. Efficacy of a Therapist-Assisted Self-Help Internet-Based Intervention Targeting PTSD, Depression, and Insomnia Symptoms After a Disaster: A Randomized Controlled Trial. Behav Ther 2023; 54:230-246. [PMID: 36858756 DOI: 10.1016/j.beth.2022.08.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 08/05/2022] [Accepted: 08/15/2022] [Indexed: 11/02/2022]
Abstract
This study aimed at evaluating the efficacy of an online CBT intervention with limited therapist contact targeting a range of posttraumatic symptoms among evacuees from the 2016 Fort McMurray wildfires. One hundred and thirty-six residents of Fort McMurray who reported either moderate PTSD symptoms (PCL-5 ≥ 23) or mild PTSD symptoms (PCL-5 ≥ 10) with moderate depression (PHQ-9 ≥ 10) or subthreshold insomnia symptoms (ISI ≥ 8) were randomized either to a treatment (n = 69) or a waitlist condition (n = 67). Participants were on average 45 years old, and mostly identified as White (82%) and as women (76%). Primary outcomes were PTSD, depression, and insomnia symptoms. Secondary outcomes were anxiety symptoms and disability. Significant Assessment Time × Treatment Condition interactions were observed on all outcomes, indicating that access to the treatment led to a decrease in posttraumatic stress (F[1,117.04] = 12.128, p = .001; d = .519, 95% CI = .142-.895), depression (F[1,118.29] = 9.978, p = .002; d = .519, 95% CI = .141-.898) insomnia (F[1,117.60] = 4.574, p = .035; d = .512, 95% CI = .132-.892), and anxiety (F[1,119.64] = 5.465, p = .021; d = .421, 95% CI = .044-.797) symptom severity and disability (F[1,111.55] = 7.015, p = .009; d = .582, 95% CI = .200-.963). Larger effect sizes (d = 0.823-1.075) were observed in participants who completed at least half of the treatment. The RESILIENT online treatment platform was successful to provide access to specialized evidence-based mental health care after a disaster.
Collapse
Affiliation(s)
| | | | | | | | | | | | - Stéphane Guay
- Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal
| | | | | | | | | |
Collapse
|
15
|
Li A, Toll M, Martino E, Wiesel I, Botha F, Bentley R. Vulnerability and recovery: Long-term mental and physical health trajectories following climate-related disasters. Soc Sci Med 2023; 320:115681. [PMID: 36731303 DOI: 10.1016/j.socscimed.2023.115681] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 01/12/2023] [Accepted: 01/13/2023] [Indexed: 01/21/2023]
Abstract
Extreme weather and climate-related disaster events are associated with a range of adverse health outcomes. People are not equally vulnerable to the adversity, experiencing varied patterns of long-term health trajectories in recovery depending on their vulnerabilities, capacities, and resiliencies. This study aims to identify latent mental and physical health trajectories and their associations with person- and place-based pre-disaster predictors. Using an Australian, population-based, longitudinal dataset spanning 2009-19, group-based multi-trajectory modelling was applied to identify the distinct mental, social, emotional, and physical health trajectories of people who had experienced damage to their home following a climate-related disaster event. Multinomial logistic regression was used to assess a series of social vulnerability predictors (demographic, socioeconomic, housing, health, neighbourhood, and geographical) of health patterns. We identified three distinct health trajectories. Most individuals experienced small or minimal health impacts at the time of the disaster year followed by a fast recovery. However, one-fifth of the exposed population were severely affected during and post disaster. This cohort had the worst mental and physical health prior to the disaster and experienced the largest decreases in mental and physical health and the lowest recoveries. Pre-existing mental and physical conditions were the most substantial risk factors, increasing the probability of experiencing high impact and slow recovery by 61% for mental health and 51% for physical health. In addition, vulnerability in the form of housing affordability stress, lower household income, and lack of community attachment, participation and safety were also significant independent risk factors for ongoing post-disaster health problems. Critically, people's mental and physical health recovery is dependent on pre-disaster vulnerabilities in health, resource access, and capacities. These findings could assist policymakers and health practitioners to more effectively target people most at risk and design prevention and response strategies to prevent the exacerbation of poor health and wellbeing.
Collapse
Affiliation(s)
- Ang Li
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia.
| | - Mathew Toll
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia
| | - Erika Martino
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia
| | - Ilan Wiesel
- School of Geography, Earth and Atmospheric Sciences, Faculty of Science, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia
| | - Ferdi Botha
- Melbourne Institute of Applied Economic and Social Research, Faculty of Business and Economics, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia
| | - Rebecca Bentley
- NHMRC Centre of Research Excellence in Healthy Housing, Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia; Australian Research Council's Centre of Excellence for Children and Families Over the Life Course, Australia
| |
Collapse
|
16
|
Rothschild J, Haase E. Women's mental health and climate change Part II: Socioeconomic stresses of climate change and eco-anxiety for women and their children. Int J Gynaecol Obstet 2023; 160:414-420. [PMID: 36254375 DOI: 10.1002/ijgo.14514] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 10/04/2022] [Accepted: 10/13/2022] [Indexed: 01/20/2023]
Abstract
Climate change is a significant public health crisis that is both rooted in pre-existing inequitable socioeconomic and racial systems and will further worsen these social injustices. In the face of acute and slow-moving natural disasters, women, and particularly women of color, will be more susceptible to gender-based violence, displacement, and other socioeconomic stressors, all of which have adverse mental health outcomes. Among the social consequences of climate change, eco-anxiety resulting from these negative impacts is also increasingly a significant factor in family planning and reproductive justice, as well as disruptions of the feminine connection to nature that numerous cultures historically and currently honor. This narrative review will discuss these sociologic factors and also touch on ways that practitioners can become involved in climate-related advocacy for the physical and mental well-being of their patients.
Collapse
Affiliation(s)
- Julia Rothschild
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA
| | - Elizabeth Haase
- Department of Psychiatry, Carson Tahoe Regional Medical Center, Nevada, Carson City, USA.,University of Nevada School of Medicine at Reno, Reno, Nevada, USA
| |
Collapse
|
17
|
Dickey S, Krienke L, Rosemberg MA, Bell SA. Home-Based Care and Mental Health during a Disaster: A Qualitative Analysis. J Appl Gerontol 2023; 42:213-220. [PMID: 36134693 PMCID: PMC9840644 DOI: 10.1177/07334648221128559] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Disasters adversely affect individuals' mental health; yet, research is scant on the mental health needs of frontline workers during and immediately after disasters. Our study explored this gap through the perspectives of home-based care providers (HBCP) who provided care during and after Hurricanes Irma and Harvey. In this qualitative study, five in-person focus groups were held between January and November 2019 with 25 HBCP drawn from home health care agencies in southern Florida and the Greater Houston Area. Four themes were identified using an abductive analytic approach: HBCPs' disaster-related mental health needs; HBCP resilience in the context of disaster; psychological tensions associated with simultaneously caring for self, family, and patients; and supporting patients' mental health needs during and after disaster. Our data suggest that HBCP may benefit from formal training and interventions to support their own mental health as well as that of their patients in the context of disasters.
Collapse
|
18
|
Mordeno IG, Baroquillo LDA, Macalimbon NA, Jebulan CVR, Hall BJ. The paradoxical effect of interpersonal support from the social media on the post-relocation adjustment difficulties among Filipino typhoon survivors. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03604-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
19
|
Li R, Kajanoja J, Lindblom J, Korja R, Karlsson L, Karlsson H, Nolvi S, Karukivi M. The role of alexithymia and perceived stress in mental health responses to COVID-19: A conditional process model. J Affect Disord 2022; 306:9-18. [PMID: 35304231 PMCID: PMC8923745 DOI: 10.1016/j.jad.2022.03.024] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 01/06/2022] [Accepted: 03/10/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND Little is known about the psychological mechanisms underlying the mental health problems related to the COVID-19 pandemic. Hypothetically, perceived stress and alexithymia may be factors involved in the mental distress response to the pandemic; however, this remains largely unstudied. This study aims to explore the moderating role of alexithymia and the moderated mediation effects of perceived stress on the mental health change due to the pandemic. METHODS The conditional process model was used to examine the moderated mediation. The sample consists of 659 parents from the FinnBrain Birth Cohort Study who completed the Toronto Alexithymia Scale (TAS-20) at 6 months after delivery, the Edinburgh Postnatal Depression Scale (EPDS) and the Symptom Checklist-90 (SCL-90) at 2 or 4 years postpartum between 2014 and 2019; and a questionnaire for pandemic events, a brief 4-item version of the Perceived Stress Scale (PSS-4) and the follow-up EPDS/SCL-90 in 2020 after 3 months from the outbreak of COVID-19 pandemic in Finland. RESULTS Alexithymia moderated the perceived stress-mediated relations between the pandemic events and the changes of depressive and anxiety symptoms through enhancing the detrimental effect of perceived stress on mental health. LIMITATIONS This study was mainly limited by the causality and generalizability of the findings. CONCLUSIONS Our findings indicate the moderated mediation effects of alexithymia and perceived stress on the psychological symptoms, which has implications for understanding how and when stressful situations translate to mental health problems, identifying vulnerable individuals, and tailoring preventive and psychotherapeutic interventions.
Collapse
Affiliation(s)
- Ru Li
- Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland; FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland.
| | - Jani Kajanoja
- Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland,FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland,Department of Psychiatry, Satakunta Hospital District, Pori, Finland
| | - Jallu Lindblom
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland,Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Riikka Korja
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland,Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland
| | - Linnea Karlsson
- Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland,FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland,Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
| | - Hasse Karlsson
- Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland,FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland,Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
| | - Saara Nolvi
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland,Turku Institute for Advanced Studies, University of Turku, Turku, Finland,Department of Medical Psychology, Charité Universitätsmedizin, Berlin, Germany,Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland
| | - Max Karukivi
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland,Department of Adolescent Psychiatry, University of Turku and Turku University Hospital, Turku, Finland
| |
Collapse
|
20
|
Lindsay-Smith G, Pyke J, Gamage A, Nguyen V, de Lacy T. Tourism operator mental health and its relationship with SME organisational resilience during disasters. TOURISM MANAGEMENT PERSPECTIVES 2022; 42:100961. [PMID: 36277033 PMCID: PMC9576215 DOI: 10.1016/j.tmp.2022.100961] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 03/15/2022] [Accepted: 03/29/2022] [Indexed: 05/12/2023]
Abstract
Crises have a negative, and often long-lasting impact on mental health. The stress of dealing with the ongoing and unpredictable aspects of the COVID-19 pandemic has led to an unprecedented rise in mental health problems including low mood, depression and anxiety. Tourism businesses have faced ongoing challenges, with repeated lockdowns and drastically reduced tourist numbers and mental health challenges faced by operators may impact the resilience of tourism organisations and vice versa. Few studies have examined this. Our study in Victoria, Australia documents the mental health impacts of the COVID-19 crisis on owners and managers (operators) of small to medium tourism businesses and explores organisational factors that may impact or protect operator mental health during the crisis. Our findings show that the mental health of the cohort reached critically low levels over the course of the pandemic. We also identify positive associations between tourism organisational resilience and operator mental health.
Collapse
Affiliation(s)
- Gabrielle Lindsay-Smith
- Stakeholder Engagement Coordinator, Health Services, Deakin University, Burwood Campus, Victoria, Australia
| | - Joanne Pyke
- School for the Visitor Economy (SVE) & Senior Research Fellow, Institute for Sustainable Industries and Livable Cities (ISILC), Victoria University, Ballarat Rd, Footscray, 3011 Melbourne, Australia
| | - Ancy Gamage
- School for the Visitor Economy, Victoria University, Ballarat Rd, Footscray, 3011 Melbourne, Australia
- School for the Visitor Economy (SVE) & Senior Research Fellow, Institute for Sustainable Industries and Livable Cities (ISILC), Victoria University, Ballarat Rd, Footscray, 3011 Melbourne, Australia
| | - VanKhanh Nguyen
- Institute for Sustainable Industries and Livable Cities (ISILC), Victoria University, Ballarat Rd, Footscray, 3011 Melbourne, Australia
- School for the Visitor Economy (SVE) & Senior Research Fellow, Institute for Sustainable Industries and Livable Cities (ISILC), Victoria University, Ballarat Rd, Footscray, 3011 Melbourne, Australia
| | - Terry de Lacy
- Institute of Sustainable Industries and Liveable Cities, Victoria University, Ballarat Rd, Footscray, 3011 Melbourne, Australia
- School for the Visitor Economy (SVE) & Senior Research Fellow, Institute for Sustainable Industries and Livable Cities (ISILC), Victoria University, Ballarat Rd, Footscray, 3011 Melbourne, Australia
| |
Collapse
|
21
|
Martin A, Partika A, Castle S, Horm D, Johnson AD. Both sides of the screen: Predictors of parents' and teachers' depression and food insecurity during COVID-19-related distance learning. EARLY CHILDHOOD RESEARCH QUARTERLY 2022; 60:237-249. [PMID: 35153375 PMCID: PMC8825345 DOI: 10.1016/j.ecresq.2022.02.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 10/16/2021] [Accepted: 02/03/2022] [Indexed: 06/02/2023]
Abstract
The COVID-19 pandemic has placed unprecedented strains on both parents and teachers, both of whose mental and financial hardships have serious implications for young children's wellbeing. We drew on an existing cohort study of families with low incomes in Tulsa, OK when children were in their Spring of first grade in 2020. We surveyed parents and teachers - children's caregivers on both sides of the screen during distance learning - before and after the COVID-19 pandemic hit and schools were closed. We first compared the proportion of parents and teachers who were depressed and food-insecure before and after the pandemic struck. We then used pre-pandemic characteristics of parents and teachers in separate models to predict their depression and food insecurity during the pandemic. Results showed that rates of depression among both parents and teachers spiked after COVID-19, and food insecurity rates also increased among parents. For both parents and teachers, the strongest predictor of depression during COVID-19 was having experienced depression before the pandemic. Similarly, the strongest predictor of food insecurity during COVID-19 was having experienced food insecurity beforehand. These results point intervention efforts towards identifying the caregivers of children in low-income contexts whose mental and financial wellbeing are likely to be most compromised during this and perhaps future disasters.
Collapse
Affiliation(s)
- Anne Martin
- Independent Consultant, 237 West 11th St., 4A, New York, NY 10014
| | - Anne Partika
- Department of Psychology, Georgetown University, 303 White-Gravenor Hall, Washington, DC 20057
| | - Sherri Castle
- Early Childhood Education Institute, University of Oklahoma - Tulsa, 4502 E. 41st St., Room 4W-123, Tulsa, OK 74135
| | - Diane Horm
- Early Childhood Education Institute, University of Oklahoma - Tulsa, 4502 E. 41st St., Room 4W-123, Tulsa, OK 74135
| | - Anna D Johnson
- Department of Psychology, Georgetown University, 303 White-Gravenor Hall, Washington, DC 20057
| |
Collapse
|
22
|
Onukwuli V, Aronu A, Chinawa A, Ossai E, Chinawa J, Odinka P, Odinka J. Posttraumatic Stress Disorder among Secondary School Students during the COVID-19 Lockdown in Enugu. NIGERIAN JOURNAL OF MEDICINE 2022. [DOI: 10.4103/njm.njm_163_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
23
|
Takagi Y, Takahashi S, Fukuo Y, Arai T, Tachikawa H. Acute-Stage Mental Health Symptoms by Natural Disaster Type: Consultations of Disaster Psychiatric Assistance Teams (DPATs) in Japan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:12409. [PMID: 34886143 PMCID: PMC8657282 DOI: 10.3390/ijerph182312409] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 11/07/2021] [Accepted: 11/22/2021] [Indexed: 11/25/2022]
Abstract
This study analyzed the support activities that the Disaster Psychiatric Assistance Team (DPAT) in Japan provided following four previous disasters (a volcanic eruption, a mudslide, a flood, and an earthquake) to identify links between the disaster type and the characteristics of acute stage mental disorders observed. Using Disaster Mental Health Information Support System database records of consultations with patients supported by the DPAT during the survey period from 2013 (when DPAT was launched) to 2016, we performed cross-tabulations and investigated significant differences using chi-squared tests. For expected values less than 5, Fisher's exact test was performed. Frequently occurring acute-stage symptoms after a disaster include anxiety, sleep problems, mood and affect, and physical symptoms. The affected population characteristics, victim attributes, severity of damage sustained, and evacuation status were the chief factors that influenced acute-stage mental health symptoms. The psychiatric symptoms detected in our study together with the results of diagnoses are important for determining the types of early interventions needed during the acute stage of a disaster. By sharing baseline mental health information, together with disaster-related characteristics highlighted in this study, mental health providers are better able to predict future possible mental disorders and symptoms.
Collapse
Affiliation(s)
- Yoshifumi Takagi
- Faculty of Humanities, Tokyo Kasei University, Tokyo 173-8602, Japan;
- Department of Disaster and Community Psychiatry, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan;
| | - Sho Takahashi
- Department of Disaster and Community Psychiatry, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan;
- Ibaraki Prefectural Medical Center of Psychiatry, Kasama 309-1717, Japan
| | - Yasuhisa Fukuo
- Disaster Psychiatric Assistance Teams (DPATs) Secretariat, Commissioned by the Ministry of Health, Labor and Welfare, Tokyo 108-8554, Japan;
- Shinkeikahamamatsu Hospital, Hamamatsu 432-8013, Japan
| | - Tetsuaki Arai
- Department of Psychiatry, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan;
| | - Hirokazu Tachikawa
- Department of Disaster and Community Psychiatry, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan;
- Ibaraki Prefectural Medical Center of Psychiatry, Kasama 309-1717, Japan
| |
Collapse
|
24
|
Tajima T, Ikeda A, Kawachi I, Kono T, Wada H, Shigemura J, Tanigawa T. Type and duration of emergency recovery work and its longitudinal effects on mental health symptoms among Fukushima Daiichi Nuclear Power Plant workers: The Fukushima NEWS project study. J Psychiatr Res 2021; 143:68-74. [PMID: 34455194 DOI: 10.1016/j.jpsychires.2021.08.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 07/29/2021] [Accepted: 08/15/2021] [Indexed: 11/19/2022]
Abstract
BACKGROUND The Fukushima Nuclear Energy Workers' Support study showed the Fukushima nuclear disaster caused psychological distress in the workers, with higher rates of post-traumatic stress responses (PTSR). To understand how the type and duration of emergency recovery work performed immediately following this disaster impacted workers' psychological status, a longitudinal analysis was conducted with 4-year follow-up data since 2011. METHOD Fukushima Daiichi nuclear power plant workers were assessed annually with general psychological distress (GPD) and PTSR questionnaires between 2011 and 2014. Combined, 697 Fukushima Daiichi plant workers provided baseline GPD and PTSR in 2011 and their record of working days for approximately one month immediately following the disaster. The relationship between type of emergency recovery work, working days immediately following the disaster, and psychological distress over four years was analyzed using a mixed effects logistic regression model. RESULTS At baseline, GPD and PTSR scores were significantly higher in nuclear power plant workers who worked 3-5 days immediately following the disaster compared to those who worked only 0-2, particularly in the field engineer subgroup. The effect of working days on GPD remained for over a year, and the impact on PTSR remained significant throughout the four years of observation after the disaster. CONCLUSIONS The Fukushima Daiichi plant field engineers showed significantly higher psychological distress than other workers. The impact of emergency recovery work on psychological distress persisted for over one year, but PTSR in field engineer workers remained significantly elevated four years after the disaster.
Collapse
Affiliation(s)
- Tomokazu Tajima
- Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan
| | - Ai Ikeda
- Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan
| | - Ichiro Kawachi
- Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, USA
| | | | - Hiroo Wada
- Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan
| | - Jun Shigemura
- Faculty of Health Sciences, Mejiro University, Saitama, Japan
| | - Takeshi Tanigawa
- Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan.
| |
Collapse
|
25
|
Sherman AC, Park CL, Salsman JM, Williams ML, Amick BC, Hudson TJ, Messias EL, Simonton-Atchley S. Anxiety, depressive, and trauma symptoms during the COVID-19 pandemic: Evaluating the role of disappointment with God. J Affect Disord 2021; 293:245-253. [PMID: 34217962 PMCID: PMC8437139 DOI: 10.1016/j.jad.2021.06.045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Revised: 06/10/2021] [Accepted: 06/19/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND The COVID-19 pandemic has led to pervasive social and economic disruptions. This cross-sectional investigation aimed to evaluate associations between religious/spiritual factors and mental health symptoms among community residents in a southern US state. In particular, we focused on perceptions of God's distance, a salient aspect of religious/spiritual struggle that has received little scrutiny in health research. METHODS Participants included 551 respondents assessed during a period of gradual reopening but rising infection rates. Mental health outcomes were assessed using standardized measures of generalized anxiety, depression, and trauma symptoms. Perceptions of an affirming relationship with God, anger at God, and disappointment at God's distance were evaluated using an adapted version of the Attitudes-Toward-God Scale-9. RESULTS In multivariate analyses that accounted for pandemic-related and demographic factors, positive relationships with God were related to diminished symptoms on all three mental heatlh indices (all p's ≤.003), whereas disappointment with God's distance was associated with more pronounced difficulties (all p's ≤.014). LIMTATIONS The cross-sectional design precludes causal conclusions. CONCLUSIONS Findings suggest that perceived relationships with God are tied to clinically relevant mental health outcomes during periods of major upheaval. Disappointment with God's distance may be an important, understudied dimension of religious/spiritual struggle meriting further investigation.
Collapse
Affiliation(s)
- Allen C. Sherman
- Behavioral Medicine Division, University of Arkansas for Medical Sciences, Little Rock, AR, USA,Corresponding author at: Behavioral Medicine, 4301 W. Markham Street, Little Rock, AR 72205, USA
| | - Crystal L. Park
- Department of Psychology, University of Connecticut, Storrs, Connecticut, USA
| | - John M. Salsman
- Wake Forest School of Medicine and the Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina, USA
| | - Mark L Williams
- Department of Health Promotion and Disease Prevention, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Benjamin C Amick
- Department of Epidemiology, Fay W Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Teresa J. Hudson
- Center for Health Services Research, Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Erick L. Messias
- Faculty Affairs, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | | |
Collapse
|
26
|
Isaac F, Toukhsati SR, Di Benedetto M, Kennedy GA. A Systematic Review of the Impact of Wildfires on Sleep Disturbances. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910152. [PMID: 34639453 PMCID: PMC8508521 DOI: 10.3390/ijerph181910152] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 09/21/2021] [Accepted: 09/24/2021] [Indexed: 11/21/2022]
Abstract
Wildfires present a serious risk to humans as well as to the environment. Wildfires cause loss of lives, economic losses, expose people to personal as well as collective trauma, and compromise the mental health of survivors. Sleep disturbances are highly prevalent following a traumatic event; however, their prevalence is not well established amongst those confronted by natural disasters such as wildfires. The aim of this systematic review is to synthesise the empirical findings pertaining to wildfires and the prevalence of sleep disturbances in the general community affected by this natural disaster. We searched EBSCO, PsychINFO, Medline, SpringerLink, CINAHL Complete, EMBASE, PubMed, Scopus and Cochrane Library between January 2012 and March 2021. Five studies met the inclusion criteria. Findings from this systematic review suggest that sleep disturbances, assessed one to ten months following the fires, are highly prevalent in wildfire survivors, with insomnia (ranging between 63–72.5%) and nightmares (ranging between 33.3–46.5%), being the most prevalent sleep disturbances reported in this cohort. Results also highlight the significant associations between sleep disturbances and post-traumatic symptoms following the trauma of wildfires. There is a possible link between sleep disturbance prevalence, severity of, and proximity to fires.
Collapse
Affiliation(s)
- Fadia Isaac
- School of Science, Psychology and Sport, Federation University, Ballarat, VIC 3350, Australia; (S.R.T.); (G.A.K.)
- Correspondence: ; Tel.: +61-3-5327-6651
| | - Samia R. Toukhsati
- School of Science, Psychology and Sport, Federation University, Ballarat, VIC 3350, Australia; (S.R.T.); (G.A.K.)
| | | | - Gerard A. Kennedy
- School of Science, Psychology and Sport, Federation University, Ballarat, VIC 3350, Australia; (S.R.T.); (G.A.K.)
- School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC 3083, Australia
- Institute for Breathing and Sleep, Austin Health, Heidelberg, Melbourne, VIC 3084, Australia
| |
Collapse
|
27
|
Chique C, Hynds P, Nyhan MM, Lambert S, Boudou M, O'Dwyer J. Psychological impairment and extreme weather event (EWE) exposure, 1980-2020: A global pooled analysis integrating mental health and well-being metrics. Int J Hyg Environ Health 2021; 238:113840. [PMID: 34543982 DOI: 10.1016/j.ijheh.2021.113840] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 08/19/2021] [Accepted: 09/10/2021] [Indexed: 01/04/2023]
Abstract
Extreme Weather Events (EWEs) impose a substantial health and socio-economic burden on exposed populations. Projected impacts on public health, based on increasing EWE frequencies since the 1950s, alongside evidence of human-mediated climatic change represents a growing concern. To date, the impacts of EWEs on mental health remain ambiguous, largely due to the inherent complexities in linking extreme weather phenomena with psychological status. This exploratory investigation provides a new empirical and global perspective on the psychological toll of EWEs by exclusively focusing on psychological morbidity among individuals exposed to such events. Morbidity data collated from a range of existing psychological and well-being measures have been integrated to develop a single ("holistic") metric, namely, psychological impairment. Morbidity, and impairment, were subsequently pooled for key disorders-, specifically PTSD, anxiety and depression. A "composite" (any impairment) post-exposure pooled-prevalence rate of 23% was estimated, with values of 24% calculated for depression and ⁓17% for both PTSD and anxiety. Notably, calculated pooled odds ratios (pOR = 1.9) indicate a high likelihood of any negative psychological outcome (+90%) following EWE exposure. Pooled analyses of reported risk factors (p < 0.05) highlight the pronounced impacts of EWEs among individuals with higher levels of event exposure or experienced stressors (14.5%) and socio-demographic traits traditionally linked to vulnerable sub-populations, including female gender (10%), previous history (i.e., pre-event) of psychological impairment (5.5%), lower socio-economic status (5.5%), and a lower education level (5.2%). Inherent limitations associated with collating mental health data from populations exposed to EWEs, and key knowledge gaps in the field are highlighted. Study findings provide a robust evidence base for developing and implementing public health intervention strategies aimed at ameliorating the psychological impacts of extreme weather among exposed populations.
Collapse
Affiliation(s)
- C Chique
- School of Biological, Earth and Environmental Science (BEES), University College Cork, Cork, Ireland; Environmental Research Institute, University College Cork, Cork, Ireland
| | - P Hynds
- Irish Centre for Research in Applied Geoscience, University College Dublin, Dublin, Ireland; Environmental Sustainability and Health Institute (ESIH), Technological University Dublin, Dublin, Ireland
| | - M M Nyhan
- School of Engineering & Architecture, MaREI Centre for Energy, Climate & Marine & Environmental Research Institute, University College Cork, Ireland; Harvard TH Chan School of Public Health, Harvard University, Boston, United States
| | - S Lambert
- School of Applied Psychology Research, University College Cork, Cork, Ireland
| | - M Boudou
- Environmental Sustainability and Health Institute (ESIH), Technological University Dublin, Dublin, Ireland
| | - J O'Dwyer
- School of Biological, Earth and Environmental Science (BEES), University College Cork, Cork, Ireland; Environmental Research Institute, University College Cork, Cork, Ireland; Irish Centre for Research in Applied Geoscience, University College Dublin, Dublin, Ireland.
| |
Collapse
|
28
|
Barlow MT, Marshall ND, Tyson RC. Optimal shutdown strategies for COVID-19 with economic and mortality costs: British Columbia as a case study. ROYAL SOCIETY OPEN SCIENCE 2021; 8:202255. [PMID: 34527265 PMCID: PMC8424295 DOI: 10.1098/rsos.202255] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Accepted: 08/23/2021] [Indexed: 05/07/2023]
Abstract
Decision makers with the responsibility of managing policy for the COVID-19 epidemic have faced difficult choices in balancing the competing claims of saving lives and the high economic cost of shutdowns. In this paper, we formulate a model with both epidemiological and economic content to assist this decision-making process. We consider two ways to handle the balance between economic costs and deaths. First, we use the statistical value of life, which in Canada is about C$7 million, to optimize over a single variable, which is the sum of the economic cost and the value of lives lost. Our second method is to calculate the Pareto optimal front when we look at the two variables-deaths and economic costs. In both cases we find that, for most parameter values, the optimal policy is to adopt an initial shutdown level which reduces the reproduction number of the epidemic to close to 1. This level is then reduced once a vaccination programme is underway. Our model also indicates that an oscillating policy of strict and mild shutdowns is less effective than a policy which maintains a moderate shutdown level.
Collapse
Affiliation(s)
- M. T. Barlow
- Department of Mathematics, University of British Columbia, Vancouver, British Columbia, Canada V6T 1Z2
| | - N. D. Marshall
- Department of Mathematics and Statistics, McGill University, 805 Sherbrooke Street West, Montreal, Quebec, Canada H3A 0B9
| | - R. C. Tyson
- CMPS Department, University of British Columbia Okanagan, 1177 Research Road, Kelowna, British Columbia, Canada V1V 1V7
| |
Collapse
|
29
|
What Helps Oiled Wildlife Responders Care for Animals While Minimizing Stress and Compassion Fatigue. Animals (Basel) 2021; 11:ani11071952. [PMID: 34208850 PMCID: PMC8300221 DOI: 10.3390/ani11071952] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 06/24/2021] [Accepted: 06/27/2021] [Indexed: 11/26/2022] Open
Abstract
Simple Summary An oil spill can have severe environmental effects, as well as impacting the wellbeing of first responders. Oiled wildlife responders are a key professional group for the identification of wildlife at risk and to provide measures to rescue, rehabilitate and release wildlife back to their clean habitat. Currently, there is limited information documenting impacts to responders’ mental health during a spill response relating to stress, burnout and compassion fatigue; thus, there are limited interventions and strategies that can support responders and address these issues. A survey for oiled wildlife responders who participated in either the New Zealand MV Rena incident or the US Refugio pipeline oil spill was instigated to investigate and contribute to this knowledge gap. Results indicated that to support the health and wellbeing of oiled wildlife responders and sustain them to provide the best achievable care for oiled wildlife, ongoing professional training supported by organizations and professional networks in the areas of emergency preparedness, resilience, self-care and capacity building should be made available to enhance compassion satisfaction and role fulfilment. Abstract Oil spills are environmental disasters and their long-term impact is not just a concern for the environment and economy, but also for first responders’ health and wellbeing. Wildlife, such as aquatic birds and certain marine mammals, are highly susceptible to physiological effects of oiling, and oiled wildlife responders are crucial to provide measures for their survival. The purpose of this research was to explore the experiences of oiled wildlife responders and what factors and conditions have helped or inhibited the responders to care-affected wildlife. This study collected responses (n = 50) from a survey of responders who attended either the New Zealand MV Rena or US Refugio pipeline oil spills. Study participants were mostly older (>40), highly educated females. We found there were significant differences in compassion satisfaction, resilience, burnout and overall satisfaction based on age, gender and role. While most responders have only attended limited numbers of oil spill incidents, they reported positive experiences and found it rewarding. Findings from responders indicated that to lessen stress and compassion fatigue during an incident, provision of training and support from professional organizations equips responders with knowledge and skills that can support their personal resilience to respond to disaster events.
Collapse
|
30
|
Institutional Review Board Preparedness for Disaster Research: a Practical Approach. Curr Environ Health Rep 2021; 8:127-137. [PMID: 33974244 PMCID: PMC8111380 DOI: 10.1007/s40572-021-00311-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/05/2021] [Indexed: 11/05/2022]
Abstract
Purpose of Review Disasters are becoming more common and challenge national and global resiliency and response efforts. As a result, government agencies have increased interest in disaster research to understand their environmental impact and health-related consequences. With the research field greatly expanding, Institutional Review Boards (IRBs) are being asked to review research protocols aimed at assessing health risks, exposures, and outcomes from disaster survivors. Few IRBs have experience reviewing disaster research protocols. This article describes approaches for IRB preparedness in reviewing disaster research. Recent Findings From a human research protections perspective, primary attention has focused on vulnerability of individuals and/or populations affected by a disaster who may serve as research participants [3, 4]. From our review of the current literature, there is a lack of best practices and/or guidance for IRBs in the review of disaster research protocols. Summary The growth of the disaster research field has brought more attention to potential ethical concerns of disaster research studies. Disaster survivors, responders, and those that assist in cleanup and remedial efforts may be left with significant unmet needs and long-term physical and emotional challenges as a result of their experiences. It is important for IRBs and investigators to collaboratively address how best to protect the welfare of individuals and communities affected by a disaster. A new approach is needed to systematically consider the various factors relevant to an assessment of human research protection issues following disasters.
Collapse
|
31
|
Belleville G, Ouellet MC, Lebel J, Ghosh S, Morin CM, Bouchard S, Guay S, Bergeron N, Campbell T, MacMaster FP. Psychological Symptoms Among Evacuees From the 2016 Fort McMurray Wildfires: A Population-Based Survey One Year Later. Front Public Health 2021; 9:655357. [PMID: 34017813 PMCID: PMC8130827 DOI: 10.3389/fpubh.2021.655357] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 03/30/2021] [Indexed: 11/30/2022] Open
Abstract
Background: The 2016 wildfires in Fort McMurray (Alberta, Canada) led to a massive displacement of 88,000 people and destroyed 2,400 homes. Although no direct human fatality resulted, many individuals feared for their lives or those of their loved ones. Objectives: (1) To estimate the prevalence of post-traumatic stress, major depressive, insomnia, generalized anxiety, and substance use disorders in the adult population of Fort McMurray 1 year after the evacuation; (2) To identify pre-, peri-, and post-disaster correlates of mental health disorders. Methods: A phone survey using random digit sampling was used to survey evacuees. A total of 1,510 evacuees (response rate = 40.2%, 55.5% women, mean age = 44.11, SD = 12.69) were interviewed between May 9th and July 28th, 2017. Five validated scales were administered: the PTSD Symptoms Checklist (PCL-5), the Insomnia Severity Index (ISI), the depression and anxiety subscales of the Patient Health Questionnaire (PHQ-9, GAD-7), and the CAGE Substance Abuse Screening Tool. Results: One year after the wildfires, 38% had a probable diagnosis of either post-traumatic stress, major depressive, insomnia, generalized anxiety, or substance use disorder, or a combination of these. Insomnia disorder was the most common, with an estimated prevalence of 28.5%. Post-traumatic stress, major depressive and generalized anxiety disorders were almost equally prevalent, with ~15% each. The estimated prevalence of substance use disorder was 7.9%. For all five mental health disorders, having a mental health condition prior to the fires was a significant risk factor, as well as having experienced financial stress or strain due to the economic decline already present in Fort McMurray. Five post-disaster consequences were significant predictors of four of the five disorders: decrease in work, decrease in social life, poorer current health status, increase in drug and alcohol use, and higher level of stress experienced since the fires. Conclusion: One year after the fires, more than one third of the evacuees had clinically significant psychological symptoms, including those of insomnia, post-traumatic stress, depression, anxiety, and substance use. This study helped identify individuals more at risk for mental health issues after a natural disaster and could guide post-disaster psychosocial support strategies.
Collapse
Affiliation(s)
| | | | - Jessica Lebel
- École de Psychologie, Université Laval, Quebec City, QC, Canada
| | | | - Charles M Morin
- École de Psychologie, Université Laval, Quebec City, QC, Canada
| | - Stéphane Bouchard
- Département de Psychoéducation et de Psychologie, Université du Québec en Outaouais, Gatineau, QC, Canada
| | - Stéphane Guay
- Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada
| | - Nicolas Bergeron
- Département de Psychiatrie et d'Addictiologie, Université de Montréal, Montréal, QC, Canada.,Doctors of the World Canada, Montréal, QC, Canada
| | - Tavis Campbell
- Department of Psychology, University of Calgary, Calgary, AB, Canada
| | | |
Collapse
|
32
|
The Association between Child and Parent Psychiatric Disorders in Families Exposed to Flood and/or Dioxin. Behav Sci (Basel) 2021; 11:bs11040046. [PMID: 33915718 PMCID: PMC8066693 DOI: 10.3390/bs11040046] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 03/05/2021] [Accepted: 03/26/2021] [Indexed: 01/27/2023] Open
Abstract
Associations of disaster mental health sequelae between children and their parents have been demonstrated, but not using full diagnostic assessment. This study examined children and their parents after a series of disasters in 1982 to investigate associations of their psychiatric outcomes. Members of 169 families exposed to floods and/or dioxin or no disaster were assessed in 1986–1987 with structured diagnostic interviews. This vintage dataset collected several decades ago provides new information to this field because of the methodological rigor that is unparalleled in this literature. Disaster-related PTSD and incident postdisaster disorders in children were associated, respectively with disaster-related PTSD and incident postdisaster disorders in the chief caregiver and mother. More flood-only than dioxin-only exposed parents reported great harm by the disaster, but neither children nor parents in these two groups differed in incident psychiatric disorders. Although this study did not determine the direction of causal influences, its findings suggest that clinicians working with disaster-exposed families should work with children and adult members together, as their mental health outcomes may be intertwined.
Collapse
|
33
|
Zhang W, Tsuji T, Yokoyama M, Ide K, Aida J, Kawachi I, Kondo K. Increased frequency of participation in civic associations and reduced depressive symptoms: Prospective study of older Japanese survivors of the Great Eastern Japan Earthquake. Soc Sci Med 2021; 276:113827. [PMID: 33744732 DOI: 10.1016/j.socscimed.2021.113827] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 01/07/2021] [Accepted: 03/04/2021] [Indexed: 12/15/2022]
Abstract
RATIONALE Few studies have examined whether changes in participation in civic associations can mitigate depressive symptoms among older disaster survivors. OBJECTIVES We examined prospectively the association between changes in participation in civic associations and changes in depressive symptoms among older survivors of the 2011 Great Eastern Japan Earthquake. METHODS We analyzed questionnaire-based survey data on pre- and post-disaster participation in civic associations and depressive symptoms compiled for 3567 respondents aged 65 years and above. Changes in these symptoms were assessed using a 15-item Geriatric Depression Scale (GDS) as a continuous variable for 2010 and 2013. We investigated four types of civic associations: sports, hobby, voluntary groups, and senior citizens' clubs. Changes in participation were calculated by subtracting the participation frequency measured in 2010 from that measured in 2013. Applying 95% confidence intervals, we used linear regression models with imputation to estimate the age- and sex-adjusted and multivariate-adjusted standardized coefficients. RESULTS The survivors' GDS scores increased by 0.13 points on average between the pre-disaster and post-disaster periods. Average changes in the participation frequencies of respondents in each group were respectively +0.36 days/year, -5.63 days/year, +0.51 days/year, and -1.45 days/year. Increased frequencies of participation in the sports and hobby groups were inversely associated with changes in GDS scores (B = -0.003, Cohen's f2 = 0.10, P = 0.01 and B = -0.002, Cohen's f2 = 0.08, P = 0.04, respectively). The associations did not differ depending on the experience of housing damage caused by the disaster. In addition, we did not observe a significant association between changes in participation frequencies for voluntary groups or senior citizens' clubs and changes in GDS scores after multivariable adjustment. CONCLUSIONS Depressive symptoms of older adults post-disaster may be mitigated through increased frequency of participation in sports and hobby groups; yet, civic participation did not mitigate the adverse impact of disaster experiences on mental health.
Collapse
Affiliation(s)
- Wen Zhang
- Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba-shi, Chiba, Japan.
| | - Taishi Tsuji
- Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba-shi, Chiba, Japan; Health and Sport Science, University of Tsukuba, Bunkyo-ku, Tokyo, Japan
| | - Meiko Yokoyama
- Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba-shi, Chiba, Japan
| | - Kazushige Ide
- Graduate School of Medicine School of Medicine, Chiba University, Chiba-shi, Chiba, Japan; Department of Community General Support, Hasegawa Hospital, Yachimata-shi, Chiba, Japan
| | - Jun Aida
- Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai-shi, Miyagi, Japan
| | - Ichiro Kawachi
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Katsunori Kondo
- Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba-shi, Chiba, Japan; Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
| |
Collapse
|
34
|
Bakic H, Ajdukovic D. Resilience after natural disasters: the process of harnessing resources in communities differentially exposed to a flood. Eur J Psychotraumatol 2021; 12:1891733. [PMID: 34992751 PMCID: PMC8725694 DOI: 10.1080/20008198.2021.1891733] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 01/26/2021] [Accepted: 02/05/2021] [Indexed: 01/07/2023] Open
Abstract
Background: Disasters negatively impact mental health and well-being. Studying how people adapt and recover after adversity is crucial for disaster preparedness and response. Objective: This study examined how differentially affected communities harness their resources to adapt to the aftermath of a flood. We predicted that stronger individual, interpersonal, and community resources protect against psychosocial resource loss and, through that, are related to fewer symptoms of posttraumatic stress and depression and higher life satisfaction. We also predicted that these effects would be stronger in a flooded community, compared to a threatened, but non-flooded community. Method: Participants were randomly sampled community members from two neighbouring municipalities. One municipality was severely flooded during the 2014 floods in South East Europe (affected community, na = 223), the other was threatened but not flooded (comparison community, nc = 224). Interviews were conducted one and a half years after the disaster using the Connor-Davidson Resilience Scale 10-item version, the Multidimensional Scale of Perceived Social Support, the Community Resources Scale, the Psychosocial Resource Loss Scale, the PTSD Checklist for DSM-5, the Center for Epidemiological Studies Depression Scale Revised and the Satisfaction with Life Scale. Results: Stronger individual, interpersonal, and community resources were found to be related to better post-disaster outcomes directly and indirectly through psychosocial resource loss. In the affected community, interpersonal resources and community social capital and engagement were stronger predictors of positive adaptation. In the comparison community, community economic development and trust in community leadership were more important. Conclusion: This study provides evidence that people affected by disasters can harness their individual, interpersonal, and community resources to recover and adapt. Post-disaster interventions should aim to strengthen family and community ties, thus increasing available social support and community connectedness.
Collapse
Affiliation(s)
- Helena Bakic
- Department of Psychology, University of Zagreb, Zagreb, Croatia
| | - Dean Ajdukovic
- Department of Psychology, University of Zagreb, Zagreb, Croatia
| |
Collapse
|
35
|
Heir T, Stokke EH, Tvenge KP. The Role of Workplace on Work Participation and Sick Leave after a Terrorist Attack: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041920. [PMID: 33671161 PMCID: PMC7921948 DOI: 10.3390/ijerph18041920] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 02/03/2021] [Accepted: 02/11/2021] [Indexed: 11/16/2022]
Abstract
Returning to work after large-scale traumatic events is desirable for employees, their organization, and society. The aim of the present study was to identify work-related factors that are perceived as important for work participation versus sick leave after a terrorist attack. We conducted in-depth interviews of 98 employees in the Norwegian governmental ministries that were the target of the 2011 Oslo bombing. Participants were randomly selected from 2519 employees who had responded to a web-based survey. We used a stratified sampling procedure to ensure inclusion of a wide range of experiences in terms of exposure and stress reactions. Participants were asked what, if any, factors contributed to work participation or sick leave, and which factors made a difference in how quickly people on sick leave returned to work. Thematic analyses provided three themes that stimulate work participation and prevent sick leave: supportive management, the ability of a leader to accept individual needs and help people cope with stress; sense of cohesion, feelings of being close, caring for each other, and working well together; and working as a coping strategy, basic assumptions that it is best to stick to work and familiar routines, or a strong belief in one’s ability to master. A fourth theme, high demands and lack of acceptance, included experiences that promoted an absence from work, such as too much business as usual, management’s lack of priorities for which tasks could be left out, or a lack of recognition of individual needs. The findings point to key factors that workers perceive as important for work participation in the aftermath of a disaster. We suggest that health and productivity benefits can be achieved by organizing work and the work environment in line with these experiences.
Collapse
Affiliation(s)
- Trond Heir
- Norwegian Centre for Violence and Traumatic Stress Studies, N-0484 Oslo, Norway
- Institute of Clinical Medicine, University of Oslo, N-0450 Oslo, Norway
- Correspondence: ; Tel.: +47-922-93-669
| | - Elise Hansen Stokke
- Department of Psychology and Behavioural Sciences, Aarhus University, DK-8000 Aarhus, Denmark; (E.H.S.); (K.P.T.)
| | - Karina Pauline Tvenge
- Department of Psychology and Behavioural Sciences, Aarhus University, DK-8000 Aarhus, Denmark; (E.H.S.); (K.P.T.)
| |
Collapse
|
36
|
Hetherington E, Adhikari K, Tomfohr-Madsen L, Patten S, Metcalfe A. Birth outcomes, pregnancy complications, and postpartum mental health after the 2013 Calgary flood: A difference in difference analysis. PLoS One 2021; 16:e0246670. [PMID: 33571314 PMCID: PMC7877569 DOI: 10.1371/journal.pone.0246670] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 01/24/2021] [Indexed: 11/18/2022] Open
Abstract
Background In June 2013, the city of Calgary, Alberta and surrounding areas sustained significant flooding which resulted in large scale evacuations and closure of businesses and schools. Floods can increase stress which may negatively impact perinatal outcomes and mental health, but previous research is inconsistent. The objectives of this study are to examine the impact of the flood on pregnancy health, birth outcomes and postpartum mental health. Methods Linked administrative data from the province of Alberta were used. Outcomes included preterm birth, small for gestational age, a new diagnoses of preeclampsia or gestational hypertension, and a diagnosis of, or drug prescription for, depression or anxiety. Data were analyzed using a quasi-experimental difference in difference design, comparing flooded and non-flooded areas and in affected and unaffected time periods. Multivariable log binomial regression models were used to estimate risk ratios, adjusted for maternal age. Marginal probabilities for the difference in difference term were used to show the potential effect of the flood. Results Participants included 18,266 nulliparous women for the pregnancy outcomes, and 26,956 women with infants for the mental health analysis. There were no effects for preterm birth (DID 0.00, CI: -0.02, 0.02), small for gestational age (DID 0.00, CI: -0.02, 0.02), or new cases of preeclampsia (DID 0.00, CI: -0.01, 0.01). There was a small increase in new cases of gestational hypertension (DID 0.02, CI: 0.01, 0.03) in flood affected areas. There were no differences in postpartum anxiety or depression prescriptions or diagnoses. Conclusion The Calgary 2013 flood was associated with a minor increase in gestational hypertension and not other health outcomes. Universal prenatal care and magnitude of the disaster may have minimized impacts of the flood on pregnant women.
Collapse
Affiliation(s)
- Erin Hetherington
- Department of Obstetrics & Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- * E-mail:
| | - Kamala Adhikari
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Alberta Cancer Prevention Legacy Fund, Alberta Health Services, Calgary, Alberta, Canada
| | - Lianne Tomfohr-Madsen
- Department of Psychology, Faculty of Arts, University of Calgary, Calgary, Alberta, Canada
| | - Scott Patten
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Amy Metcalfe
- Department of Obstetrics & Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| |
Collapse
|
37
|
Silveira S, Kornbluh M, Withers MC, Grennan G, Ramanathan V, Mishra J. Chronic Mental Health Sequelae of Climate Change Extremes: A Case Study of the Deadliest Californian Wildfire. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041487. [PMID: 33557397 PMCID: PMC7915298 DOI: 10.3390/ijerph18041487] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 01/30/2021] [Accepted: 02/01/2021] [Indexed: 11/23/2022]
Abstract
Introduction. Weather-related disasters, such as wildfires exacerbated by a rise in global temperatures, need to be better studied in terms of their mental health impacts. This study focuses on the mental health sequelae of the deadliest wildfire in California to date, the Camp Fire of 2018. Methods. We investigated a sample of 725 California residents with different degrees of disaster exposure and measured mental health using clinically validated scales for post-traumatic stress disorder (PTSD), major depressive disorder (MDD) and generalized anxiety disorder (GAD). Data were collected at a chronic time-point, six months post-wildfire. We used multiple regression analyses to predict the mental health outcomes based on self-reported fire exposure. Additionally, we included vulnerability and resilience factors in hierarchical regression analyses. Results. Our primary finding is that direct exposure to large scale fires significantly increased the risk for mental health disorders, particularly for PTSD and depression. Additionally, the inclusion of vulnerability and resilience factors in the hierarchical regression analyses led to the significantly improved prediction of all mental health outcomes. Childhood trauma and sleep disturbances exacerbated mental health symptoms. Notably, self-reported resilience had a positive effect on mental health, and mindfulness was associated with significantly lower depression and anxiety symptoms. Conclusion. Overall, our study demonstrated that climate-related extreme events, such as wildfires, can have severe mental illness sequelae. Moreover, we found that pre-existing stressful life events, resilient personality traits and lifestyle factors can play an important role in the prevalence of psychopathology after such disasters. Unchecked climate change projected for the latter half of this century may severely impact the mental wellbeing of the global population, and we must find ways to foster individual resiliency.
Collapse
Affiliation(s)
- Sarita Silveira
- Department of Psychiatry, University of California, San Diego, CA 92037, USA; (S.S.); (G.G.)
- Neural Engineering and Translation Labs, University of California, San Diego, CA 92037, USA
| | - Mariah Kornbluh
- Department of Psychology, University of South Carolina, Columbia, SC 29208, USA;
| | - Mathew C. Withers
- Department of Psychology, California State University, Chico, CA 95929, USA;
| | - Gillian Grennan
- Department of Psychiatry, University of California, San Diego, CA 92037, USA; (S.S.); (G.G.)
- Neural Engineering and Translation Labs, University of California, San Diego, CA 92037, USA
| | | | - Jyoti Mishra
- Department of Psychiatry, University of California, San Diego, CA 92037, USA; (S.S.); (G.G.)
- Neural Engineering and Translation Labs, University of California, San Diego, CA 92037, USA
- Correspondence:
| |
Collapse
|
38
|
A Methodological Advance Leads to Surprising Findings in Understanding, Older Adult Trauma Survivor's Responses to Pandemics. Am J Geriatr Psychiatry 2021; 29:115-116. [PMID: 33239205 PMCID: PMC7666807 DOI: 10.1016/j.jagp.2020.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 11/10/2020] [Indexed: 11/22/2022]
|
39
|
Abstract
PURPOSE OF REVIEW This essay reviews evidence for the current and potential effects of climate change on mental health. RECENT FINDINGS A growing body of research demonstrates not only that the extreme weather events associated with a changing climate can impair mental health, in particular leading to increases in depression and post-traumatic stress disorder, but also that more gradual changes in climatic conditions, such as rising temperatures and reduced air quality, are also harmful to mental health. In addition, there is increasing evidence that a significant proportion of people might be experiencing a harmful level of anxiety associated with their perception of climate change. Mental health impacts of climate change have the potential to affect a significant proportion of the population. More research is needed to document the extent of these impacts as well as the best options for mitigating and treating them.
Collapse
|
40
|
Brown MRG, Pazderka H, Agyapong VIO, Greenshaw AJ, Cribben I, Brett-MacLean P, Drolet J, McDonald-Harker CB, Omeje J, Lee B, Mankowsi M, Noble S, Kitching DT, Silverstone PH. Mental Health Symptoms Unexpectedly Increased in Students Aged 11-19 Years During the 3.5 Years After the 2016 Fort McMurray Wildfire: Findings From 9,376 Survey Responses. Front Psychiatry 2021; 12:676256. [PMID: 34093284 PMCID: PMC8172807 DOI: 10.3389/fpsyt.2021.676256] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 04/15/2021] [Indexed: 01/01/2023] Open
Abstract
In Fort McMurray, Alberta, Canada, the wildfire of May 2016 forced the population of 88,000 to rapidly evacuate in a traumatic and chaotic manner. Ten percentage of the homes in the city were destroyed, and many more structures were damaged. Since youth are particularly vulnerable to negative effects of natural disasters, we examined possible long-term psychological impacts. To assess this, we partnered with Fort McMurray Public and Catholic Schools, who surveyed Grade 7-12 students (aged 11-19) in November 2017, 2018, and 2019-i.e., at 1.5, 2.5, and 3.5 years after the wildfire. The survey included validated measurement scales for post-traumatic stress disorder (PTSD), depression, anxiety, drug use, alcohol use, tobacco use, quality of life, self-esteem, and resilience. Data analysis was done on large-scale anonymous surveys including 3,070 samples in 2017; 3,265 samples in 2018; and 3,041 samples in 2019. The results were unexpected and showed that all mental health symptoms increased from 2017 to 2019, with the exception of tobacco use. Consistent with this pattern, self-esteem and quality of life scores decreased. Resilience scores did not change significantly. Thus, mental health measures worsened, in contrast to our initial hypothesis that they would improve over time. Of note, we observed higher levels of mental health distress among older students, in females compared to male students, and in individuals with a minority gender identity, including transgender and gender-non-conforming individuals. These findings demonstrate that deleterious mental health effects can persist in youth for years following a wildfire disaster. This highlights the need for multi-year mental health support programs for youth in post-disaster situations. The indication that multi-year, post-disaster support is warranted is relatively novel, although not unknown. There is a need to systematically investigate factors associated with youth recovery following a wildfire disaster, as well as efficacy of psychosocial strategies during later phases of disaster recovery relative to early post-disaster interventions.
Collapse
Affiliation(s)
- Matthew R G Brown
- Department of Computing Science, University of Alberta, Edmonton, AB, Canada.,Department of Psychiatry, University of Alberta, Edmonton, AB, Canada
| | - Hannah Pazderka
- Department of Psychiatry, University of Alberta, Edmonton, AB, Canada
| | | | | | - Ivor Cribben
- Department of Accounting and Business Analytics, Alberta School of Business, University of Alberta, Edmonton, AB, Canada
| | | | - Julie Drolet
- Faculty of Social Work, University of Calgary, Calgary, AB, Canada
| | | | - Joy Omeje
- Department of Psychiatry, University of Alberta, Edmonton, AB, Canada
| | - Bonnie Lee
- Faculty of Health Sciences, University of Lethbridge, Lethbridge, AB, Canada
| | - Monica Mankowsi
- Fort McMurray Catholic School District, Fort McMurray, AB, Canada
| | - Shannon Noble
- Fort McMurray Public School District, Fort McMurray, AB, Canada
| | | | | |
Collapse
|
41
|
Ramirez-Moreno JM, Ceberino D, Gonzalez Plata A, Rebollo B, Macias Sedas P, Hariramani R, Roa AM, Constantino AB. Mask-associated 'de novo' headache in healthcare workers during the COVID-19 pandemic. Occup Environ Med 2020; 78:oemed-2020-106956. [PMID: 33380516 PMCID: PMC7780429 DOI: 10.1136/oemed-2020-106956] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 11/14/2020] [Accepted: 12/07/2020] [Indexed: 01/15/2023]
Abstract
OBJECTIVES The pandemic caused by the new coronavirus (COVID-19) has changed care activities of health professionals. We analysed the possible association between the appearance of 'de novo' headache according to the type of mask used, the related factors and the impact of the cephalalgia on health professionals. METHODS Cross-sectional study in a tertiary hospital in Extremadura, Spain. We provided an online questionnaire to healthcare workers during the period of maximum incidence of COVID-19 in our setting. RESULTS The subjects are n=306, 244 women (79.7%), with an average age of 43 years (range 23-65). Of the total, 129 (42.2%) were physicians, 112 (36.6%) nurses and 65 (21.2%) other health workers. 208 (79.7%) used surgical masks and 53 (20.3%) used filter masks. Of all those surveyed, 158 (51.6%) presented 'de novo' headache. The occurrence of a headache was independently associated with the use of a filter mask, OR 2.14 (95% CI 1.07 to 4.32); being a nurse, OR 2.09 (95% CI 1.18 to 3.72) or another health worker, OR 6.94 (95% CI 3.01 to 16.04); or having a history of asthma, OR 0.29 (95% CI 0.09 to 0.89). According to the type of mask used, there were differences in headache intensity, and the impact of a headache in the subjects who used a filter mask was worse in all the aspects evaluated. CONCLUSION The appearance of 'de novo' headache is associated with the use of filter masks and is more frequent in certain healthcare workers, causing a greater occupational, family, personal and social impact.
Collapse
Affiliation(s)
- José María Ramirez-Moreno
- Biomedical Sciences, University of Extremadura, Faculty of Medicine, Badajoz, Spain
- Neurology, Badajoz University Hospital, Badajoz, Spain
| | | | | | - Belen Rebollo
- Neurology, Badajoz University Hospital, Badajoz, Spain
| | | | | | - Ana M Roa
- Neurology, Badajoz University Hospital, Badajoz, Spain
| | | |
Collapse
|
42
|
Sherman AC, Williams ML, Amick BC, Hudson TJ, Messias EL. Mental health outcomes associated with the COVID-19 pandemic: Prevalence and risk factors in a southern US state. Psychiatry Res 2020; 293:113476. [PMID: 33198047 PMCID: PMC7513769 DOI: 10.1016/j.psychres.2020.113476] [Citation(s) in RCA: 50] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Accepted: 09/20/2020] [Indexed: 12/18/2022]
Abstract
The COVID-19 pandemic has had a dramatic effect on the functioning of individuals and institutions around the world. This cross-sectional registry-based study examined some of the burdens of the pandemic, the prevalence of mental health difficulties, and risk factors for psychosocial morbidity among community residents in Arkansas. The study focused on a period of gradual reopening but rising infection rates. The investigation included validated screening measures of depressive symptoms (PHQ-9), generalized anxiety (GAD-7), trauma-related symptoms (PCL-5), and alcohol use (AUDIT-C). A notable percentage of participants reported elevated symptoms on each of these outcomes. In separate multivariable analyses that accounted for a number of demographic and pandemic-related covariates, individuals who reported greater pandemic-related disruption in daily life, and those with a prior history of mental health concerns, were more likely to screen positive for depressive, anxiety and trauma-related symptoms. Findings illuminate burdens experienced by community residents during a period of phased reopening, and offer a foundation for future screening and intervention initiatives.
Collapse
Affiliation(s)
- Allen C. Sherman
- Behavioral Medicine Division, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA,Corresponding author at: Behavioral Medicine, #756, 4301 W. Markham Street, Little Rock, AR 72205, USA
| | - Mark L Williams
- Department of Health Promotion and Disease Prevention, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Benjamin C Amick
- Department of Epidemiology, Fay W Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Teresa J. Hudson
- Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Erick L Messias
- Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA,Faculty Affairs, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| |
Collapse
|
43
|
Lowe SR, Raker EJ, Waters MC, Rhodes JE. Predisaster predictors of posttraumatic stress symptom trajectories: An analysis of low-income women in the aftermath of Hurricane Katrina. PLoS One 2020; 15:e0240038. [PMID: 33085670 PMCID: PMC7577433 DOI: 10.1371/journal.pone.0240038] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Accepted: 09/17/2020] [Indexed: 12/13/2022] Open
Abstract
Exposure to disasters is associated with a range of posttraumatic stress symptom (PTSS) trajectories. However, few studies have tracked PTSS for more than a decade postdisaster, and none to our knowledge has explored the role of predisaster resources and vulnerabilities in shaping the likelihood of trajectory membership. The current study included participants from the Resilience in Survivors of Katrina Study (N = 885). Participants were originally part of a community college intervention study and were assessed prior to the hurricane (6–21 months predisaster), and approximately 1 year, 4 years, and 12 years postdisaster. Latent class growth analysis identified PTSS trajectories. Perceived social support, probable mental illness, and physical health conditions or problems–all assessed predisaster–were examined as predictors of trajectory membership at the univariate level and in multivariable models without and with adjustment for disaster exposure. Three PTSS trajectories were detected: Moderate-Decreasing (69.3%), High-Decreasing (23.1%), and High-Stable (7.6%). In the multivariable predictive model without adjustment for disaster exposure, probable predisaster mental illness was significantly associated with greater odds of the High-Decreasing and High-Stable trajectories, and physical health conditions or problems with greater odds of the High-Decreasing trajectory, relative to the Moderate-Decreasing trajectory. However, when disaster exposure was adjusted, only the association between predisaster mental illness and the odds of the High-Stable trajectory remained statistically significant. Lower predisaster perceived social support was significantly associated with membership in the High-Decreasing trajectory, relative to the Moderate-Decreasing, at the univariate level, but not in either multivariable model. Whereas predisaster mental illness confers risk for chronic postdisaster PTSS, other impacts of predisaster resources and vulnerabilities on elevated PTSS trajectories do not go beyond those of disaster exposure. The results support disaster preparedness efforts targeting those with mental and physical health conditions, and postdisaster mental health services addressing preexisting vulnerabilities in addition to disaster-related PTSS.
Collapse
Affiliation(s)
- Sarah R. Lowe
- Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, United States of America
- * E-mail:
| | - Ethan J. Raker
- Department of Sociology, Harvard University, Cambridge, MA, United States of America
| | - Mary C. Waters
- Department of Sociology, Harvard University, Cambridge, MA, United States of America
| | - Jean E. Rhodes
- Department of Psychology, University of Massachusetts Boston, Boston, MA, United States of America
| |
Collapse
|
44
|
Lai FTT, Hall BJ, Liang L, Galea S, Hou WK. Socioeconomic determinants of depression amid the anti-extradition bill protests in Hong Kong: the mediating role of daily routine disruptions. J Epidemiol Community Health 2020; 74:988-994. [PMID: 32788304 DOI: 10.1136/jech-2019-213693] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 06/12/2020] [Accepted: 07/10/2020] [Indexed: 11/04/2022]
Abstract
BACKGROUND Previous research has suggested a socioeconomic gradient of mental health in the face of potentially traumatic events. Nevertheless, few studies examined the intermediary mechanisms of this gradient. This study tested a hypothesised mediating effect of disruptions to daily routines (eg, eating/sleeping habits) between socioeconomic status (SES) and depression among participants and non-participants of the anti-extradition bill protests in summer 2019 in Hong Kong. METHODS A territory-wide telephone survey was conducted during the movement in the first 3 weeks of July 2019 to collect self-report data from 1112 Cantonese-speaking Hong Kong citizens. Stratified by participation in the anti-extradition bill protests, logistic regression was conducted to examine the inverse relationship between SES and depression. Subsequently, path analysis was conducted to test the hypothesised indirect effect through daily routine disruptions. RESULTS In total, 581 (52.2%) respondents participated in the anti-extradition bill protests. Logistic regression showed that higher educational attainment was protective of depression among both participants and non-participants, while the protective effect of household income level HK$40 000-HK$79 999 (compared with <HK$20 000) was only observed among participants. Path analysis showed that 50.3% of the socioeconomic gradient was explained by daily routine disruptions among participants, compared with 8.3% among non-participants. CONCLUSIONS Daily routine disruptions partially explain the association between low SES and depression, especially among participants of the anti-extradition bill protests. To improve population mental health, such disruptions should be mitigated.
Collapse
Affiliation(s)
- Francisco Tsz Tsun Lai
- The Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SAR, China
| | - Brian J Hall
- Department of Psychology, University of Macau, Macau SAR, China
| | - Li Liang
- Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong SAR, China
| | - Sandro Galea
- School of Public Health, Boston University, Boston, Massachusetts, USA
| | - Wai Kai Hou
- Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong SAR, China .,Department of Psychology, The Education University of Hong Kong, Hong Kong SAR, China
| |
Collapse
|
45
|
Abstract
Background: Post-traumatic stress symptoms (PTSS), as well as post-traumatic stress disorder (PTSD) itself, are common sequelae of disasters, including disease outbreaks such as the COVID-19 pandemic. Understanding their frequency and correlates is essential to developing preventive, therapeutic and supportive measures in a time of crisis. Methods: A scoping review of the literature pertaining to PTSS and PTSD in relation to COVID-19 was carried out with the primary objective of assessing the frequency of PTSS/PTSD and the factors associated with it, and the secondary objective of summarizing expert recommendations in this field. For this purpose, PubMed and Embase literature databases were searched using the terms “COVID-19”, “nCoV-2”, “post-traumatic stress disorder”, “PTSS”, “PTSD” and “traumatization” in various combinations. A total of 10 relevant publications were found, which were tabulated and organized into original research on PTSS/PTSD (n = 7) and expert opinions or reviews (n = 3). Results: The frequency of PTSS ranged from 7-34%, depending on study population and methodology. Gender, marital status, physical symptoms, and a prior psychiatric diagnosis were associated with the severity of PTSS. Expert opinions highlighted the prolonged nature of the impact of COVID-19, the need for long-term preventive and treatment strategies, and the need for innovation and collaboration in research and dissemination of information. Conclusions: The COVID-19 outbreak is likely to leave a large number of persons suffering from PTSD in its wake. The above results may help us to identify those at risk in order to deliver preventive or early therapeutic interventions.
Collapse
|
46
|
Tang W, Hu T, Yang L, Xu J. The role of alexithymia in the mental health problems of home-quarantined university students during the COVID-19 pandemic in China. PERSONALITY AND INDIVIDUAL DIFFERENCES 2020; 165:110131. [PMID: 32518435 PMCID: PMC7273169 DOI: 10.1016/j.paid.2020.110131] [Citation(s) in RCA: 75] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Revised: 05/16/2020] [Accepted: 05/18/2020] [Indexed: 02/08/2023]
Abstract
Objective While it is well known that mental health problems are common consequences of deadly pandemics, the association with alexithymia is less clear. This study examined this association in an evaluation of home-quarantined university students during the 2019/2020 COVID-19 pandemic in China. Methods In total, 2501 home-quarantined students from six southwest Chinese universities completed the following questionnaires: the 20-item Toronto Alexithymia Scale (TAS-20), the Posttraumatic Stress Disorder Checklist-Civilian Version (PCL—C), and the Patients Health Questionnaire-9 (PHQ-9), after which structural equation modeling (SEM) and mediation analyses were employed to extract and evaluate the possible associations. Results It was found that participants with probable depression or PTSD also reported more severe alexithymia features, such as difficulties in identifying feelings (DIF) or describing feelings (DDF). Alexithymia was also found to partially mediate the effect of number of exposures on mental health problems. Conclusion These results suggested that implementing strategies to assist young people identify and deal with their own emotions and those of others could prevent or mitigate the mental health problems associated with deadly pandemic events. However, future longitudinal studies are needed to examine the specific involvement of DIF or DDF in people with mental health problems.
Collapse
Affiliation(s)
- Wanjie Tang
- Centre for Educational and Health Psychology, Sichuan University, Chengdu, China.,Institute of Emergency Management and Post-disaster Reconstruction, Sichuan University, No. 24, South Section 1, Yihuan Road Wuhou District, 610065 Chengdu, China.,Mental Health Center, State Key Lab of Biotherapy, West China Hospital, Sichuan University, Chengdu, China
| | - Tao Hu
- Department of Psychology, Chengdu Normal University, Chengdu, China
| | - Le Yang
- West China College of Pharmacy, Sichuan University, Chengdu, China
| | - Jiuping Xu
- Institute of Emergency Management and Post-disaster Reconstruction, Sichuan University, No. 24, South Section 1, Yihuan Road Wuhou District, 610065 Chengdu, China
| |
Collapse
|
47
|
Nikendei C. After the game is before the game! GMS JOURNAL FOR MEDICAL EDUCATION 2020; 37:Doc36. [PMID: 32566738 PMCID: PMC7291381 DOI: 10.3205/zma001329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 03/25/2020] [Accepted: 03/25/2020] [Indexed: 05/16/2023]
Affiliation(s)
- Christoph Nikendei
- Universitätsklinik für Allgemeine Innere Medizin und Psychosomatik, Sektion Psychotraumatologie, Heidelberg, Germany
- Patrick-Henry-Village Heidelberg, Geflüchtetenambulanz des Zentrums für Psychosoziale Medizin der Universitätsklinik Heidelberg, Heidelberg, Germany
| |
Collapse
|