Exposure to Hurricane-Related Stressors and Mental Illness After Hurricane Katrina
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CONTEXT: Uncertainty exists about the prevalence, severity, and correlates of mental disorders among people exposed to Hurricane Katrina. OBJECTIVE: To estimate the prevalence and associations between DSM-IV anxiety-mood disorders and hurricane-related stressors separately among prehurricane residents of the New Orleans metropolitan area and the remainder of the areas in Alabama, Louisiana, and Mississippi affected by Katrina. DESIGN: Community survey. SETTING AND PARTICIPANTS: A probability sample of 1043 English-speaking prehurricane residents of the areas affected by Hurricane Katrina was administered via telephone survey between January 19 and March 31, 2006. The survey assessed hurricane-related stressors and screened for 30-day DSM-IV anxiety-mood disorders. MAIN OUTCOME MEASURES: The K6 screening scale of anxiety-mood disorders and the Trauma Screening Questionnaire scale for posttraumatic stress disorder (PTSD), both calibrated against blinded structured clinical reappraisal interviews to approximate the 30-day prevalence of DSM-IV disorders. RESULTS: Prehurricane residents of the New Orleans metropolitan area were estimated to have a 49.1% 30-day prevalence of any DSM-IV anxiety-mood disorder (30.3% estimated prevalence of PTSD) compared with 26.4% (12.5% PTSD) in the remainder of the sample. The vast majority of respondents reported exposure to hurricane-related stressors. Extent of stressor exposure was more strongly related to the outcomes in the New Orleans metropolitan area subsample than the remainder of the sample. The stressors most strongly related to these outcomes were physical illness/injury and physical adversity in the New Orleans metropolitan area subsample and property loss in the remainder of the sample. Sociodemographic correlates were not explained either by differential exposure or reactivity to hurricane-related stressors. CONCLUSIONS: The high prevalence of DSM-IV anxiety-mood disorders, the strong associations of hurricane-related stressors with these outcomes, and the independence of sociodemographics from stressors argue that the practical problems associated with ongoing stressors are widespread and must be addressed to reduce the prevalence of mental disorders in this population.
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After Hurricane Katrina in New Orleans in 2006, the 30-day prevalence of anxiety-mood disorders including PTSD was 49.1% among directly affected people.
“After hurricane Katrina in 2006 in New Orleans (USA), the 30-day prevalence of anxiety-mood disorders, including PTSD, rose to 49.1% in those directly affected (19).”
From The effects of climate change on mental health (2023) · cites this paper as [19]
The Estimated Prevalence section (Table 1; page not provided) reports a 49.1% estimated 30-day prevalence of any anxiety-mood disorder among prehurricane New Orleans metro residents; the paper also counts PTSD within that group. But 49.1% was not limited to individuals directly affected by the hurricane, and the paper does not establish that prevalence “rose to” that figure from a prehurricane baseline. The Sample section says the survey took place in 2006, five to seven months after the hurricane—not that Katrina occurred in 2006. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAmong Hurricane Katrina survivors, 31.2% had anxiety-mood disorders.
“Galea et al. reported a 31.2% prevalence of anxiety-mood disorders amongst Hurricane Katrina survivors [81]”
From Climate change and mental health: risks, impacts and priority actions (2018) · cites this paper as [81]
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Moving Mental Health into the Disaster-Preparedness Spotlight
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Posttraumatic stress among students after the shootings at Virginia Tech.
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Self-citationA novel surveillance approach for disaster mental health
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Self-citationRisk, coping and PTSD symptom trajectories in World Trade Center responders
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Enhancing Disaster Resilience by Reducing Stress-Associated Health Impacts
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Understanding the Impact of COVID-19 on Latino Sexual Minority Men in a US HIV Hot Spot
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Trauma and Disasters in Social and Cultural Context
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Self-citationMitigating the Mental and Physical Health Consequences of Hurricane Harvey
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Impact of the COVID-19 Pandemic on Mental Health among 157,213 Americans
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Postpartum mental health after Hurricane Katrina: A cohort study
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Resource loss, resource gain, and mental health among survivors of Hurricane Katrina
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Flood of emotions: emotional work and long-term disaster recovery
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Complicated grief associated with Hurricane Katrina
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Self-citationMeaning and Posttraumatic Growth Among Survivors of the September 2013 Colorado Floods
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- Authors
- Galea, S., Brewin, C. R., Gruber, M., Jones, R. T., King, D. W., King, L. A., McNally, R. J., Ursano, R. J., Petukhova, M., & Kessler, R. C.
- Affiliations
- University of Michigan (US)
- University College London (GB)
- Harvard University (US)
- Virginia Tech (US)
- Boston University (US)
- Uniformed Services University of the Health Sciences (US)
- ORCID
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2007-12-01
- Volume
- 64
- Issue
- 12
- Pages
- 1427
- ISSN
- 0003-990X (ISSN-L)
- PMC
- PMC2174368
- OpenAlex
- W2147326265
- Cited by
- 584
- References
- 36
- Citations by year
- 2026: 22 · 2025: 21 · 2024: 31 · 2023: 31 · 2022: 28 · 2021: 42 · 2020: 37 · 2019: 36 · 2018: 26 · 2017: 28 · 2016: 21 · 2015: 39 · 2014: 32 · 2013: 39 · 2012: 36
- FWCI
- 31.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- U.S. Department of Health and Human Services
- Eli Lilly and Company
- Pfizer
- GlaxoSmithKline
- Sanofi
- Harvard University
- University of Michigan
- University College London
- National Institutes of Health (5r01mh070884-05)
- College of Pharmacy, University of Michigan
- Uniformed Services University of the Health Sciences
- Federal Emergency Management Agency
- Pfizer Foundation
- Department of Psychology, Harvard University
- National Institute of Mental Health (R01‐MH070884, MH070884)
- Mailman School of Public Health, Columbia University
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
- Keywords
- Hurricane Katrina, post-traumatic stress disorder, prevalence of mental disorders, disaster mental health, property loss, personal injury, New Orleans, sociodemographic correlates
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Demography, Disasters, Environmental Exposure, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Severity of Illness Index, Stress Disorders, Post-Traumatic, Stress, Psychological, Prevalence, Diagnostic and Statistical Manual of Mental Disorders
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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