Cited by 585Posttraumatic Stress Disorder ResearchMental Health Treatment and AccessDisaster Response and Management

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Exposure to Hurricane-Related Stressors and Mental Illness After Hurricane Katrina

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Galea, Sandro, Brewin, Chris R., Gruber, Michael, Jones, Russell T., King, Daniel W., King, Lynda A., McNally, Richard J., Ursano, Robert J., Petukhova, Maria, Kessler, Ronald C.·2007·Archives of General Psychiatry

DOI 10.1001/archpsyc.64.12.1427PMC PMC2174368

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Abstract

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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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: Galea, Sandro
Brewin, Chris R.
Gruber, Michael
Jones, Russell T.
McNally, Richard J.
Ursano, Robert J.
Petukhova, Maria
Kessler, Ronald C.
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)
DOI: 10.1001/archpsyc.64.12.1427
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
Health Sciences › Medicine › Psychiatry and Mental health › 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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Exposure to Hurricane-Related Stressors and Mental Illness After Hurricane Katrina

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