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Disaster Media Coverage and Psychological Outcomes: Descriptive Findings in the Extant Research
Open accessAbstract
This review of the literature on disaster media coverage describes the events, samples, and forms of media coverage (television, newspapers, radio, internet) studied and examines the association between media consumption and psychological outcomes. A total of 36 studies representing both man-made and natural events met criteria for review in this analysis. Most studies examined disaster television viewing in the context of terrorism and explored a range of outcomes including posttraumatic stress disorder (PTSD) caseness and posttraumatic stress (PTS), depression, anxiety, stress reactions, and substance use. There is good evidence establishing a relationship between disaster television viewing and various psychological outcomes, especially PTSD caseness and PTS, but studies are too few to draw definitive conclusions about the other forms of media coverage that have been examined. As media technology continues to advance, future research is needed to investigate these additional media forms especially newer forms such as social media.
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“Recent research provided extensive evidence that indirect exposure is associated with stress symptoms and other psychopathologies comparable to those linked to direct exposure [13,16,23-27].”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [16]
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“A large body of previous research has convincingly established the association between media exposure and symptoms of posttraumatic stress related to various life-threatening stressors, such as war conflicts [9,10], terrorism and other acts of mass violence [11-15], natural disasters [16,17], and recently also the COVID-19 pandemic”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [16]
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“This research has consistently found that increased exposure to media after disasters is associated with adverse outcomes (43, 44).”
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“Although the negative impacts of disaster media exposure on a range of psychological outcomes have been demonstrated (see the review by Pfefferbaum et al., 2014), secondary traumatic stress (STS) was not adequately addressed (Ben-Zur, Gil, & Shamshins, 2012; Blanchard et al., 2004).”
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“According to a review study, both traditional and new media disaster coverage are associated with negative psychological outcomes (Pfefferbaum et al., 2014).”
Link, B. G., & Phelan, J. C. (2012) · Handbooks of sociology and social research · doi:10.1007/978-94-007-4276-5_25 · Cited by 314
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“…use and depression in the disaster were inconsistent, most studies found positive association between disaster television viewing and depression (Pfefferbaum et al., 2014), whereas results also suggested reading newspaper coverage of the September 11 attacks was not associated with depression…”
ResultRiehm, K. E., Holingue, C., Kalb, L. G., Bennett, D., Kapteyn, A., Jiang, Q., Veldhuis, C. B., Johnson, R. M., Fallin, M. D., Kreuter, F., et al. (2020) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2020.06.008 · Cited by 150
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BackgroundSchizophrenia and COVID-19: risks and recommendations
Fonseca, L., Diniz, E., Mendonça, G. F., Malinowski, F., Mari, J. D. J., & Gadelha, A. (2020) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2020-0010 · Cited by 115
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“Meta-analytic studies and research syntheses of correlational research (Houston, 2009; Pfefferbaum et al., 2014) indicated that consumption of disaster or large-scale threat news via TV is significantly associated with numerous negative psychological outcomes, including PTSD, PTS, depression,…”
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“However, consuming excessive media coverage pertinent to COVID19 may impact negatively on mental health, comparable to the relationship found between viewing disaster media coverage and adverse psychological outcomes.(28)”
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“Better understanding how media representations and online trends might affect sexual assault survivors could help to inform responsible journalism and coverage of sexual trauma, adding to similar literature on disaster- and terrorism-related media coverage (Pfefferbaum et al., 2014, 2018).”
BackgroundMental Health Consequences of War Conflicts
Rozanov, V. A., Frančišković, T., Marinić, I., Macarenco, M.-M., Crepulja, M. L., Mužinić, L., Jayatunge, R. M., Sisask, M., Vevera, J., Wiederhold, B. K., et al. (2018) · Springer eBooks · doi:10.1007/978-3-319-70554-5_17 · Cited by 89
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Yeung, N. C. Y., Lau, J. T. F., Yu, N. X., Zhang, J., Xu, Z., Choi, K. C., Zhang, Q., Mak, W. W. S., & Lui, W. W. S. (2016) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000121 · Cited by 65
“A recent review (Pfefferbaum et al., 2014) showed that studies on the relationship between media exposure and PTSS usually focused on man-made disasters (e.g., war, terrorism).”
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“The result of this type of coverage can lead to stress and panic among the general public (Pfefferbaum et al., 2014; Vasterman & Ruigrok, 2013; Vasterman, Yzermans, & Dirkzwager, 2005) as evidenced during the Ebola “crisis” in late 2014 (Boehlert, 2014).”
BackgroundSpeaking of trauma: the race talk, the gun violence talk, and the racialization of gun trauma
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“Also, previous research shows that people who follow disaster media closely have higher levels of post-traumatic stress symptoms and psychological distress [42].”
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“This is true for Rogers and Prentice-Dunn (1997) Protection Motivation Theory, Leventhal’s (1971) danger control/fear control theory, and all iterations of the extended parallel process model (EPPM) (Witte 1992) of fear appeals.”
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“, 2020) and the relationship between disaster media coverage and various psychological outcomes, especially PTSD are well established (Pfefferbaum et al., 2014).”
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“Research has shown that disaster-related content on social media during events of collective trauma (such as the COVID-19 pandemic) may negatively impact users’ mental health [11-13].”
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“Likewise, media exposure was found to be associated with negative mental health outcomes (such as PTSD, depression, anxiety, and substance use) in different crisis contexts [44].”
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“Similarly, according to a systematic review of literature on various forms of disaster media and psychological outcomes [22], none of the reviewed studies showed significant associations between newspaper use and psychological outcomes such as depression, stress, and anxiety.”
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“A review on the topic indicated a need to conduct further studies on media exposure to trauma, with a specific need for studies to be conducted outside of the US and to focus on type of media exposure (e.g., social media such as Facebook and Twitter) (4).”
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“This tendency has been clearly observed in the US following the 9/11 and Oklahoma terrorist attacks (e.g., Bernstein et al., 2007; Pfefferbaum et al., 2014) as well as in Israel during wars and waves of Palestinian terrorism (e.”
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“…of posttraumatic stress related to various life-threatening stressors, such as war conflicts [9,10], terrorism and other acts of mass violence [11-15], natural disasters [16,17], and recently also the COVID-19 pandemic (refer to "Uncertainty as a Defining Feature of the COVID-19 Pandemic" section).”
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“Several studies have examined disaster-related television viewing in the context of terrorism and have explored a range of outcomes, including post-traumatic stress disorder (PTSD), depression, anxiety, stress reactions, and substance use [7].”
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“…is not new: Earlier research has shown that the negative focus, which is prevalent in news reporting (Lengauer et al., 2012; Niven, 2001), can cause fear, stress, and depression in the audience (Pfefferbaum et al., 2014) and can be detrimental for people’s well-being (Boukes & Vliegenhart, 2017).”
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Before the Storm: Stressors Associated with the Hurricane Irma Evacuation Process for Families
Greca, A. M. L., Brodar, K. E., Danzi, B. A., Tarlow, N., Silva, K., & Comer, J. S. (2019) · Disaster Medicine and Public Health Preparedness · doi:10.1017/dmp.2019.9 · Cited by 14
“Disaster-related media exposure, particularly via television viewing, is associated with higher rates of stress, anxiety, and depression after a disaster in both adults and children.(35,36) Repeated viewing of severe weather warnings prior to a storm, via television or other media formats, could create anxiety and str…”
BackgroundThe Unintended Consequences of Disaster-Related Media Coverage
Lubens, P., & Holman, E. A. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316481424.013 · Cited by 15
Understanding the Connection between Social Support and Mental Health
Brown, R. L., & Ciciurkaite, G. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.014 · Cited by 15
Reactions of Oklahoma City bombing survivors to media coverage of the September 11, 2001, attacks
Pfefferbaum, B. J., Nitiéma, P., Pfefferbaum, R. L., Houston, J. B., Tucker, P. M., Jeon‐Slaughter, H., & North, C. S. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.09.010 · Cited by 16
“Thus, consistent with a recent review of disaster media coverage, no definitive conclusions can be reached about the association between contact with coverage through these other two media forms and psychological outcomes [35].”
BackgroundSelf-citationFukasawa, M., Kawakami, N., Nakayama, C., & Yasumura, S. (2019) · Disaster Medicine and Public Health Preparedness · doi:10.1017/dmp.2019.132 · Cited by 14
Factors Associated With Depression and Anxiety in Korean Adolescents During the COVID-19 Pandemic
Kim, H., Jhon, M., Kim, J., Kang, H., Ryu, S., Kim, J., Lee, J. Y., & Kim, S. (2022) · Psychiatry Investigation · doi:10.30773/pi.2021.0365 · Cited by 14
Exploring the impact of media use on wellbeing following a natural disaster
Raney, A. A., Ai, A. L., & Oliver, M. B. (2022) · Frontiers in Communication · doi:10.3389/fcomm.2022.967383 · Cited by 13
“Several others have examined how news coverage might lead to negative mental health outcomes among those directly (and indirectly) experiencing the event (e.g., McLeish and Del Ben, 2008; Ben-Zur et al., 2012; Goodwin et al., 2013; Pfefferbaum et al., 2014); yet, many such studies focused on 9/11 and other terrorist i…”
BackgroundGreca, A. M. L., Burdette, E. T., & Brodar, K. E. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1196419 · Cited by 16
“In particular, it would be extremely valuable to expand existing materials to include “stress management” strategies for both youth and parents, such as limiting media exposure (Pfefferbaum et al., 2014) during the days leading up to a storm and encouraging family activities to promote relaxation (e.”
BackgroundLi, Y., Zhi, W., Qi, B., Wang, L., & Hu, X. (2023) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2023.1216524 · Cited by 16
“Negative emotions (such as fear) are triggered not only when people experience fearful (or traumatizing) events but simply by seeing images or videos about the disasters (Pfefferbaum et al., 2014).”
BackgroundDyar, C., Crosby, S. T., Newcomb, M. E., Mustanski, B. S., & Kaysen, D. L. (2022) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000585 · Cited by 15
van der Velden, P. G., van der Meulen, E., Lenferink, L. I. M., & Yzermans, J. C. (2018) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12426 · Cited by 12
Media Exposure and Substance Use Increase during COVID-19
Amram, O., Borah, P., Kubsad, D., & McPherson, S. M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18126318 · Cited by 11
“Many studies have shown the association between television news use and negative emotional reactions [12,13].”
BackgroundSocial media use, uncertainty, and negative affect in times of pandemic crisis
Wu, Y., An, Z., Lin, Y., Zhang, J., Jing, B., & Peng, K. (2023) · Digital Health · doi:10.1177/20552076231181227 · Cited by 13
“Given that different approaches in assessing media use may affect the results regarding the associations between SMU and wellbeing in critical situations, 35 it is necessary to use diversifying methods to examine whether these fi ndings could be replicated.”
BackgroundOnline mental health care during the COVID-19 pandemic
Guedes, A. D. C., Kantorski, L. P., Willrich, J. Q., Coimbra, V. C. C., Wünsch, C. G., Sperb, L. C. S. D. O., & Sperb, C. B. (2021) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2021-0554 · Cited by 15
“The conclusion was that exposure to stressful media coverage of major disasters is associated with an increase in psychological anxiety and can trigger cases of post-traumatic stress disorder, depression, anxiety, stress, stress reactions, and substance (22) .”
Psychological Effects of Dominant Responses to Early Warning Alerts
Huggins, T. J., Yang, L., Zhang, J., Tan, M. L., & Prasanna, R. (2021) · International Journal of Ambient Computing and Intelligence · doi:10.4018/ijaci.2021070101 · Cited by 10
Zhu, J. L., Bao-hua, L., Hao, F., Luo, L., Yue, S., Zhai, J., Chen, M., Liu, Y., Liu, D., & Wang, J. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.810101 · Cited by 10
Mídia e desastres: panorama da produção científica internacional de 1996 a 2016
Reis, C., Mattedi, M. A., & Barrios, Y. M. R. (2017) · Intercom Revista Brasileira de Ciências da Comunicação · doi:10.1590/1809-5844201725 · Cited by 10
“Os autores com maior número de citações foram: Betty Pfefferbaum (1999, 2001, 2013); Brian Walker (2002, 2004, 2006, 2011); Lance H. Gunderson (2002, 2006, 2010, 2011); Anabela Carvalho”
Wycoff, K., & Matone, M. (2019) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2019.05.010 · Cited by 10
Hardayati, Y. A., & Mustikasari, M. (2019) · International Journal of Nursing and Health Services (IJNHS) · doi:10.35654/ijnhs.v2i3.105 · Cited by 10
Metadata
- Authors
- Pfefferbaum, B., Newman, E., Nelson, S. D., Nitiéma, P., Pfefferbaum, R. L., & Rahman, A.
- Affiliations
- University of Oklahoma Health Sciences Center (US)
- University of Tulsa (US)
- Phoenix College (US)
- Corresponding author
- Pfefferbaum, Betty
- Venue
- Current Psychiatry Reports
- Published
- 2014-07-27
- Volume
- 16
- Issue
- 9
- Pages
- 464-464
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- PMC
- PMC4144190
- OpenAlex
- W2148450146
- Cited by
- 230
- References
- 27
- Citations by year
- 2026: 12 · 2025: 17 · 2024: 21 · 2023: 14 · 2022: 26 · 2021: 31 · 2020: 30 · 2019: 14 · 2018: 9 · 2017: 43 · 2016: 6 · 2015: 3 · 2014: 1
- FWCI
- 20.91
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Oklahoma
- National Institute of Mental Health (R25MH070569)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Communication › Public Relations and Crisis Communication
- Social Sciences › Sociology and Political Science › Disaster Management and Resilience
- Keywords
- post-traumatic stress disorder, post-traumatic stress, psychological outcomes, terrorism, media use, depression, anxiety, substance use, natural disasters, man-made disasters, social media
- MeSH terms
- Anxiety, Mental Disorders, Disasters, Fear, Humans, Mass Media, Stress, Psychological
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