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5 results

  • Coping self-efficacy mediates effects of posttraumatic distress on communal coping in parent-adolescence dyads after floods

  • Kotaro Shoji, Charles C. Benight, Tamara Afifi, Erika D. Felix
  • Journal:
    Development and Psychopathology , First View
    Published online by Cambridge University Press:
    15 March 2024, pp. 1-15
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  • Social cognitive theory provides a framework of human agency during environmental challenges, with coping self-efficacy (CSE) as an important construct underlying adaptation. We examined two alternative models involving CSE as a mediator of the association between posttraumatic stress symptoms (PTSS) and communal coping among parent-youth dyads after severe floods using Bayesian dyadic multilevel modeling. The first model included PTSS as the independent variable and communal coping as the dependent variable (disaster distress model). The independent and dependent variables were replaced for each other in the second model (communal coping model). We used data from 485 parent-youth dyads who experienced floods between 2015 and 2016 in Texas, USA. Parents of children (69% women) aged 10–19 years old, and their oldest child (53% male; Mean age = 13.75) in that age range were recruited. We assessed PTSS, CSE, and communal coping for parents and youths. Results favored the disaster distress model over the communal coping model. In the disaster distress model, results demonstrated that CSE declines as PTSS increases, predicting decreased communal coping. This mediation effect of CSE is stronger for youths compared to parents, indicating that children’s CSE is affected more by PTSS.

  • The association between posttraumatic stress symptoms and suicidal ideations among Palestinians: The mediating role of spirituality, social support and mindfulness

  • Fayez Mahamid, Dana Bdier, Samah Jabr, Zaynab Hinnawi
  • Journal:
    Cambridge Prisms: Global Mental Health / Volume 10 / 2023
    Published online by Cambridge University Press:
    07 August 2023, e48
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  • The current study aimed to test whether social support, spirituality and mindfulness mediated the association between posttraumatic stress symptoms and suicidal ideation among Palestinians. The study sample consisted of 520 Palestinian adults selected using online tools. The findings of the study revealed that posttraumatic stress symptoms positively correlated with suicidal ideations (r = .32, p < .01), and negatively correlated with social support (r = −.34, p < .01), spirituality (r = −.16, p < .05) and mindfulness (r = −.72, p < .01), whereas suicidal ideations negatively correlated with social support (r = −.46, p < .01), spirituality(r = −.27, p < .01) and mindfulness (r = −.72, p < .01). Results of the path analysis showed that social support, spirituality and mindfulness mediated the association between posttraumatic stress symptoms and suicidal ideations. Developing intervention programs to enhance social support, mindfulness and spirituality to mitigate the effect of ongoing traumatic experiences among Palestinians is crucial to reducing suicidal ideations. Further studies are also recommended to investigate the role of potentially protective factors that may reduce suicidal ideations and appropriate techniques to deal effectively with traumatic and stressful events.

  • Positive mental health moderates the association between PTSD symptoms and subjective accelerated aging among older adults

  • Yuval Palgi
  • Journal:
    International Psychogeriatrics / Volume 32 / Issue 7 / July 2020
    Published online by Cambridge University Press:
    21 July 2020, pp. 885-889

  • Posttraumatic stress disorder (PTSD) symptoms are known for predicting accelerated aging. However, it has not been examined whether individuals are subjectively aware of this process. The present study examined whether PTSD symptoms predict subjective accelerated aging and whether positive mental health status moderates this relationship. One hundred and thirty-two community-dwelling older adults (M = 66.85, SD = 9.13) who were sampled through random dialing of Jewish residents in the south of Israel completed the questionnaire twice: At Wave 1 after the flare-up of an Israeli–Palestinian conflict, and at Wave 2, a year later. Participants reported their PTSD symptoms, positive mental health, and on their subjective accelerated aging a year later. Higher levels of PTSD symptoms and lower levels of positive mental health were separately related to increased subjective accelerated aging. Participants with a lower level of positive mental health demonstrated a stronger association between PTSD symptoms and subjective accelerated aging. These findings emphasize that individuals who suffer from higher levels of PTSD symptoms and specifically those with lower levels of positive mental health status tend to feel they are aging faster. This finding adds to previous research suggesting that alongside the physiological process of accelerated aging there is also a subjective similar process.

  • A Systematic Review of the Impact of Disaster on the Mental Health of Medical Responders

  • Part of
  • Vamanjore Aboobaker Naushad, Joost JLM Bierens, Kunnummel Purayil Nishan, Chirakkal Paramba Firjeeth, Osama Hashim Mohammad, Abdul Majeed Maliyakkal, Sajid ChaliHadan, Merritt D. Schreiber
  • Journal:
    Prehospital and Disaster Medicine / Volume 34 / Issue 6 / December 2019
    Published online by Cambridge University Press:
    18 October 2019, pp. 632-643
    Print publication:
    December 2019
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  • Introduction:

    Medical responders are at-risk of experiencing a wide range of negative psychological health conditions following a disaster.

    Aim:

    Published literature was reviewed on the adverse psychological health outcomes in medical responders to various disasters and mass casualties in order to: (1) assess the psychological impact of disasters on medical responders; and (2) identify the possible risk factors associated with psychological impacts on medical responders.

    Methods:

    A literature search of PubMed, Discovery Service, Science Direct, Google Scholar, and Cochrane databases for studies on the prevalence/risk factors of posttraumatic stress disorder (PTSD) and other mental disorders in medical responders of disasters and mass casualties was carried out using pre-determined keywords. Two reviewers screened the 3,545 abstracts and 28 full-length articles which were included for final review.

    Results:

    Depression and PTSD were the most studied outcomes in medical responders. Nurses reported higher levels of adverse outcomes than physicians. Lack of social support and communication, maladaptive coping, and lack of training were important risk factors for developing negative psychological outcomes across all types of disasters.

    Conclusions:

    Disasters have significant adverse effects on the mental well-being of medical responders. The prevalence rates and presumptive risk factors varied among three different types of disasters. There are certain high-risk, vulnerable groups among medical responders, as well as certain risk factors for adverse psychological outcomes. Adapting preventive measures and mitigation strategies aimed at high-risk groups would be beneficial in decreasing negative outcomes.

  • Monitoring Adverse Psychosocial Outcomes One and Two Years After the Lac-Mégantic Train Derailment Tragedy (Eastern Townships, Quebec, Canada)

  • Mélissa Généreux, Danielle Maltais, Geneviève Petit, Mathieu Roy
  • Journal:
    Prehospital and Disaster Medicine / Volume 34 / Issue 3 / June 2019
    Published online by Cambridge University Press:
    28 May 2019, pp. 251-259
    Print publication:
    June 2019
  • Introduction:

    In July 2013, a train carrying 72 cars of crude oil derailed in the town of Lac-Mégantic (Eastern Townships, Quebec, Canada). This disaster provoked a major conflagration, explosions, 47 deaths, the destruction of 44 buildings, the evacuation of one-third of the local population, and an unparalleled oil spill. Notwithstanding the environmental impact, many citizens of this town and in surrounding areas have suffered and continue to suffer substantial losses as a direct consequence of this catastrophe.

    Problem:

    To tailor public health interventions and to meet the psychosocial needs of the community, the Public Health Department of Eastern Townships has undertaken repeated surveys to monitor health and well-being over time. This study focuses on negative psychosocial outcomes one and two years after the tragedy.

    Methods:

    Two cross-sectional surveys (2014 and 2015) were conducted among large random samples of adults in Lac-Mégantic and surrounding areas (2014: n = 811; 2015: n = 800), and elsewhere in the region (2014: n = 7,926; 2015: n = 800). A wide range of psychosocial outcomes was assessed (ie, daily stress, main source of stress, sense of insecurity, psychological distress, excessive drinking, anxiety or mood disorders, psychosocial services use, anxiolytic drug use, gambling habits, and posttraumatic stress symptoms [PSS]). Exposure to the tragedy was assessed using residential location (ie, six-digit postal code) and intensity of exposure (ie, intense, moderate, or low exposure; from nine items capturing human, material, or subjective losses). Relationships between such exposures and adverse psychosocial outcomes were examined using chi-squares and t-tests. Distribution of outcomes was also examined over time.

    Results:

    One year after the disaster, an important proportion of participants reported human, material, and subjective losses (64%, 23%, and 54%, respectively), whereas 17% of people experienced intense exposure. Participants from Lac-Mégantic, particularly those intensely exposed, were much more likely to report psychological distress, depressive episode, anxiety disorders, and anxiolytic drug use, relative to less-exposed ones. In 2015, 67% of the Lac-Mégantic participants (76% of intensely exposed) reported moderate to severe PSS. Surprisingly, the use of psychosocial services in Lac-Mégantic declined by 41% from 2014 to 2015.

    Conclusion:

    The psychosocial burden in the aftermath of the Lac-Mégantic tragedy is substantial and persistent. Public health organizations responding to large-scaling disasters should monitor long-term psychosocial consequences and advocate for community-based psychosocial support in order to help citizens in their recovery process.