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Psychological Consequences of Indirect Exposure to Disaster Due to the Haiti Earthquake

Published online by Cambridge University Press:  19 July 2012

James M. Shultz ,
Avi Besser ,
Fiona Kelly ,
Andrea Allen ,
Susan Schmitz ,
Vicky Hausmann ,
Louis Herns Marcelin  and
Yuval Neria
James M. Shultz*
Affiliation:
Center for Disaster & Extreme Event Preparedness (DEEP Center), University of Miami Miller School of Medicine, Miami, Florida USA
Avi Besser
Affiliation:
Department of Behavioral Sciences, and Center for Research in Personality, Life Transitions, and Stressful Life Events, Sapir Academic College, D. N. Hof Ashkelon, Sderot, Israel
Fiona Kelly
Affiliation:
Clinical and Health Psychology, University of Edinburg, Scotland, UK
Andrea Allen
Affiliation:
School of Adult and Continuing Education, Barry University, Miami Shores, Florida USA
Susan Schmitz
Affiliation:
School of Adult and Continuing Education, Barry University, Miami Shores, Florida USA
Vicky Hausmann
Affiliation:
School of Adult and Continuing Education, Barry University, Miami Shores, Florida USA
Louis Herns Marcelin
Affiliation:
Interuniversity Institute for Research and Development, Port-au-Prince, Haiti; and Department of Anthropology, University of Miami, Coral Gables, Florida USA
Yuval Neria
Affiliation:
Department of Psychiatry, Columbia University; and the New York State Psychiatric Institute, New York, New York USA
*
Correspondence: James M. Shultz, PhD 251 174th Street #2319 Sunny Isles Beach, FL 33160 USA E-mail [email protected]
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Abstract

Introduction

Few studies have focused on the mental health consequences of indirect exposure to disasters caused by naturally occurring hazards. The present study assessed indirect exposure to the 2010 earthquake in Haiti among Haitian-Americans now living in Miami; these subjects had no direct exposure to the earthquake, but retained their cultural identity, language, and connection to family and friends in Haiti.

Methods

Two months following the earthquake a sample of Haitian-Americans was surveyed inquiring about: (1) their psychological reactions to the quake; (2) types of exposures experienced by their family members and friends in Haiti; and (3) symptom levels of (a) major depression, (b) generalized anxiety disorder, (c) complicated grief, (d) mental health status, and (e) physical health status.

Results

Haitian-Americans living in Miami experienced a broad spectrum of indirect exposures to the 2010 earthquake in Haiti. These exposures were strongly associated with psychological distress, trauma-related mental health consequences, and diminished health status. Most notable was the multiplicity of indirect exposures to the on-scene experiences of multiple family members and friends in Haiti.

Conclusions

Consideration should be given to the psychological impact and needs for support among indirectly-exposed populations with strong affiliation to directly-impacted victims.

Shultz JM, Besser A, Kelly F, Allen A, Schmitz S, Hausmann V, Marcelin LH, Neria Y. Psychological consequences of indirect exposure to disaster due to the Haiti earthquake. Prehosp Disaster Med. 2012;27(4):1-10.

Keywords

bereavementdisasterearthquakeevidence baseexposuremental healthpsychosocialtrauma assessment
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 27 , Issue 4 , August 2012 , pp. 359 - 368
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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References

1. Shultz, JM, Espinel, Z, Galea, S, Reissman, DB. Disaster ecology: implications for disaster psychiatry. In: Ursano, et al., eds. Textbook of Disaster Psychiatry. Cambridge, UK: Cambridge University Press, 2007:69-96.Google Scholar
2. Shultz, JM, Espinel, Z, Flynn, BW, Cohen, RE, Hoffmann, Y. DEEP PREP: All-Hazards Disaster Behavioral Health Training. Tampa, Florida: Disaster Life Support Publishing; 2007.Google Scholar
3. Shultz, JM, Marcelin, LH, Madanes, S, Espinel, Z, Neria, Y. The “trauma signature:” understanding the psychological consequences of the Haiti 2010 earthquake. Prehosp Disaster Med. 2011;26(5):353-366.Google Scholar
4. Shultz, JM, Marcelin, LH, Espinel, Z, Madanes, SB, Allen, A, Neria, Y. Haiti earthquake 2010: psychosocial impacts. In: Bobrowsky, P., ed. Encyclopedia of Natural Hazards. Dordrecht, The Netherlands: Springer Publishing, 2012.Google Scholar
5. Norris, FH, Friedman, M, Watson, P. 60,000 disaster victims speak, Part II. Summary and implications of the disaster mental health research. Psychiatry. 2002;65(3):240-260.Google Scholar
6. Neria, Y, Nandi, A, Galea, S. Posttraumatic stress disorder following disasters: a systematic review. Psychol Med 2008;38(4):467-480.Google Scholar
7. Shultz, JM, Neria, Y, Allen, A, Espinel, Z. Psychological impacts of natural disasters. In: Bobrowsky P (ed). Encyclopedia of Natural Hazards. Dordrecht, The Netherlands: Springer Publishing, 2012.Google Scholar
8. Kroenke, K, Spitzer, RL, Williams, JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613.Google Scholar
9. Spitzer, RL, Kroenke, K, Williams, JBW, Lowe, B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Inter Med. 2006;166(10):1092-1097.CrossRefGoogle ScholarPubMed
10. Prigerson, H. Complicated grief: when the path of adjustment leads to a dead-end. Bereavement Care. 2004;23:38-40.Google Scholar
11. Prigerson, HG, Jacobs, SC. Perspectives on care at the close of life. Caring for bereaved patients: “all the doctors just suddenly go”. JAMA. 2001;286(11):1369-1376.Google Scholar
12. Ware, J Jr, Kosinski, M, Keller, SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-233.Google Scholar
13. Hoyle, RH, Smith, GT. Formulating clinical research hypotheses as structural equation models: A conceptual overview. J Consult Clin Psychol. 1994;62(3):429-440.Google Scholar
14. Kline, RB. Principles and Practice of Structural Equation Modeling, 3rd Edition. New York, NY: The Guilford Press; 2011.Google Scholar
15. Arbuckle, JL. Amos 18 User's Guide. Crawfordville, FL: Amos Development Corporation; 2009.Google Scholar
16. Landry, SH, Smith, KE, Swank, PR, Miller-Loncar, CL. Early maternal and child influences on children's later independent cognitive and social functioning. Child Dev. 2000;71(2):358-375.Google Scholar
17. Hu, LT, Bentler, PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling. 1999;6(1):1-55.Google Scholar
18. Kelloway, EK. Using Lisrel for Structural Equation Modeling: A Researcher's Guide. Newbury Park, CA: Sage, 1998.Google Scholar
19. Norris, FH, Wind, LH. The experience of disaster: trauma, loss, adversities, and community effects. In: Neria Y, Galea S, Norris FH, eds. Mental Health and Disasters. Cambridge, UK: Cambridge University Press; 2009:29-44.Google Scholar
20. Peleg, K, Reuveni, H, Stein, M. Earthquake disasters—lessons to be learned. Isr Med Assoc J. 2002;4(5):361-365.Google Scholar
21. Goenjian, AK, Najarian, LM, Pynoos, RS, et al. . Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia. Am J Psychiatry. 1994;151(6):895-901.Google ScholarPubMed
22. Goenjian, AK, Steinberg, AM, Najarian, LM, et al. . Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. Am J Psychiatry. 2000;157(6):911-916.Google Scholar
23. Carr, VJ, Lewin, TJ, Webster, RA, Hazell, PL, Kenardy, JA, Carter, GL. Psychosocial sequelae of the 1989 Newcastle earthquake: I. Community disaster experiences and psychological morbidity 6 months postdisaster. Psychol Med. 1995;25:539-555.CrossRefGoogle Scholar
24. Groome, D, Soureti, A. Post-traumatic stress disorder and anxiety symptoms in children exposed to the 1999 Greek earthquake. Br J Psychol. 2004;95(Pt 3):387-397.Google Scholar
25. Kristensen, P, Weisæth, L, Heir, T. Psychiatric disorders among disaster bereaved: An interview study of individuals directly or not directly exposed to the 2004 tsunami. Depress Anxiety. 2009;26(12):1127-1133.CrossRefGoogle ScholarPubMed
26. Stige, SH, Sveaass, N. Living in exile when disaster strikes at home. Torture. 2010;20(2):76-91.Google Scholar
27. Galea, S, Ahern, J, Resnick, H, et al. . Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002;346(13):982-987.Google Scholar
28. Galea, S, Resnick, H. Posttraumatic stress disorder in the general population after mass terrorist incidents: considerations about the nature of exposure. CNS Spectr. 2005;10(2):107-115.Google Scholar
29. Schuster, MA, Stein, BD, Jaycox, LH, et al. . A national survey of stress reactions after the September 11, 2001, terrorist attacks. N Engl J Med. 2001;345(2):1507-1512.Google Scholar
30. Schlenger, WE, Caddell, JM, Ebert, L, et al. . Psychological reactions to terrorist attacks: findings from the National Study of Americans’ Reactions to September 11. JAMA. 2002;288(5):581-588.Google Scholar
31. Silver, RC, Holman, EA, McIntosh, DN, Poulin, M, Gil-Rivas, V. Nationwide longitudinal study of psychological responses to September 11. JAMA. 2002;288(10):1235-1244.Google Scholar
32. Blanchard, EB, Kuhn, E, Rowell, DL, et al. . Studies of the vicarious traumatization of college students by the September 11th attacks: effects of proximity, exposure and connectedness. Behav Res Ther. 2004;42(2):191-205.Google Scholar
33. Whalen, CK, Henker, B, King, PS, Jamner, LD, Levine, L. Adolescents react to events of September 11, 2001: focused versus ambient impact. J Abnorm Child Psychol. 2004;32(1):1-11.Google Scholar
34. Zimering, R, Gulliver, SB, Knight, J, Munroe, J, Keane, TM. Posttraumatic stress disorder in disaster relief workers following direct and indirect trauma exposure to Ground Zero. J Trauma Stress. 2006;19(4):553-557.Google Scholar
35. Neria, Y, Gross, R, Olfson, M, et al. . Posttraumatic stress disorder in primary care one year after the 9/11 attacks. Gen Hosp Psychiatry. 2006;28(3):213-222.Google Scholar
36. Neria, Y, Olfson, M, Gameroff, MJ, et al. . Long-term course of probable PTSD after the 9/11 attacks: a study in urban primary care. J Trauma Stress. 2010;23(4):474-482.Google Scholar
37. Besser, A, Priel, B. Personality vulnerability, low social support, and maladaptive cognitive emotion regulation under ongoing exposure to terrorist attacks. J Soc Clin Psychol. 2010;29:166-201.Google Scholar
38. Besser, A, Neria, Y. PTSD symptoms, satisfaction with life, and prejudicial attitudes toward the adversary among Israeli civilians exposed to ongoing missile attacks. J Trauma Stress. 2009;22(4):268-275.Google Scholar
39. Besser, A, Neria, Y. The effects of insecure attachment orientations and perceived social support on posttraumatic stress and depressive symptoms among civilians exposed to the 2009 Israel-Gaza War: a follow-up cross-lagged panel design study. J Res Pers. 2010;44:335-341.Google Scholar
40. Besser, A, Neria, Y. When home isn't a safe haven: insecure attachment, perceived social support, and PTSD symptoms among Israeli evacuees from a battlefront still under threat. Psychol Trauma. 2012;4(1):34-46.Google Scholar
41. Besser, A, Neria, Y, Haynes, M. Adult attachment, perceived stress, and PTSD among civilians continuously exposed to terrorism in southern Israel. Pers Individ Dif. 2009;47(8):851-857.Google Scholar
42. Neria, Y, Besser, A, Kipper, D, Westphal, M. A longitudinal study of posttraumatic stress disorder, depression, and generalized anxiety disorder in Israeli civilians exposed to war trauma. J Trauma Stress. 2010;23(3):322-330.Google Scholar
43. Bleich, A, Gelkopf, M, Solomon, Z. Exposure to terrorism, stress-related mental health symptoms, and coping behaviors among a nationally representative sample in Israel. JAMA. 2003;290(5):612-620.Google Scholar
44. Cohidon, C, Diene, E, Carton, M, et al. . Mental health of workers in Toulouse 2 years after the industrial AZF disaster: first results of a longitudinal follow-up of 3,000 people. Soc Psychiatry Psychiatr Epidemiol. 2009;44(9):784-791.CrossRefGoogle ScholarPubMed
45. Vila, G, Witkowski, P, Tondini, MC, et al. . A study of posttraumatic disorders in children who experienced an industrial disaster in the Briey region. Eur Child Adolesc Psychiatry. 2001;10(1):10-18.Google Scholar
46. Havenaar, JM, de Wilde, EJ, van den Bout, J, et al. . Perception of risk and subjective health among victims of the Chernobyl disaster. Soc Sci Med. 2003;56(3):569-572.Google Scholar
47. Palinkas, LA, Petterson, JS, Russell, J, Downs, MA. Community patterns of psychiatric disorders after the Exxon Valdez oil spill. Am J Psychiatry. 1993;150(10):1517-1523.Google Scholar
48. Smith, EM, North, CS, McCool, RE, Shea, JM. Acute postdisaster psychiatric disorders: identification of persons at risk. Am J Psychiatry. 1990;147(2):202-206.Google Scholar
49. Pfefferbaum, B, Seale, T, McDonald, N, et al. . Post-traumatic stress two years after the Oklahoma City bombing in youths geographically distant from the explosion. Psychiatry 2000; 63:358-370.Google Scholar
50. Pine, DS, Costello, J, Masten, A. Trauma, proximity, and developmental psychopathology: the effects of war and terrorism on children. Neuropsychopharmacology. 2005;30(10):1781-1792.Google Scholar
51. Williams, R. The psychological consequences for children of mass violence, terrorism and disasters. Int Rev Psychiatry. 2007;19(3):263-277.CrossRefGoogle ScholarPubMed
52. Ahern, J, Galea, S, Resnick, H, et al. . Television images and psychological symptoms after the September 11 terrorist attacks. Psychiatry. 2002;65(4):289-300.Google Scholar
53. Kennedy, C, Charlesworth, A, Chen, JL. Disaster at a distance: impact of 9.11.01 televised news coverage on mothers’ and children's health. J Pediatr Nurs/ 2004;19(5):329-339.Google Scholar
54. Bernstein, KT, Ahern, J, Tracy, M, et al. . Television watching and the risk of incident probable posttraumatic stress disorder: a prospective evaluation. J Nerv Ment Dis. 2007;195(1):41-47.Google Scholar
55. Fawzi-Smith, MC, Betancourt, TS, Marcelin, L, et al. . Depression and post-traumatic stress disorder among Haitian immigrant students: implications for access to mental health services and educational programming. BMC Public Health. 2009;9:482.Google Scholar
56. Douyon, R, Herns Marcelin, L, Jean-Gilles, M, Page, JB. Response to trauma in Haitian youth at risk. J Ethn Subst Abuse. 2005;4(2):115-138.Google Scholar