A Life‐Course Model of Trauma Exposure and Mental Health Among Low‐Income Survivors of Hurricane Katrina
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nihms-1644030.pdf
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Accepted version
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467.51 KB
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Author(s)
Lowe, Sarah R
Raker, Ethan J
Arcaya, Mariana C
Zacher, Meghan L
Waters, Mary C
Rhodes, Jean E
Date Issued
August 2020
Journal
Journal of Traumatic Stress
Publisher
Wiley
Citation
Lowe, Sarah R, Raker, Ethan J, Arcaya, Mariana C, Zacher, Meghan L, Waters, Mary C et al. 2020. "A Life‐Course Model of Trauma Exposure and Mental Health Among Low‐Income Survivors of Hurricane Katrina." Journal of Traumatic Stress, 33 (6).
Version
Author's final manuscript
Abstract
© 2020 International Society for Traumatic Stress Studies Prior research has provided robust evidence that exposure to potentially traumatic events (PTEs) during a disaster is predictive of adverse postdisaster mental health outcomes, including posttraumatic stress symptoms (PTSS) and nonspecific psychological distress (PD). However, few studies have explored the role of exposure to other PTEs over the life-course in shaping postdisaster mental health. Based on the broader literature on trauma exposure and mental health, we hypothesized a path analytic model linking predisaster PTEs to long-term postdisaster PTSS and PD via predisaster PD, short-term postdisaster symptoms, and disaster-related and postdisaster PTEs. We tested this model using data from the Resilience in Survivors of Katrina study, a longitudinal study of low-income, primarily non-Hispanic Black mothers exposed to Hurricane Katrina and assessed before the disaster and at time points 1, 4, and 12 years thereafter. The models evidenced a good fit with the data, RMSEA <.01–.04, CFIs >.99. In addition, 44.1%–67.4% of the effect of predisaster PTEs on long-term postdisaster symptoms was indirect. Descriptive differences were observed across models that included PTSS versus PD, as well as models that included all pre- and postdisaster PTEs versus only those that involved assaultive violence. The results suggest the importance of incorporating disaster preparedness in clinical work with trauma survivors and the value in attending to other lifetime PTEs when working in postdisaster contexts.
MIT Department
Massachusetts Institute of Technology. Department of Urban Studies and Planning
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Creative Commons Attribution-Noncommercial-Share Alike
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DOI of Published Version
https://doi.org/10.1002/JTS.22581
