Hurricane Maria’s Impact on Punta Santiago, Puerto Rico: Community Needs and Mental Health Assessment Six Months Postimpact

2018 ◽  
Vol 13 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Isabella M. Ferré ◽  
Stephanie Negrón ◽  
James M. Shultz ◽  
Seth J. Schwartz ◽  
James P. Kossin ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Puerto Rico ◽  
Health Status ◽  
Major Depression ◽  
Posttraumatic Stress ◽  
Low Income ◽  
Stress Disorder ◽  
Generalized Anxiety ◽  
Community Needs ◽  
Increased Risk

ABSTRACTObjectivesThis pilot study aimed to assess the community needs and population health status for the low-income town of Punta Santiago, situated on the southeastern coast of Puerto Rico at the point where Hurricane Maria made landfall on September 20, 2017.MethodsA cross-sectional, interviewer-administered survey was conducted 6 months after the storm with a representative random sample of 74 households. The survey characterized population demographics and resident needs in relation to storm damage and disruption. The survey also assessed prevalence and symptom severity of major depression, generalized anxiety, and posttraumatic stress disorder.ResultsMost of Punta Santiago was without electrical power and more than half of households sustained severe damage. Residents reported loss of jobs, decreased productivity, school closures, dependency on aid for basic necessities, increased risk for vector-borne diseases, unrelenting exposure to heat and humidity, and diminished health status. Two-thirds (66.2%) of the respondents had clinically significant symptom elevations for at least 1 of the 3 common mental disorders assessed: major depression, generalized anxiety, or posttraumatic stress disorder.ConclusionsPilot survey results, along with other studies conducted in Punta Santiago, can be used to provide guidance for interventions with this community as well as with other low-income, storm-affected areas. (Disaster Med Public Health Preparedness. 2019;13:18–23)

scholarly journals Mother–infant attachment and the intergenerational transmission of posttraumatic stress disorder

2013 ◽  
Vol 26 (1) ◽  
pp. 41-65 ◽  
Author(s):  
Michelle Bosquet Enlow ◽  
Byron Egeland ◽  
Elizabeth Carlson ◽  
Emily Blood ◽  
Rosalind J. Wright
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Intergenerational Transmission ◽  
Low Income ◽  
Stress Disorder ◽  
Trauma Exposure ◽  
Ptsd Symptoms ◽  
Infant Attachment ◽  
Attachment Relationship ◽  
Increased Risk

AbstractEvidence for the intergenerational transmission of posttraumatic stress disorder (PTSD) is documented in the literature, although the underlying mechanisms are poorly understood. Attachment theory provides a framework for elucidating the ways in which maternal PTSD may increase offspring PTSD vulnerability. The current study utilized two independent prospective data sets to test the hypotheses that (a) maternal PTSD increases the probability of developing an insecure mother–infant attachment relationship and (b) an insecure mother–infant attachment relationship increases the risk of developing PTSD following trauma exposure in later life. In the first study of urban, primarily low-income ethnic/racial minority mothers and infants (N = 45 dyads), elevated maternal PTSD symptoms at 6 months were associated with increased risk for an insecure, particularly disorganized, mother–infant attachment relationship at 13 months. In the second birth cohort of urban, low-income mothers and children (N = 96 dyads), insecure (avoidant or resistant) attachment in infancy was associated in a dose–response manner with increased lifetime risk for a diagnosis of PTSD by adolescence. A history of disorganized attachment in infancy predicted severity of PTSD symptoms, including reexperiencing, avoidance, hyperarousal, and total symptoms, at 17.5 years. In both studies, associations between attachment and PTSD were not attributable to numerous co-occurring risk factors. The findings suggest that promoting positive mother–child relationships in early development, particularly in populations at high risk for trauma exposure, may reduce the incidence of PTSD.

scholarly journals Preparing for the Second Surge: Preventing Posttraumatic Stress Disorder and Building Resilience for Health Care Workers in the Face of COVID-19

2020 ◽  
pp. 1-4
Author(s):  
Todd L. Benham ◽  
Alexander Hart ◽  
Michelangelo Bortolin ◽  
Michael Court ◽  
John Groves ◽  
...  
Keyword(s):  
Health Care ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Health Care Workers ◽  
Stress Disorder ◽  
Community Needs ◽  
Hospital Leadership ◽  
Care Workers ◽  
Increased Risk ◽  
The Face

ABSTRACT The global community needs to be aware of the potential psychosocial consequences that may be experienced by health care workers who are actively managing patients with coronavirus disease (COVID-19). These health care workers are at increased risk for experiencing mood and trauma-related disorders, including posttraumatic stress disorder (PTSD). In this concept article, strategies are recommended for individual health care workers and hospital leadership to aid in mitigating the risk of PTSD, as well as to build resilience in light of a potential second surge of COVID-19.

Abstract P127: Posttraumatic Stress Disorder and Risk for Coronary Heart Disease: A Meta-analytic Review

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Donald Edmondson ◽  
Ian M Kronish ◽  
Jonathan A Shaffer ◽  
Louise Falzon ◽  
Matthew M Burg
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Forest Plot ◽  
Increased Risk ◽  
Analytic Review

Context: Recent evidence suggests that posttraumatic stress disorder (PTSD) may be associated with increased risk for coronary heart disease (CHD). Objective: To determine the association of PTSD to incident CHD using systematic review and meta-analysis. Data Sources: Articles were identified by searching Ovid MEDLINE, PsycINFO, Scopus, Cochrane Library, PILOTS database, and through manual search of reference lists. Study Selection: Prospective cohort studies that assessed PTSD in participants free of CHD and assessed subsequent CHD or cardiac-specific mortality. Data Extraction: We extracted estimates of the association of PTSD to incident CHD, as well as study characteristics. Odds ratios were converted to hazard ratios (HR), and a random-effects model was used to pool results. Data Synthesis: Five studies met our inclusion criteria (N= 401,712); 4 of these included depression as a covariate. The pooled HR for the magnitude of the relationship between PTSD and CHD was 1.53 (95% CI, 1.27-1.84) before adjustment for depression. The pooled HR estimate for the 4 depression-adjusted estimates (N= 362,388) was 1.22 (95% CI, 1.05-1.42). Conclusion: PTSD is independently associated with increased risk for incident CHD, even after adjusting for depression and other covariates. Figure 1. Forest plot of association of PTSD to incident MI or cardiac mortality Note: The area of each square is proportional to the study’s weight in the meta-analysis, and each line represents the confidence interval around the estimate. The diamond represents the aggregate estimate, and its lateral points indicate confidence intervals for this estimate.

Posttraumatic Stress Disorder and Comorbid Major Depression

1998 ◽  
Vol 12 (1) ◽  
pp. 21-37 ◽  
Author(s):  
Edward B. Blanchard ◽  
Todd C. Buckley ◽  
Edward J. Hickling ◽  
Ann E. Taylor
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Major Depression ◽  
Posttraumatic Stress ◽  
Stress Disorder

The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan

2007 ◽  
Vol 16 (8) ◽  
pp. 1289-1297 ◽  
Author(s):  
Yong-Shing Chen ◽  
Ming-Chao Chen ◽  
Frank Huang-Chih Chou ◽  
Feng-Ching Sun ◽  
Pei-Chun Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Posttraumatic Stress Disorder ◽  
Major Depression ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
The Relationship

scholarly journals Potentially Traumatic Events, Posttraumatic Stress Disorder, and Depression among Adults in Puerto Rico

2016 ◽  
Vol 7 ◽  
Author(s):  
Cassie Overstreet ◽  
Erin C. Berenz ◽  
Christina Sheerin ◽  
Ananda B. Amstadter ◽  
Glorisa Canino ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Puerto Rico ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Traumatic Events ◽  
Potentially Traumatic Events
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