After the Storm

Author(s):  
Kevin M. Fitzpatrick ◽  
Matthew L. Spialek

Chapter six addresses survivors’ mental, physical, and behavioral transformations in the post-event phase following Hurricane Harvey. The authors review factors that contribute to disaster mental health reactions, including PTSD and depression symptoms, before explaining how challenging mental health reactions were distributed across the Texas Gulf Coast. Next, the chapter offers narrative accounts that serve as exemplars of growth and positive psychological change. Finally, the chapter describes an association between survivors’ displacement paths and climate risk perception, as well as how people are preparing for future hurricanes. In this description, social and economic factors suggest that the Texas Gulf Coast is becoming a patchwork of preparedness where the poor and socially isolated remain vulnerable to future disasters.

Author(s):  
Roy Rillera Marzo ◽  
Emilio Quilatan Villanueva III ◽  
Udita Chandra ◽  
Mila Nu Nu Htay ◽  
Rajeev Shrestha ◽  
...  

Background: COVID-19 pandemic has caused an extraordinary situation, especially for the healthcare workers (HCWs), leading to increased psychological stress. The aim of the study was to estimate the prevalence of different grades of anxiety and depression across different centers in the Philippines and identify demographic factors associated with them. Design and Method: A cross-sectional, web-based, multi-center study was conducted among HCWs of Philippines from April 20- May 20, 2020. The study instruments used were the Generalized Anxiety Disorder (GAD-7) scale and Patient Health Questionnaire (PHQ-9). Risk perception scores were analyzed using Mann-Whitney and Kruskal-Wallis test. Logistic regression was done to identify factors significantly associated with symptoms of anxiety and depression determined. Results: A total of 516 HCWs were included in the study. Most of them have anxiety symptoms (70.74%), but only half of them have symptoms of depression (50.97%). In addition, gender, age, marital status, living status, occupation, work premises, and availability of mental health services were significantly associated with the participants’ anxiety symptoms; In contrast, gender, marital status, occupation, and work premises were significantly associated with depression symptoms. Conclusion: This study reiterates the fact and demonstrates that COVID-19 has disrupted the mental well-being of HCWs in the Philippines. Majority of HCW was psychologically affected by COVID-19. Therefore, there is a dire need to address mental illness amongst HCWs and frame guidelines based on proven algorithms to overcome these mental illnesses.


2008 ◽  
Vol 39 (1) ◽  
pp. 93-99 ◽  
Author(s):  
Mary E. Haskett ◽  
Susan Smith Scott ◽  
Kennard Nears ◽  
Marc A. Grimmett

Author(s):  
Kevin M. Fitzpatrick ◽  
Matthew L. Spialek

Using a phase approach to disasters, chapter four is the first of three chapters to guide readers through the Hurricane Harvey experience. Chapter four describes the pre-event disaster phase before Hurricane Harvey made landfall. Through narratives and statistical analyses, this chapter begins by identifying capacities that strengthen community resilience, such as high levels of belonging and civic participation. However, this chapter also reveals how a lack of trust among black and Latinx residents, communication failures between local disaster management and residents, and weak hurricane risk perception presented cracks in the resilience of the Texas Gulf Coast.


2020 ◽  
Vol 5 (4) ◽  
pp. 959-970
Author(s):  
Kelly M. Reavis ◽  
James A. Henry ◽  
Lynn M. Marshall ◽  
Kathleen F. Carlson

Purpose The aim of this study was to examine the relationship between tinnitus and self-reported mental health distress, namely, depression symptoms and perceived anxiety, in adults who participated in the National Health and Nutrition Examinations Survey between 2009 and 2012. A secondary aim was to determine if a history of serving in the military modified the associations between tinnitus and mental health distress. Method This was a cross-sectional study design of a national data set that included 5,550 U.S. community-dwelling adults ages 20 years and older, 12.7% of whom were military Veterans. Bivariable and multivariable logistic regression was used to estimate the association between tinnitus and mental health distress. All measures were based on self-report. Tinnitus and perceived anxiety were each assessed using a single question. Depression symptoms were assessed using the Patient Health Questionnaire, a validated questionnaire. Multivariable regression models were adjusted for key demographic and health factors, including self-reported hearing ability. Results Prevalence of tinnitus was 15%. Compared to adults without tinnitus, adults with tinnitus had a 1.8-fold increase in depression symptoms and a 1.5-fold increase in perceived anxiety after adjusting for potential confounders. Military Veteran status did not modify these observed associations. Conclusions Findings revealed an association between tinnitus and both depression symptoms and perceived anxiety, independent of potential confounders, among both Veterans and non-Veterans. These results suggest, on a population level, that individuals with tinnitus have a greater burden of perceived mental health distress and may benefit from interdisciplinary health care, self-help, and community-based interventions. Supplemental Material https://doi.org/10.23641/asha.12568475


1996 ◽  
Vol 41 (2) ◽  
pp. 129-130
Author(s):  
Gerard A. Jacobs

2007 ◽  
Author(s):  
Jon Perez ◽  
Merritt Schreiber ◽  
Robin Gurwitch ◽  
Jeff Coady

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