PDF(Pubmed)
Abstract：
Background: Weather-related disasters, including hurricanes, are becoming more frequent and severe due to climate change. Vulnerable populations, such as people with low income and racial and ethnic minorities, are particularly prone to increased levels of physical harm and psychiatric adversity from weather-related events.Objectives: We aimed to explore psychosocial resources and coping of survivors with three different posttraumatic stress symptom (PTSS) trajectories (High-Decreasing, Moderate-Decreasing, and High-Stable), after Hurricane Katrina across two different time points: F1 (1-year post-disaster) and F3 (12 years post-disaster).Method: Participants in this multi-method study were part of a larger cohort of the Resilience in Survivors of Katrina (RISK) project. Transcripts of interviews completed at the two time points were analysed using two qualitative methods, combining thematic analysis and narrative analysis, and providing both breadth of perspectives with the depth of specific case studies.Results: Sixteen survivors completed interviews at both F1 and F3. From our in-depth analysis of the data, we derived five inductive themes: \'Hope,\' \'Adaptive vs maladaptive avoidance,\' \'Emotional delay,\' \'Acceptance, Finding Meaning and Being in the Moment,\' and \'Coping strategies.\' Survivors with High-Decreasing and Moderate-Decreasing PTSS trajectories experienced hope for future, accepted the hurricane and its results, and found efficient ways to cope with their situation. Survivors with High-Stable PTSS trajectories tended to express a lack of hope for future and struggled to be mindful and accept the hurricane and its harm. Unlike survivors with High-Decreasing and Moderate-Decreasing PTSS trajectories, survivors with High-Stable PTSS trajectories also reported less social and family support and faced more discrimination and racism.Conclusion: There are factors beyond individual-level psychosocial resources that may shape post-disaster resilience. When supporting survivors after a weather-related disaster, it is essential to provide ongoing psychological, financial, and physical assistance to bolster these resources.
After Hurricane Katrina, survivors with different posttraumatic stress symptom trajectories reported different levels of hope, mindfulness, and willingness to talk about the hurricane, emotional processing, and coping strategies.These experiences varied over time for survivors in all three trajectories.Survivors who report ongoing high levels of symptoms should be offered additional support to bolster these psychosocial resources.
After Hurricane Katrina, survivors with different posttraumatic stress symptom trajectories reported different levels of hope, mindfulness, and willingness to talk about the hurricane, emotional processing, and coping strategies.These experiences varied over time for survivors in all three trajectories.Survivors who report ongoing high levels of symptoms should be offered additional support to bolster these psychosocial resources.
摘要：
背景：与天气有关的灾难，包括飓风,由于气候变化而变得越来越频繁和严重。弱势群体,例如低收入和种族少数群体的人，特别容易受到与天气有关的事件的身体伤害和精神逆境的增加。目标：我们旨在探索具有三种不同创伤后应激症状（PTSS）轨迹的幸存者的心理社会资源和应对方式（高下降，适度减少，和高稳定），在卡特里娜飓风之后，经历了两个不同的时间点：F1（灾后1年）和F3（灾后12年）。方法：这项多方法研究的参与者是卡特里娜飓风幸存者弹性（RISK）项目的更大队列的一部分。使用两种定性方法分析了在两个时间点完成的访谈记录，结合主题分析和叙事分析，并提供两种广度的观点和具体案例研究的深度。结果：16名幸存者在F1和F3完成了访谈。从我们对数据的深入分析来看,我们得出了五个归纳主题：“希望，\'\'自适应回避与适应不良回避，\'\'情绪延迟,\'\'接受,在当下找到意义和存在，\'和\'应对策略。\'具有高下降和中等下降的PTSS轨迹的幸存者经历了对未来的希望，接受了飓风及其结果，并找到了有效的方法来应对他们的处境。具有高稳定PTSS轨迹的幸存者倾向于表达对未来的希望，并努力保持警惕并接受飓风及其危害。与PTSS轨迹高度下降和中度下降的幸存者不同，具有高稳定PTSS轨迹的幸存者也报告了较少的社会和家庭支持，并面临更多的歧视和种族主义。结论：除了个人层面的社会心理资源之外，还有一些因素可能会影响灾后复原力。在与天气有关的灾难后支持幸存者时，提供持续的心理，金融,和实物援助来支持这些资源。
卡特里娜飓风过后,具有不同创伤后应激症状轨迹的幸存者报告了不同程度的希望，正念,愿意谈论飓风，情绪处理，和应对策略。在所有三个轨迹中，幸存者的这些经历随时间而变化。报告持续高水平症状的幸存者应该得到额外的支持，以支持这些社会心理资源。
卡特里娜飓风过后,具有不同创伤后应激症状轨迹的幸存者报告了不同程度的希望，正念,愿意谈论飓风，情绪处理，和应对策略。在所有三个轨迹中，幸存者的这些经历随时间而变化。报告持续高水平症状的幸存者应该得到额外的支持，以支持这些社会心理资源。
