Material Type  

 학위논문

 

0016935037

Date and Time of Latest Transaction  

20240214101846

ISBN  

9798380392266

DDC  

614.4

Author  

Johnson, Sydney.

Title/Author  

Cumulative Trauma and the Long-Term Health and Recovery of Disaster Survivors - [electronic resource]

Publish Info  

[S.l.] : University of Minnesota., 2023

Publish Info  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Material Info  

1 online resource(151 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 85-03, Section: B.

General Note  

Advisor: Mason, Susan.

학위논문주기  

Thesis (Ph.D.)--University of Minnesota, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Abstracts/Etc  

요약Natural disasters significantly impact the mental health of those who survive them, a group that is growing as natural disasters increase in frequency and intensity due to climate change. Although research indicates significant differences in vulnerability to mental health outcomes such as post-traumatic stress disorder (PTSD) after a natural disaster, there is limited research examining how key factors, such pre-disaster trauma, contribute to these differences. This dissertation investigated the extent to which pre-disaster traumas shape both the experience of disasters, and long-term mental health and recovery of disaster survivors, to clarify processes that produce vulnerability and resilience to disasters.Manuscript 1 examined the extent to which pre-Katrina traumas predict the number and severity of Katrina-related traumatic events. Results indicate that experiencing traumatic events prior to Hurricane Katrina was associated with greater Katrina-related trauma exposure. Specifically, women who experienced more traumatic events prior to Hurricane Katrina reported a greater number of Katrina-related traumas and had a greater risk for specific Katrina-related traumatic events. Manuscript 2 evaluated the extent to which pre-Katrina traumatic experiences explain differences in long-term trajectories of Katrina-specific PTSD among survivors with similar levels of Katrina-related trauma. After adjusting for Katrina-related trauma, pre-Katrina trauma exposure had little impact on probability of Katrina-specific PTSD trajectory. Of the various types of trauma exposure examined, Chronic-High PTSD was most strongly influenced by cumulative trauma exposure and Katrina-related trauma.Using qualitative interview data, Manuscript 3 examined sources of resilience identified by Katrina survivors with a history of prior trauma as key to their recovery from Hurricane Katrina. Three main factors that women with a history of pre-Katrina trauma perceived as influencing their recovery were identified. These factors included the availability of new opportunities post-Katrina that facilitated recovery, relying on religion and using prayer as an important coping strategy, and gaining housing and job stability after the disruption and destruction of Katrina.

Subject Added Entry-Topical Term  

Epidemiology.

Subject Added Entry-Topical Term  

Mental health.

Subject Added Entry-Topical Term  

Clinical psychology.

Index Term-Uncontrolled  

Natural disasters

Index Term-Uncontrolled  

Cumulative trauma

Index Term-Uncontrolled  

Long-term mental health

Index Term-Uncontrolled  

Disaster survivors

Added Entry-Corporate Name  

University of Minnesota Epidemiology

Host Item Entry  

Dissertations Abstracts International. 85-03B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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소장사항  

202402 2024

Control Number  

joongbu:642448