reference : Loss of resources and hurricane experience as predictors of postpartum depression among women in southern Louisiana

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/reference/27361652-30d6-4dda-a6fe-5008e32ee66e
Bibliographic fields
reftype Journal Article
Abstract BACKGROUND: After a natural disaster, mental disorders often become a long-term public health concern. Previous studies under smaller-scale natural disaster conditions suggest loss of psychosocial resources is associated with psychological distress. METHODS: We examined the occurrence of depression 6 and 12 months postpartum among 208 women residing in New Orleans and Baton Rouge, Louisiana, who were pregnant during or immediately after Hurricane Katrina's landfall. Based on the Conservation of Resources (COR) theory, we explored the contribution of both tangible/financial and nontangible (psychosocial) loss of resources (LOR) on the outcome of depression, measured using the Edinburgh Postnatal Depression Scale (EPDS). We also investigated the influence on depression of individuals' hurricane experience through a Hurricane Experience Score (HES) that includes such factors as witnessing death, contact with flood waters, and injury to self or family members. RESULTS: Both tangible and nontangible LOR were associated with depression cross-sectionally and prospectively. Severe hurricane exposure (high HES) was also associated with depression. Regression analysis showed LOR-associated depression was explained almost entirely by nontangible rather than tangible factors. Consistent with COR theory, however, nontangible LOR explained some of the association between severe hurricane exposure and depression in our models. A similar result was seen prospectively for depression at 12 months, even controlling for depression symptoms at 6 months. CONCLUSIONS: These results suggest the need for preventive measures aimed at preserving psychosocial resources to reduce the long-term effects of disasters.
Author Ehrlich, M.; Harville, E.; Xiong, X.; Buekens, P.; Pridjian, G.; Elkind-Hirsch, K.
DOI 10.1089/jwh.2009.1693
Date May
ISSN 1931-843X
Issue 5
Journal Journal of Women's Health
Keywords Adolescent; Adult; *Cyclonic Storms/economics; Depression, Postpartum/*epidemiology; *Disasters/economics; Female; Health Surveys; Humans; Louisiana/epidemiology; Mental Health; Pregnancy; Regression Analysis; Risk Factors; Socioeconomic Factors; Stress Disorders, Post-Traumatic/*epidemiology
Language eng
Notes 1931-843x Ehrlich, Matthew Harville, Emily Xiong, Xu Buekens, Pierre Pridjian, Gabriella Elkind-Hirsch, Karen K12HD043451/HD/NICHD NIH HHS/United States R21 MH078185/MH/NIMH NIH HHS/United States Journal Article Research Support, N.I.H., Extramural United States J Womens Health (Larchmt). 2010 May;19(5):877-84. doi: 10.1089/jwh.2009.1693.
Pages 877-884
Title Loss of resources and hurricane experience as predictors of postpartum depression among women in southern Louisiana
Volume 19
Year 2010
Bibliographic identifiers
.reference_type 0
_record_number 18085
_uuid 27361652-30d6-4dda-a6fe-5008e32ee66e