reference : Preexisting mental illness and risk for developing a new disorder after hurricane Katrina

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Bibliographic fields
reftype Journal Article
Abstract To investigate predisaster mental illness as a risk factor of poor postdisaster mental health outcomes, veterans with (n = 249) and without (n = 250) preexisting mental illness residing in the Gulf Coast during Hurricane Katrina were surveyed after Katrina and screened for posttraumatic stress disorder (PTSD), depression, generalized anxiety disorder, and panic. Logistic regression examined the association between preexisting mental disorders and positive screens after the hurricane, adjusting for demographics and exposure to hurricane-related stressors. The odds of screening positive for any new mental disorder were 6.8 times greater for those with preexisting mental illness compared with those without preexisting mental illness. Among those with preexisting PTSD, the odds of screening positive for any new mental illness were 11.9 times greater; among those with schizophrenia, 9.1 times greater; and among those with affective disorders, 4.4 times greater. Persons with preexisting mental illnesses, particularly PTSD, should be considered a high-risk group for poor outcomes after a disaster.
Author Sullivan, G.; Vasterling, J. J.; Han, X.; Tharp, A. T.; Davis, T.; Deitch, E. A.; Constans, J. I.
DOI 10.1097/NMD.0b013e31827f636d
Date Feb
ISSN 0022-3018
Issue 2
Journal The Journal of Nervous and Mental Disease
Keywords Adult; Aged; Anxiety Disorders/complications/epidemiology; *Cyclonic Storms; Depression/complications/epidemiology; Female; Humans; Male; Mental Disorders/*complications/*epidemiology/psychology; Middle Aged; Odds Ratio; Panic Disorder/complications/epidemiology; Risk Assessment; Risk Factors; Sampling Studies; Schizophrenia/complications/epidemiology; Southeastern United States/epidemiology; Stress Disorders, Post-Traumatic/complications/epidemiology; Time Factors
Language eng
Notes 1539-736x Sullivan, Greer Vasterling, Jennifer J Han, Xiaotong Tharp, Andra Teten Davis, Teri Deitch, Elizabeth A Constans, Joseph I Journal Article Research Support, U.S. Gov't, Non-P.H.S. United States J Nerv Ment Dis. 2013 Feb;201(2):161-6. doi: 10.1097/NMD.0b013e31827f636d.
Pages 161-166
Title Preexisting mental illness and risk for developing a new disorder after hurricane Katrina
Volume 201
Year 2013
Bibliographic identifiers
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_record_number 18188
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