reference : Serious emotional disturbance among youths exposed to Hurricane Katrina 2 years postdisaster

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Bibliographic fields
reftype Journal Article
Abstract OBJECTIVE: To estimate the prevalence of serious emotional disturbance (SED) among children and adolescents exposed to Hurricane Katrina along with the associations of SED with hurricane-related stressors, sociodemographics, and family factors 18 to 27 months after the hurricane. METHOD: A probability sample of prehurricane residents of areas affected by Hurricane Katrina was administered a telephone survey. Respondents provided information on up to two of their children (n = 797) aged 4 to 17 years. The survey assessed hurricane-related stressors and lifetime history of psychopathology in respondents, screened for 12-month SED in respondents' children using the Strengths and Difficulties Questionnaire, and determined whether children's emotional and behavioral problems were attributable to Hurricane Katrina. RESULTS: The estimated prevalence of SED was 14.9%, and 9.3% of the youths were estimated to have SED that is directly attributable to Hurricane Katrina. Stress exposure was associated strongly with SED, and 20.3% of the youths with high stress exposure had hurricane-attributable SED. Death of a loved one had the strongest association with SED among prehurricane residents of New Orleans, whereas exposure to physical adversity had the strongest association in the remainder of the sample. Among children with stress exposure, parental psychopathology and poverty were associated with SED. CONCLUSIONS: The prevalence of SED among youths exposed to Hurricane Katrina remains high 18 to 27 months after the storm, suggesting a substantial need for mental health treatment resources in the hurricane-affected areas. The youths who were exposed to hurricane-related stressors, have a family history of psychopathology, and have lower family incomes are at greatest risk for long-term psychiatric impairment.
Author McLaughlin, K. A.; Fairbank, J. A.; Gruber, M. J.; Jones, R. T.; Lakoma, M. D.; Pfefferbaum, B.; Sampson, N. A.; Kessler, R. C.
DOI 10.1097/CHI.0b013e3181b76697
Date Nov
ISSN 0890-8567
Issue 11
Journal Journal of the American Academy of Child and Adolescent Psychiatry
Keywords Adolescent; Affective Symptoms/diagnosis/*epidemiology/psychology; Alabama; Child; Child Behavior Disorders/diagnosis/*epidemiology/psychology; Child of Impaired Parents/psychology; Child, Preschool; Conduct Disorder/diagnosis/*epidemiology/psychology; Cross-Sectional Studies; *Cyclonic Storms; *Disasters; Female; Follow-Up Studies; Health Surveys; Humans; Life Change Events; Louisiana; Male; Mass Screening; Mississippi; New Orleans; Personality Assessment; Poverty/psychology/statistics & numerical data; Stress Disorders, Post-Traumatic/diagnosis/*epidemiology/psychology
Language eng
Notes 1527-5418 McLaughlin, Katie A Fairbank, John A Gruber, Michael J Jones, Russell T Lakoma, Matthew D Pfefferbaum, Betty Sampson, Nancy A Kessler, Ronald C R01 MH070884/MH/NIMH NIH HHS/United States R01 MH070884-01A2/MH/NIMH NIH HHS/United States R01 MH081832/MH/NIMH NIH HHS/United States Journal Article Research Support, N.I.H., Extramural Research Support, U.S. Gov't, Non-P.H.S. United States J Am Acad Child Adolesc Psychiatry. 2009 Nov;48(11):1069-78. doi: 10.1097/CHI.0b013e3181b76697.
Pages 1069-1078
Title Serious emotional disturbance among youths exposed to Hurricane Katrina 2 years postdisaster
Volume 48
Year 2009
Bibliographic identifiers
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