reference : Psychiatric disorders among adults seeking emergency disaster assistance after a wildland-urban interface fire

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/reference/c1f322cc-dd13-470a-bcba-de7e5a992310
Bibliographic fields
reftype Journal Article
Abstract OBJECTIVE: This study estimated the prevalence of psychopathology at a three-month follow-up among persons seeking emergency relief services after a wildfire and identified a practical screener for use in these disaster assistance settings to aid early identification of persons at risk of subsequent psychopathology. METHODS: During the October 2003 California firestorm that occurred at the wildland-urban interface, 357 persons who were seeking assistance from adjacent American Red Cross and government relief centers were recruited for this study. Within days of mandatory evacuation, participants completed baseline self-administered questionnaires assessing demographic characteristics, initial subjective reactions, and degree of fire exposure. At the three-month follow-up, symptoms of posttraumatic stress disorder (PTSD) and major depression were measured via a mailed survey. RESULTS: At follow-up 33% showed evidence of probable major depression; 24% exhibited probable PTSD. On a bivariate basis, seven initial reaction and fire exposure items were significantly associated with subsequent psychopathology. Best-subsets logistic regression analyses revealed that property damage and physical injury were the best multivariate predictors of psychopathology at follow-up. No additional items provided a significant incremental improvement in prediction. CONCLUSIONS: Individuals seeking immediate emergency assistance related to the wildland-urban interface fire were at elevated risk of psychopathology in the weeks after the fire. A short, easily administered, two-item screener, composed of items assessing fire exposure severity, appears to hold promise for aiding early identification of persons at risk of postfire psychopathology. These findings may also have implications for other mass disasters.
Author Marshall, G. N.; Schell, T. L.; Elliott, M. N.; Rayburn, N. R.; Jaycox, L. H.
DOI 10.1176/appi.ps.58.4.509
Date Apr
ISSN 1557-9700
Issue 4
Journal Psychiatric Services
Keywords Adult; California; Comorbidity; Cross-Sectional Studies; Depressive Disorder, Major/diagnosis/*epidemiology/psychology; Early Diagnosis; Female; Financing, Government/*utilization; Fires/*statistics & numerical data; Follow-Up Studies; Humans; Male; Mass Screening/statistics & numerical data; Middle Aged; Psychopathology; Questionnaires; *Red Cross; Risk Factors; Rural Population/statistics & numerical data; Stress Disorders, Post-Traumatic/diagnosis/*epidemiology/psychology; Urban Population/statistics & numerical data
Language eng
Notes Marshall, Grant N Schell, Terry L Elliott, Marc N Rayburn, Nadine R Jaycox, Lisa H MH-056122/MH/NIMH NIH HHS/United States Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't United States Psychiatr Serv. 2007 Apr;58(4):509-14.
Pages 509-514
Title Psychiatric disorders among adults seeking emergency disaster assistance after a wildland-urban interface fire
Volume 58
Year 2007
Bibliographic identifiers
.reference_type 0
_record_number 18130
_uuid c1f322cc-dd13-470a-bcba-de7e5a992310