The Mental Health Impacts of Successive Disasters: Examining the Roles of Individual and Community Resilience Following a Tornado and COVID-19.

IF 2.7 3区社会学 Q1 SOCIAL WORK

Clinical Social Work Journal Pub Date : 2022-01-01 Epub Date: 2022-01-13 DOI:10.1007/s10615-021-00830-y

Jennifer M First, J Brian Houston

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引用次数: 11

Abstract

Prior research has found that exposure to natural hazards and infectious disease are associated with adverse mental health outcomes. Less studied are the ways that individual-level and community-level resilience can protect against problematic mental health outcomes following exposure to successive disaster events. In the current study, we examine the role of individual and community resilience on mental health outcomes among 412 adults in Nashville, Tennessee exposed to an EF-3 tornado followed by the COVID-19 pandemic. Results found the cumulative impact of exposure to the tornado and COVID-19 was related to higher levels of PTS and depression symptoms. Individual resilience had a protective, inverse relationship with PTS and depression symptoms and mediated the relationship between community resilience and adverse mental health outcomes. Findings support the development of a multi-system disaster resilience framework that links individual resilience capacities to broader community resilience capacities to activate and sustain healthy adaptation following exposure to successive disasters.

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连续灾害对心理健康的影响:在龙卷风和COVID-19之后检查个人和社区恢复力的作用。

先前的研究发现，暴露于自然灾害和传染病与不良的心理健康结果有关。研究较少的是个人层面和社区层面的恢复力如何在暴露于连续的灾难事件后防止有问题的心理健康结果。在目前的研究中，我们研究了田纳西州纳什维尔412名成年人的个人和社区复原力对心理健康结果的作用，这些成年人经历了EF-3龙卷风和COVID-19大流行。结果发现，暴露于龙卷风和COVID-19的累积影响与更高水平的PTS和抑郁症状有关。个体心理弹性与PTS和抑郁症状呈保护性负相关，并介导社区心理弹性与不良心理健康结果之间的关系。研究结果支持制定多系统抗灾能力框架，将个人抗灾能力与更广泛的社区抗灾能力联系起来，以在遭受连续灾害后激活和维持健康的适应。

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来源期刊

Clinical Social Work Journal SOCIAL WORK-

CiteScore

5.80

自引率

3.60%

发文量

期刊介绍： Clinical Social Work Journal is an international forum devoted to the advancement of clinical knowledge and acumen of practitioners, educators, researchers, and policymakers. The journal, founded in 1973, publishes leading peer-reviewed original articles germane to contemporary clinical practice with individuals, couples, families, and groups, and welcomes submissions that reflect innovations in theoretical, practice , evidence-based clinical research, and interdisciplinary approaches.