The impact of hurricane trauma and cultural stress on posttraumatic stress among hurricane Maria survivors relocated to the U.S. mainland.

IF 3.2 2区心理学 Q1 ETHNIC STUDIES

Cultural Diversity & Ethnic Minority Psychology Pub Date : 2025-04-01 Epub Date: 2023-11-02 DOI:10.1037/cdp0000623

James C Hodges, Mildred M Maldonado-Molina, Seth J Schwartz, María F García, María F Pineros-Leano, Melissa M Bates, Pablo Montero-Zamora, Ivonne Calderón, José Rodríguez, Christopher P Salas-Wright

{"title":"The impact of hurricane trauma and cultural stress on posttraumatic stress among hurricane Maria survivors relocated to the U.S. mainland.","authors":"James C Hodges, Mildred M Maldonado-Molina, Seth J Schwartz, María F García, María F Pineros-Leano, Melissa M Bates, Pablo Montero-Zamora, Ivonne Calderón, José Rodríguez, Christopher P Salas-Wright","doi":"10.1037/cdp0000623","DOIUrl":null,"url":null,"abstract":"Objectives: Following Hurricane Maria, scores of Puerto Rican \"Maria migrants\" fled the island with thousands permanently resettling on the United States (U.S.) mainland. Emerging evidence suggests that many Maria migrants are exposed to migration-related cultural stressors, including discrimination, negative context of reception, and language stress. The present study examines the associations of premigration hurricane trauma and postmigration cultural stress with posttraumatic stress disorder (PTSD) symptom severity and positive PTSD screens.Method: Participants were 319 adult (age 18+, 71% female) Puerto Rican Hurricane Maria survivors on the U.S. mainland. Data were collected virtually between August 2020 and October 2021. Participants completed Spanish-language measures of hurricane-related trauma, postmigration cultural stress exposure, PTSD symptoms, and positive screens.Results: One in five (20.5%) Maria migrants reported PTSD scores in the range indicating a likely PTSD diagnosis (i.e., positive screen of 50+). Both hurricane trauma and migration-related cultural stressors independently predicted posttraumatic stress and positive PTSD screens. Additionally, controlling for the effect of hurricane trauma, discrimination and language stress were strongly linked with PTSD. Further, hurricane trauma and cultural stressors interact such that cultural stress predicts PTSD-positive screens at low-to-moderate levels of hurricane trauma exposure but not at high-to-very-high levels.Conclusion: Findings underscore the importance of providing mental health and other psychosocial supports to hurricane survivors and evacuees beyond the immediate aftermath of the disaster, and the need to consider both premigration trauma and postmigration experiences in terms of the mental health of crisis migrant populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":48151,"journal":{"name":"Cultural Diversity & Ethnic Minority Psychology","volume":" ","pages":"233-244"},"PeriodicalIF":3.2000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11063122/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cultural Diversity & Ethnic Minority Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/cdp0000623","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/2 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"ETHNIC STUDIES","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: Following Hurricane Maria, scores of Puerto Rican "Maria migrants" fled the island with thousands permanently resettling on the United States (U.S.) mainland. Emerging evidence suggests that many Maria migrants are exposed to migration-related cultural stressors, including discrimination, negative context of reception, and language stress. The present study examines the associations of premigration hurricane trauma and postmigration cultural stress with posttraumatic stress disorder (PTSD) symptom severity and positive PTSD screens.

Method: Participants were 319 adult (age 18+, 71% female) Puerto Rican Hurricane Maria survivors on the U.S. mainland. Data were collected virtually between August 2020 and October 2021. Participants completed Spanish-language measures of hurricane-related trauma, postmigration cultural stress exposure, PTSD symptoms, and positive screens.

Results: One in five (20.5%) Maria migrants reported PTSD scores in the range indicating a likely PTSD diagnosis (i.e., positive screen of 50+). Both hurricane trauma and migration-related cultural stressors independently predicted posttraumatic stress and positive PTSD screens. Additionally, controlling for the effect of hurricane trauma, discrimination and language stress were strongly linked with PTSD. Further, hurricane trauma and cultural stressors interact such that cultural stress predicts PTSD-positive screens at low-to-moderate levels of hurricane trauma exposure but not at high-to-very-high levels.

Conclusion: Findings underscore the importance of providing mental health and other psychosocial supports to hurricane survivors and evacuees beyond the immediate aftermath of the disaster, and the need to consider both premigration trauma and postmigration experiences in terms of the mental health of crisis migrant populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

飓风创伤和文化压力对迁移到美国大陆的飓风玛丽亚幸存者创伤后压力的影响。

目标：飓风“玛丽亚”过后，数十名波多黎各“玛丽亚移民”逃离该岛，数千人永久定居在美国大陆。新出现的证据表明，许多玛丽亚移民面临着与移民相关的文化压力，包括歧视、负面的接待环境和语言压力。本研究考察了移民前飓风创伤和移民后文化压力与创伤后应激障碍（PTSD）症状严重程度和阳性PTSD筛查的关系。方法：参与者是319名在美国本土的波多黎各飓风玛丽亚幸存者（年龄18岁以上，71%为女性）。数据实际上是在2020年8月至2021年10月期间收集的。参与者完成了飓风相关创伤、移民后文化压力暴露、创伤后应激障碍症状和阳性筛查的西班牙语测量。结果：五分之一（20.5%）的玛丽亚移民报告PTSD评分在可能的PTSD诊断范围内（即阳性筛查为50+）。飓风创伤和移民相关的文化压力源都独立预测了创伤后压力和积极的创伤后应激障碍筛查。此外，控制飓风创伤、歧视和语言压力的影响与创伤后应激障碍密切相关。此外，飓风创伤和文化压力源相互作用，使得文化压力预测创伤后应激障碍阳性筛查处于飓风创伤暴露的低到中等水平，而不是高到极高水平。结论：调查结果强调了在灾难发生后立即为飓风幸存者和撤离人员提供心理健康和其他心理社会支持的重要性，以及从危机移民人口的心理健康角度考虑移民前创伤和移民后经历的必要性。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Cultural Diversity & Ethnic Minority Psychology Multiple-

CiteScore

5.90

自引率

6.10%

发文量

101

期刊介绍： Cultural Diversity & Ethnic Minority Psychology seeks to publish theoretical, conceptual, research, and case study articles that promote the development of knowledge and understanding, application of psychological principles, and scholarly analysis of social–political forces affecting racial and ethnic minorities.