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Controversy and Consensus in Disaster Mental Health Research

Published online by Cambridge University Press:  28 June 2012

Kathleen J. Tierney
Kathleen J. Tierney*
Affiliation:
Department of Sociology and Criminal, Justice and Disaster Research Center, University of Delaware, Newark, New Jersey, USA
*
*Disaster Research Center, University of Delaware, Newark, DE 19716USA, E-mail: tierney@udel.edu
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Abstract

Controversies regarding the mental health consequences of disasters are rooted both in disciplinary orientations and in the widely varied research strategies that have been employed in disaster mental health studies. However, despite a history of dissensus, there are also key issues on which researchers agree. Disasters constitute stressful and traumatic experiences. However, vulnerability to such experiences, as well as to more chronic Stressors, is socially structured, reflecting the influence of socio-economic status and other axes of stratification, including gender, race, and ethnicity. Disaster events differ in the extent to which they generate stress for victims. A holistic perspective on disaster mental health would take into account not only disaster event characteristics, but also social-systemic sources of both acute and chronic stress, secondary and cumulative Stressors, and victims internal and external coping capacities.

Resumen

Las controversias acerca de las consecuenciasen la salud mentalpor el impacto de los desastres, encuentran su origen en la orientación disciplinaria y en una ampliavariedad de estrategias empleadas en los estudios de salud mental en desastres. Sin embargo, a pesar de la historia de desacuerdos, hay varias cuestiones de importancia en las que los investigadores coinciden. Los desastres constituyen experiencias traumáticas. Sin embargo, la vulnerabilidad a dichas experiencias, así como a estresores más crónicos, se encuentran socialmente estructurados, reflejando la influencia del estatus socioeconómico y de otros ejes de estratificación, incluyendo sexo, edad, raza y cultura. Los desastres difieren en la extensión del estrés que provocan en las víctimas. Una perspectiva holtística de la salud mental en los desastres, debe considerar no solo las características del evento, sino también el origen sistémico-social del estrés agudo y crónico, así como los estresores secundarios y acumulativos, además de las capacidades de manejo internas y externas de las víctimas.

Keywords

disasterdisaster-related stressdisaster-related traumamental healthmental health consequencesmental health researchPost-Traumatic Stress Disorderpsycho-social impacts
Type
Public Health and Disasters
Information
Prehospital and Disaster Medicine , Volume 15 , Issue 4: The Role of Public Health in Disaster Medicine , December 2000 , pp. 55 - 61
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2000

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References

1.Warheit, GO: Disasters and their mental health consequences: Issues, fiåndings, and future trends. In: Lystad, M. (ed), Mental Health Response to Mass Emergencies: Theory and Practice. New York: Brunner/Mazel, 1988, pp 3–21.Google Scholar
2.Tierney, K: Disasters and mental health: A critical look at knowledge and practice. In: Quarantelli, EL, Pelanda, C (eds), Proceedings of the Italy-United States Seminar on Disasters. Newark, DE: Disaster Research Center University of Delaware, 1989: pp 158–177.Google Scholar
3.Bolin, R: Response to natural disasters. In: Lysted, (ed), Mental Health Response to Mass Emergencies. New York: Brunner/Mazel, 1988, pp 22–51.Google Scholar
4.Edwards, ML: In interdisciplinary perspective on disasters and stress: The promise of an ecological framework. Sociological Forum 1998;13:115–132.CrossRefGoogle Scholar
5.Erikson, KT: Everything in Its Path. New York: Simon and Schuster, 1976.Google Scholar
6.Adams, PR, Adams, GR: Mount St. Helens's ashfall: Evidence for a disaster stress reaction. American Psychologist 1984;39:252–260.CrossRefGoogle Scholar
7.Dew, MA, Bromet, EJ, Schulberg, HC: A comparative analysis of two community Stressors' long-term mental health effects. American Journal of Community Psychology 1987;15:167–184.CrossRefGoogle ScholarPubMed
8.Shore, JH, Tatum, EL, Vollmer, WM: Psychiatric reactions to disaster: The Mt. St. Helen's experience. American Journal of Psychiatry 1986; 143:590–595.Google Scholar
9.Shore, JH (ed): Disaster Stress Studies: New Methods and Findings. Washington, DC: American Psychiatric Press, 1986.Google Scholar
10.Freudenburg, WR, Jones, TR: Attitudes and stress in the presence of technological risk: A test of the Supreme Court hypothesis. Social Forces 1991; 69:1143–1168.CrossRefGoogle Scholar
11.Baum, A, Fleming, I, Israel, A, O'Keefe, M: Symptoms of chronic stress following a natural disaster and discovery of a human-made hazard. Environment and Behavior 1992;24:347–365.CrossRefGoogle Scholar
12.Norris, FH, Kaniasty, K: Received and perceived social support in times of stress: A test of the social support deterioration deterrence model. Journal of Personality and Social Psychology 1996;71:498–511.CrossRefGoogle Scholar
13.Gordon, NS, Farberow, NL, Maida, CA: Children and Disasters. Philadelphia: Brunner/Mazel, 1999.Google Scholar
14.Kessler, RC, Zhao, S: Overview of descriptive epidemiology of mental disorders. In: Aneshensel, CS, Phelan, JC (eds), Handbook of the Sociology of Mental Health. New York: Kluwer Academic/Plenum Publishers, 1999, pp 127–150.Google Scholar
15.Breslau, N, Kessler, RC, Chilcoat, HD, Schultz, LR, Davis, GC, Andreski, P: Trauma and posttraumatic stress disorder in the community: The 1996 Detroit Area Survey of trauma. Archives of General Psychiatry 1998; 55:626–632.CrossRefGoogle ScholarPubMed
16.Smith, E, Robins, LN, Przybeck, TR, Goldring, E, Solomon, SD: Psychosocial consequences of a disaster. In: Shore, JH. (ed), Disaster Stress Studies: New Methods and Findings. Washington, DC: American Psychiatric Press, 1986: pp 50–76.Google Scholar
17.Madakasira, S, O'Brien, KF: Acute posttraumatic stress disorder in victims of a natural disaster. Journal of Nervous and Mental Disease 1987;175:286–290.CrossRefGoogle ScholarPubMed
18.Green, BL, Lindy, JD: Post-traumatic stress disorder in victims of disasters. Psychiatric Clinics of North America 1994;17:301–309.CrossRefGoogle ScholarPubMed
19.Shannon, MP, Lonigan, CJ, Finch, AJ, Taylor, CM: Children exposed to disaster I: Epidemiology of post-traumatic symptoms and symptom profiles. Journal of the American Academy of Child and Adolescent Psychiatry 1994;33:80–93.CrossRefGoogle ScholarPubMed
20.Siegel, JM, Shoaf, KI, Bourque, LB: The C-Mississippi Scale for PTSD: A useful measure in post-earthquake communities? International Journal of Mass Emergencies and Disasters (in Press), 2000:18.Google Scholar
21.Rubonis, AV, Bickman, L: Psychological impairment in the wake of disaster: The disaster-psychopathology relationship. Psychological Bulletin 1991;109:384–399.CrossRefGoogle ScholarPubMed
22.Cohen, S, Kessler, RC, Gordon, LU: Strategies for measuring stress in studies of psychiatric and physical disorders. In: Cohen, S, Kessler, RC, Gordon, LU (eds), Measuring Stress: A Guide for Health and Social Scientists. New York: Oxford University Press, 1995; pp 3–26.CrossRefGoogle Scholar
23.Wheaton, B: The domains and boundaries of stress concepts. In: Kaplan, HB, Psycho-social Stress. San Diego: Academic Press, 1996: 29–70.Google Scholar
24.Norris, FH: Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups. Journal of Consulting and Clinical Psychology 1992;60:409–418.CrossRefGoogle ScholarPubMed
25.Holmes, TH, Rahe, RH: The social readjustment rating scale. Journal of Psychosomatic Research 1967;11:213–218.CrossRefGoogle ScholarPubMed
26.Mirowsky, J, Ross, CE: Social patterns of distress. Annual Review of Sociology 1986;12:23–45.CrossRefGoogle Scholar
27.Williams, DR, Takeuchi, DT, Adair, RK: Socio-economic status and psychiatric disorder among Blacks and Whites. Social Forces 1992;71: 179–194.CrossRefGoogle Scholar
28.Yu, Y, Williams, DR: Socio-economic status and mental health. In: Aneshensel, CS, Phelan, JC (eds), Handbook of the Sociology of Mental Health. New York: Kluwer Academic/Plenum Publishers, 1999, pp 151–166.Google Scholar
29.Pearlin, LI: The sociological study of stress. Journal of Health and Social Behaviar 1989;30:241–256.CrossRefGoogle ScholarPubMed
30.McLeod, JD, Kessler, RC: Socio-economic status differences in vulnerability to undesirable life events. Journal of Health and Social Behavior 1990;31:162–172.CrossRefGoogle ScholarPubMed
31.Aneshensel, CS: Social stress: Theory and research. Annual Review of Sociology 1992;18:15–38.CrossRefGoogle Scholar
32.Aneshensel, CS, Rutter, CM, Lachenbruch, PA: Social structure, stress, and mental health: Competing conceptual and analytic models. American Sociological Review 1991;56:166–178.CrossRefGoogle Scholar
33.Vega, W, Rumbaut, R: Ethnic minorities and mental health. Annual Review of Sociology 1991;17:351–383.CrossRefGoogle Scholar
34.Ross, CE, Mirowsky, J, Goldsteen, K: The impact of family on health: A decade in review. Journal of Marriage and the Family 1990;52:1059–1078.CrossRefGoogle Scholar
35.Fothergill, A: Gender, risk, and disaster. International Journal of Mass Emergencies and Disasters 1996;14:33–56.CrossRefGoogle Scholar
36.Enarson, E, Morrow, BW (eds): The Gendered Terrain of Disaster. Westport, CT: Praeger, 1998.Google ScholarPubMed
37.Peacock, WG, Morrow, BH, Gladwin, H: Hurricane Andrew: Ethnicity, Gender and the Sociology of Disasters. London: Routledge, 1997.Google Scholar
38.Bolin, RC; Stanford, L: The Northridge Earthquake: Vulnerability and Disaster. London: Routledge, 1998.CrossRefGoogle Scholar
39.D'Souza, MJJ: Socio-Structural Differentials in the Mental Health Impact of the 1994 Northridge Earthquake. Doctoral Dissertation. Newark, DE: Department of Sociology and Criminal Justice, University of Delaware, 1999.Google Scholar
40.Hutchins, GL, Norris, FH: Life change in the disaster recovery period. Environment and Behavior 1989;21:33–56.CrossRefGoogle Scholar
41.Turner, RJ, Lloyd, DA: Lifetime traumas and mental health: The significance of cumulative adversity. Journal of Health and Social Behavior 1995;36:360–376.CrossRefGoogle ScholarPubMed
42.Lazarus, RS, Folkman, S: Stress, Appraisal, and Coping. New York: Springer, 1984.Google Scholar
43.Kaniasty, K, Norris, FH: In search of altruistic community: Patterns of social support mobilization following Hurricane Hugo. American Journal of Community Psychology 1995; 23: 447–477.CrossRefGoogle ScholarPubMed
44.Haines, VA, Huribert, JS, Beggs, JJ: The disaster framing of the stress process: A test of an expanded model. International Journal of Mass Emergencies and Disasters 1999;17:367–397.CrossRefGoogle Scholar
45.Erikson, KT: A New Species of Trouble: Explorations in Disaster, Trauma, and Community. New York: W. W. Norton and Company, 1994.Google Scholar
46.Baum, A: Toxins, Technology, and Natural Disasters. In: Monat, A, Lazarus, RS. (eds.) Stress and Coping: An Anthology, Third Ed.New York: Columbia University Press 1991: pp. 97–139.CrossRefGoogle Scholar
47.Tierney, K., Lindell, MK, Perry, RW: Facing the Unexpected: Disaster Preparedness and Response in the United States. Washington, DC: Joseph Henry Press, in press.Google Scholar