Schwartz Rebecca M, Gillezeau Christina N, Liu Bian, Lieberman-Cribbin Wil, Taioli Emanuela
Department of Occupational Medicine, Epidemiology and Prevention, Hofstra Northwell Health School of Medicine, Great Neck, NY 11021, USA.
Department of Population Health Science and Policy and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Int J Environ Res Public Health. 2017 Aug 24;14(9):957. doi: 10.3390/ijerph14090957.
Hurricane Sandy hit the eastern coast of the United States in October 2012, causing billions of dollars in damage and acute physical and mental health problems. The long-term mental health consequences of the storm and their predictors have not been studied. New York City and Long Island residents completed questionnaires regarding their initial Hurricane Sandy exposure and mental health symptoms at baseline and 1 year later (N = 130). There were statistically significant decreases in anxiety scores (mean difference = -0.33, < 0.01) and post-traumatic stress disorder (PTSD) scores (mean difference = -1.98, = 0.001) between baseline and follow-up. Experiencing a combination of personal and property damage was positively associated with long-term PTSD symptoms (OR 1.2, 95% CI [1.1-1.4]) but not with anxiety or depression. Having anxiety, depression, or PTSD at baseline was a significant predictor of persistent anxiety (OR 2.8 95% CI [1.1-6.8], depression (OR 7.4 95% CI [2.3-24.1) and PTSD (OR 4.1 95% CI [1.1-14.6]) at follow-up. Exposure to Hurricane Sandy has an impact on PTSD symptoms that persists over time. Given the likelihood of more frequent and intense hurricanes due to climate change, future hurricane recovery efforts must consider the long-term effects of hurricane exposure on mental health, especially on PTSD, when providing appropriate assistance and treatment.
2012年10月，飓风桑迪袭击了美国东海岸，造成了数十亿美元的损失以及严重的身心健康问题。风暴对心理健康的长期影响及其预测因素尚未得到研究。纽约市和长岛的居民完成了关于他们最初接触飓风桑迪的情况以及在基线时和1年后的心理健康症状的问卷调查（N = 130）。在基线和随访之间，焦虑评分（平均差异=-0.33，<0.01）和创伤后应激障碍（PTSD）评分（平均差异=-1.98，=0.001）有统计学意义的下降。经历个人和财产损失的综合情况与长期PTSD症状呈正相关（OR 1.2，95%CI[1.1 - 1.4]），但与焦虑或抑郁无关。在基线时患有焦虑、抑郁或PTSD是随访时持续性焦虑（OR 2.8 95%CI[1.1 - 6.8]）、抑郁（OR 7.4 95%CI[2.3 - 24.1]）和PTSD（OR 4.1 95%CI[1.1 - 14.6]）的显著预测因素。接触飓风桑迪对PTSD症状有长期影响。鉴于气候变化导致飓风更频繁、更强烈的可能性，未来的飓风恢复工作在提供适当援助和治疗时，必须考虑飓风暴露对心理健康，尤其是对PTSD的长期影响。
