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社区恢复力、心理恢复力与抑郁症状:对卡特里娜飓风过后十年及深水地平线石油泄漏事故过后五年的密西西比湾沿岸地区的考察

Community Resilience, Psychological Resilience, and Depressive Symptoms: An Examination of the Mississippi Gulf Coast 10 Years After Hurricane Katrina and 5 Years After the Deepwater Horizon Oil Spill.

作者信息

Lee Joohee, Blackmon Bret J, Cochran David M, Kar Bandana, Rehner Timothy A, Gunnell Mauri Stubbs

机构信息

1The University of Southern Mississippi,School of Social Work,Hattiesburg,Mississippi.

2Department of Geography & Geology,Hattiesburg,Mississippi.

出版信息

Disaster Med Public Health Prep. 2018 Apr;12(2):241-248. doi: 10.1017/dmp.2017.61. Epub 2017 Aug 30.

DOI:10.1017/dmp.2017.61
PMID:28851469
Abstract

OBJECTIVE

This study examined the role of community resilience and psychological resilience on depressive symptoms in areas on the Mississippi Gulf Coast that have experienced multiple disasters.

METHODS

Survey administration took place in the spring of 2015 to a spatially stratified, random sample of households. This analysis included a total of 294 subjects who lived in 1 of the 3 counties of the Mississippi Gulf Coast at the time of both Hurricane Katrina in 2005 and the Deepwater Horizon oil spill in 2010. The survey included the Communities Advancing Resilience Toolkit (CART) scale, the Connor-Davidson Resilience Scale (CD-RISC 10), and the Center for Epidemiologic Studies Depression Scale (CES-D).

RESULTS

There was a significant inverse relationship between psychological resilience and depressive symptoms and a significant positive relationship between community resilience and psychological resilience. The results also revealed that community resilience was indirectly related to depressive symptoms through the mediating variable of psychological resilience.

CONCLUSIONS

These findings highlight the importance of psychological resilience in long-term disaster recovery and imply that long-term recovery efforts should address factors associated with both psychological and community resilience to improve mental health outcomes. (Disaster Med Public Health Preparedness. 2018;12:241-248).

摘要

目的

本研究探讨了社区复原力和心理复原力在密西西比湾沿岸经历多次灾难地区的抑郁症状中所起的作用。

方法

2015年春季对家庭进行了空间分层随机抽样调查。该分析共纳入了294名受试者,他们在2005年卡特里娜飓风和2010年深水地平线石油泄漏事件发生时居住在密西西比湾沿岸三个县中的一个。调查包括社区抗逆力工具包(CART)量表、康纳-戴维森复原力量表(CD-RISC 10)和流行病学研究中心抑郁量表(CES-D)。

结果

心理复原力与抑郁症状之间存在显著的负相关关系,社区复原力与心理复原力之间存在显著的正相关关系。结果还显示,社区复原力通过心理复原力这一中介变量与抑郁症状间接相关。

结论

这些发现凸显了心理复原力在长期灾难恢复中的重要性,并表明长期恢复工作应解决与心理和社区复原力相关的因素,以改善心理健康状况。(《灾难医学与公共卫生防范》。2018年;12:241-248)

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