New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Stratford.
College of Public Health, Temple University, Philadelphia, Pennsylvania.
J Gerontol B Psychol Sci Soc Sci. 2021 Apr 23;76(5):974-985. doi: 10.1093/geronb/gbaa198.
To examine depressive symptom trajectories as a function of time and exposure to Hurricane Sandy, accounting for the effects of the Great Recession.
We analyzed 6 waves of data from a 12-year panel using latent class growth models and multinomial logistic regression.
We identified 4 groups of people experiencing different trajectories of depressive symptoms. The groups differed on baseline characteristics (gender, age, education, income, race), history of diagnosed depression, and initial level of depressive symptoms. The group with the highest levels of depressive symptoms reported greater levels of peri-traumatic stress exposure to Hurricane Sandy.
Depressive symptoms increased as a function of the Great Recession, but exposure to Hurricane Sandy was not associated with subsequent increases in depressive symptoms for any of the 4 groups. People who consistently experienced high levels of depressive symptoms over time reported the highest levels of peri-traumatic stress during Hurricane Sandy. Findings highlight the importance of accounting for historical trends when studying the effects of disaster, identify people likely to be at risk during a disaster, and provide novel information about the causal relationship between exposure to disaster and depressive symptoms.
探讨抑郁症状轨迹随时间的变化以及受桑迪飓风影响的情况，同时考虑到大衰退的影响。
我们使用潜在类别增长模型和多项逻辑回归分析了 12 年面板的 6 波数据。
我们确定了经历不同抑郁症状轨迹的 4 组人群。这些群体在基线特征（性别、年龄、教育、收入、种族）、诊断性抑郁病史和初始抑郁症状水平方面存在差异。报告创伤后应激暴露水平最高的组抑郁症状水平最高。
随着大衰退的发展，抑郁症状有所增加，但桑迪飓风的暴露与 4 组人群中随后抑郁症状的增加无关。随着时间的推移，一直经历高抑郁症状水平的人在桑迪飓风中报告的创伤后应激水平最高。研究结果强调了在研究灾害影响时考虑历史趋势的重要性，确定了在灾害期间可能处于风险中的人群，并提供了关于灾害暴露与抑郁症状之间因果关系的新信息。
