GGZ inGeest, Amsterdam Public Health Institute, Amsterdam, The Netherlands.
Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, Amsterdam, Netherlands.
J Gerontol B Psychol Sci Soc Sci. 2022 Oct 6;77(10):1892-1903. doi: 10.1093/geronb/gbac066.
Natural disasters can have devastating, long-lasting effects on the mental health of older adults. However, few studies have examined associations among disaster exposure and positive and negative affect, and no longitudinal studies have investigated the extent to which predisaster perceived social support affects these associations. These analyses examine the associations among predisaster perceived social support, disaster exposure, and positive and negative affect experienced by community-dwelling older adults 4 years after Hurricane Sandy, controlling for predisaster affect.
Self-reported data collected before and after Hurricane Sandy from participants (aged 50-74 years) in the ORANJ BOWL panel (N = 2,442) were analyzed using linear regression models.
Higher levels of peritraumatic stress experienced during Hurricane Sandy and greater hardship experienced after the storm were associated with more negative affect 4 years following the disaster. Higher perceived social support at baseline was related to more positive affect and less negative affect both before and after the hurricane. Social support did not moderate the effect of hurricane exposure on either positive or negative affect.
Findings suggest that psychological effects may persist years after natural disasters and that more effective interventions may be needed during and after a disaster. While social support is critical to positive and negative affect in general, its buffering effects when disaster strikes may be limited.
自然灾害会对老年人的心理健康产生毁灭性的、持久的影响。然而,很少有研究调查灾难暴露与积极和消极情绪之间的关联,也没有纵向研究调查灾难前感知到的社会支持对这些关联的影响程度。这些分析检验了在飓风桑迪发生 4 年后,社区居住的老年人在灾难前感知到的社会支持、灾难暴露与积极和消极情绪之间的关联,同时控制了灾难前的情绪。
使用线性回归模型分析了 ORANJ BOWL 小组(年龄在 50-74 岁之间)参与者在飓风桑迪前后收集的自我报告数据(N=2442)。
在飓风桑迪期间经历的创伤后应激水平较高,以及风暴后经历的困难较大,与灾难发生 4 年后的消极情绪较多有关。基线时感知到的社会支持较高与飓风前后的积极情绪和较少的消极情绪有关。社会支持并没有调节飓风暴露对积极或消极情绪的影响。
研究结果表明,自然灾害的心理影响可能会持续多年,在灾难期间和之后可能需要更有效的干预措施。虽然社会支持对积极和消极情绪都很重要,但在灾难发生时,其缓冲作用可能是有限的。