Heanoy Eamin Z, Brown Norman R
Department of Psychology, University of Alberta, Edmonton, AB T6G 2E9, Canada.
Healthcare (Basel). 2024 Sep 10;12(18):1812. doi: 10.3390/healthcare12181812.
Natural disasters are large-scale catastrophic events, and they are increasing in frequency and severity. Converging evidence indicates that the mental health consequences of disasters are extensive and are often associated with trauma and the disruption of personal and socioeconomic factors in people's lives. Although most individuals experiencing disaster-related traumatic events do not develop mental illnesses, some experience adverse psychological effects of disasters. These mental health effects begin immediately following a disaster and may persist for extended periods. In this article, we summarize the literature findings to provide a narrative review that focuses on the mental health consequences of natural disasters. An overview of the disaster mental health research field is provided, and the findings are ordered into theoretical frameworks. Then, the development and course of psychopathology regarding disaster aftermath are described in a methodological context. Next, understanding a disaster as an event of transition is highlighted, and the impact of this disaster-specific transition is discussed. Lastly, a potential relationship between the transitional impact of a disaster and mental health consequences is speculated on, and the implications are discussed. The impact of disasters on mental health can be direct or indirect, short-term or long-term, and to some extent depends on the recovery process of the affected community. Also, we propose the possible merits of using the Transitional Impact Scale in the context of disaster mental health research by assessing the features of disaster-related transition and its effects on mental health. We conclude by suggesting a direction for future research in terms of measuring the disaster mental health effects in community settings (affected vs. non-affected) and also considering cross-cultural and cross-regional differences. In recent decades, a large amount of knowledge has been gathered from disaster mental health research, but, still, more research is needed to resolve some irregular findings through refining the methodological variations.
自然灾害是大规模的灾难性事件,其发生频率和严重程度正在增加。越来越多的证据表明,灾害对心理健康的影响广泛,且往往与创伤以及人们生活中的个人和社会经济因素的破坏有关。尽管大多数经历与灾害相关创伤事件的人不会患上精神疾病,但有些人会经历灾害带来的不良心理影响。这些心理健康影响在灾害发生后立即开始,可能会持续很长时间。在本文中,我们总结了文献研究结果,以提供一篇侧重于自然灾害对心理健康影响的叙述性综述。本文提供了灾害心理健康研究领域的概述,并将研究结果按照理论框架进行整理。然后,在方法论背景下描述了灾害后果的精神病理学发展和过程。接下来,强调将灾害理解为一种转变事件,并讨论这种特定于灾害的转变的影响。最后,推测了灾害的转变影响与心理健康后果之间的潜在关系,并讨论了其意义。灾害对心理健康的影响可以是直接的或间接的、短期的或长期的,在某种程度上取决于受影响社区的恢复过程。此外,我们建议通过评估与灾害相关的转变特征及其对心理健康的影响,在灾害心理健康研究中使用转变影响量表可能具有的优点。我们在结尾处提出了未来研究的方向,即在社区环境中(受影响与未受影响)测量灾害对心理健康的影响,并考虑跨文化和跨地区差异。近几十年来,从灾害心理健康研究中已经积累了大量知识,但仍然需要更多研究来通过完善方法差异来解决一些不规则的研究结果。