The relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disaster

Background: Children are a vulnerable population following a natural disaster, due to their age and dependence on adults. The primary presenting problem children report after disasters is posttraumatic stress symptoms (PTSS). Prior research suggests that PTSS is inversely related to social support,...

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Main Authors: Betty S. Lai, Melissa C. Osborne, Jennifer Piscitello, Shannon Self-Brown, Mary Lou Kelley
Format: Article
Language:English
Published: Taylor & Francis Group 2018-12-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://dx.doi.org/10.1080/20008198.2018.1450042
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author Betty S. Lai
Melissa C. Osborne
Jennifer Piscitello
Shannon Self-Brown
Mary Lou Kelley
author_facet Betty S. Lai
Melissa C. Osborne
Jennifer Piscitello
Shannon Self-Brown
Mary Lou Kelley
author_sort Betty S. Lai
collection DOAJ
description Background: Children are a vulnerable population following a natural disaster, due to their age and dependence on adults. The primary presenting problem children report after disasters is posttraumatic stress symptoms (PTSS). Prior research suggests that PTSS is inversely related to social support, which is often disrupted after a disaster. Objective: This study examined the relationship between social support (from parents, teachers, and peers) and PTSS in children affected by Hurricane Katrina. The research contributes to the literature by examining the mechanisms that drive this relationship over time. Methods: In this study, 426 children were followed over four timepoints, beginning 3–7 months after Hurricane Katrina and concluding 25–27 months post-hurricane. Three path models analysed the relationship between social support (from parents, teachers, and peers, measured by the Social Support Scale for Children) and PTSS (measured by the UCLA PTSD Reaction Index). Covariates included child age, minority status, gender, perceived life threat, and actual life threat. Nonsignificant paths were trimmed from the final models. Global fit indices were examined to determine model fit. Results: In the parent and peer social support models, PTSS exhibited statistically significant effects on social support from one wave to the next. In the teacher model, this was only true between Waves 2 and 3. Social support showed a statistically significant effect on PTSS between Wave 2 and Wave 3 in the peer model (standardized estimate = −0.26, p < .0001). No paths from social support to PTSS were significant in the parent and teacher models. Conclusion: Findings support a social selection model in which PTSS undermine social support, particularly in the first two years post-disaster. If these findings are replicated, this suggests that, in cases of limited funding, PTSS should be prioritized, given their cascading effects on social support.
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spelling doaj.art-f1b6d923d8be46609469f751b0b7d30f2023-01-12T15:31:29ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662018-12-019010.1080/20008198.2018.14500421450042The relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disasterBetty S. Lai0Melissa C. Osborne1Jennifer Piscitello2Shannon Self-Brown3Mary Lou Kelley4Georgia State UniversityGeorgia State UniversityLouisiana State UniversityGeorgia State UniversityLouisiana State UniversityBackground: Children are a vulnerable population following a natural disaster, due to their age and dependence on adults. The primary presenting problem children report after disasters is posttraumatic stress symptoms (PTSS). Prior research suggests that PTSS is inversely related to social support, which is often disrupted after a disaster. Objective: This study examined the relationship between social support (from parents, teachers, and peers) and PTSS in children affected by Hurricane Katrina. The research contributes to the literature by examining the mechanisms that drive this relationship over time. Methods: In this study, 426 children were followed over four timepoints, beginning 3–7 months after Hurricane Katrina and concluding 25–27 months post-hurricane. Three path models analysed the relationship between social support (from parents, teachers, and peers, measured by the Social Support Scale for Children) and PTSS (measured by the UCLA PTSD Reaction Index). Covariates included child age, minority status, gender, perceived life threat, and actual life threat. Nonsignificant paths were trimmed from the final models. Global fit indices were examined to determine model fit. Results: In the parent and peer social support models, PTSS exhibited statistically significant effects on social support from one wave to the next. In the teacher model, this was only true between Waves 2 and 3. Social support showed a statistically significant effect on PTSS between Wave 2 and Wave 3 in the peer model (standardized estimate = −0.26, p < .0001). No paths from social support to PTSS were significant in the parent and teacher models. Conclusion: Findings support a social selection model in which PTSS undermine social support, particularly in the first two years post-disaster. If these findings are replicated, this suggests that, in cases of limited funding, PTSS should be prioritized, given their cascading effects on social support.http://dx.doi.org/10.1080/20008198.2018.1450042disasterposttraumatic stresschildrensocial supporthurricane
spellingShingle Betty S. Lai
Melissa C. Osborne
Jennifer Piscitello
Shannon Self-Brown
Mary Lou Kelley
The relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disaster
European Journal of Psychotraumatology
disaster
posttraumatic stress
children
social support
hurricane
title The relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disaster
title_full The relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disaster
title_fullStr The relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disaster
title_full_unstemmed The relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disaster
title_short The relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disaster
title_sort relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disaster
topic disaster
posttraumatic stress
children
social support
hurricane
url http://dx.doi.org/10.1080/20008198.2018.1450042
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