Outcomes and Correlates of Major Depression in 11 Disaster Studies Using Consistent Methods
This study investigated psychosocial functioning and employment status in association with postdisaster major depression and its course in survivors of 11 different disasters in a sample of 808 directly-exposed survivors of 10 disasters and 373 survivors of the 11 September 2001 (9/11), terrorist at...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-01-01
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| Series: | Behavioral Sciences |
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| Online Access: | https://www.mdpi.com/2076-328X/11/1/4 |
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| author | Carol S. North David Baron |
| author_facet | Carol S. North David Baron |
| author_sort | Carol S. North |
| collection | DOAJ |
| description | This study investigated psychosocial functioning and employment status in association with postdisaster major depression and its course in survivors of 11 different disasters in a sample of 808 directly-exposed survivors of 10 disasters and 373 survivors of the 11 September 2001 (9/11), terrorist attacks on New York City’s World Trade Center (total <i>n</i> = 1181). Participants were assessed between 1987 and 2007 with structured diagnostic interviews in a prospective longitudinal design. Consistent research methods allowed merging of the disaster databases for analysis using multivariate modeling. Postdisaster major depression in the study cohort from the 9/11 disaster was more than twice as prevalent as in the other disasters, possibly reflecting the greater psychosocial/interpersonal loss and bereavement experienced by 9/11 disaster survivors. At follow up, employment was associated with remission of postdisaster major depression, non-development of PTSD, and coping via family or friends. Functioning problems were associated with disaster injuries, but not with persistent major depression. This study is unprecedented in its large sample of survivors across the full range of disaster typology studied using consistent methods and full structured interview diagnostic assessment. These findings may help guide future interventions to address postdisaster depression. |
| first_indexed | 2024-03-10T13:35:22Z |
| format | Article |
| id | doaj.art-f39c280d9589441f8a9e75a1c66dc26c |
| institution | Directory Open Access Journal |
| issn | 2076-328X |
| language | English |
| last_indexed | 2024-03-10T13:35:22Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj.art-f39c280d9589441f8a9e75a1c66dc26c2023-11-21T07:39:06ZengMDPI AGBehavioral Sciences2076-328X2021-01-01111410.3390/bs11010004Outcomes and Correlates of Major Depression in 11 Disaster Studies Using Consistent MethodsCarol S. North0David Baron1The Altshuler Center for Education & Research, Metrocare Services, Dallas, TX 75247, USADepartment of Psychiatry, Western University of Health Sciences, Pomona, CA 91766, USAThis study investigated psychosocial functioning and employment status in association with postdisaster major depression and its course in survivors of 11 different disasters in a sample of 808 directly-exposed survivors of 10 disasters and 373 survivors of the 11 September 2001 (9/11), terrorist attacks on New York City’s World Trade Center (total <i>n</i> = 1181). Participants were assessed between 1987 and 2007 with structured diagnostic interviews in a prospective longitudinal design. Consistent research methods allowed merging of the disaster databases for analysis using multivariate modeling. Postdisaster major depression in the study cohort from the 9/11 disaster was more than twice as prevalent as in the other disasters, possibly reflecting the greater psychosocial/interpersonal loss and bereavement experienced by 9/11 disaster survivors. At follow up, employment was associated with remission of postdisaster major depression, non-development of PTSD, and coping via family or friends. Functioning problems were associated with disaster injuries, but not with persistent major depression. This study is unprecedented in its large sample of survivors across the full range of disaster typology studied using consistent methods and full structured interview diagnostic assessment. These findings may help guide future interventions to address postdisaster depression.https://www.mdpi.com/2076-328X/11/1/4postdisaster depressiondisaster mental healthfunctional impairment |
| spellingShingle | Carol S. North David Baron Outcomes and Correlates of Major Depression in 11 Disaster Studies Using Consistent Methods Behavioral Sciences postdisaster depression disaster mental health functional impairment |
| title | Outcomes and Correlates of Major Depression in 11 Disaster Studies Using Consistent Methods |
| title_full | Outcomes and Correlates of Major Depression in 11 Disaster Studies Using Consistent Methods |
| title_fullStr | Outcomes and Correlates of Major Depression in 11 Disaster Studies Using Consistent Methods |
| title_full_unstemmed | Outcomes and Correlates of Major Depression in 11 Disaster Studies Using Consistent Methods |
| title_short | Outcomes and Correlates of Major Depression in 11 Disaster Studies Using Consistent Methods |
| title_sort | outcomes and correlates of major depression in 11 disaster studies using consistent methods |
| topic | postdisaster depression disaster mental health functional impairment |
| url | https://www.mdpi.com/2076-328X/11/1/4 |
| work_keys_str_mv | AT carolsnorth outcomesandcorrelatesofmajordepressionin11disasterstudiesusingconsistentmethods AT davidbaron outcomesandcorrelatesofmajordepressionin11disasterstudiesusingconsistentmethods |