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Objectives: Following Hurricane Maria, scores of Puerto Rican "Maria migrants" fled the island with thousands permanently resettling on the United States (U.S.) mainland. Emerging evidence suggests that many Maria migrants are exposed to migration-related cultural stressors, including discrimination, negative context of reception, and language stress. The present study examines the associations of premigration hurricane trauma and postmigration cultural stress with posttraumatic stress disorder (PTSD) symptom severity and positive PTSD screens.
Method: Participants were 319 adult (age 18+, 71% female) Puerto Rican Hurricane Maria survivors on the U.S. mainland. Data were collected virtually between August 2020 and October 2021. Participants completed Spanish-language measures of hurricane-related trauma, postmigration cultural stress exposure, PTSD symptoms, and positive screens.
Results: One in five (20.5%) Maria migrants reported PTSD scores in the range indicating a likely PTSD diagnosis (i.e., positive screen of 50+). Both hurricane trauma and migration-related cultural stressors independently predicted posttraumatic stress and positive PTSD screens. Additionally, controlling for the effect of hurricane trauma, discrimination and language stress were strongly linked with PTSD. Further, hurricane trauma and cultural stressors interact such that cultural stress predicts PTSD-positive screens at low-to-moderate levels of hurricane trauma exposure but not at high-to-very-high levels.
Conclusion: Findings underscore the importance of providing mental health and other psychosocial supports to hurricane survivors and evacuees beyond the immediate aftermath of the disaster, and the need to consider both premigration trauma and postmigration experiences in terms of the mental health of crisis migrant populations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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http://dx.doi.org/10.1037/cdp0000623 | DOI Listing |
Npj Ment Health Res
December 2024
University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Climate change is disproportionately impacting youth mental health around the world. Using a Community-Based Participatory approach, three universities (one in South Carolina and two in Puerto Rico) partnered after the devastation of Hurricane Maria in 2017. We offered culturally and linguistically tailored trauma and disaster-informed mental health awareness training (e.
View Article and Find Full Text PDFClin Psychol Psychother
November 2024
Psychology Department, Humanities and Social Sciences Research Center (HSSRC), College of Humanities and Sciences, Ajman, UAE.
The aim of the study was to investigate the mediating roles of resilience, posttraumatic growth (PTG) and religiosity between the impact of hurricane trauma and psychological distress. Using a cross-sectional design, the study involved 101 Libyan participants with an average age of 30.43 years (SD = 9.
View Article and Find Full Text PDFPsychol Trauma
November 2024
Department of Psychological Science, University of California, Irvine.
Objective: We examined whether perceived trust in media was associated with post-Hurricane Harvey traumatic stress symptoms and tested whether it buffered the association between hurricane-related media exposure and post-Hurricane Harvey traumatic stress symptoms.
Method: A probability-based, representative sample of Texas residents, drawn from the GfK KnowledgePanel, were surveyed online three times: 2 weeks ( = 1,137), 6 weeks ( = 1,023), and 14 months ( = 748) after Hurricane Harvey (a Category 4 storm) made landfall in 2017. Measures included traumatic stress symptoms, Hurricane Harvey-related media exposure, perceived trust in that media, Hurricane Harvey exposures, and demographics.
Lancet Reg Health Am
December 2024
Disaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Int J Environ Res Public Health
September 2024
School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, PR 00716, USA.
Background: Mental health in Puerto Rico is a complex and multifaceted issue that has been shaped by the island's unique history, culture, and political status. Recent challenges, including disasters, economic hardships, and political turmoil, have significantly affected the mental well-being of the population, coupled with the limitations in the accessibility of mental health services. Thus, Puerto Rico has fewer mental health professionals per capita than any other state or territory in the United States.
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