Florida Hurricanes & Older Adults: Outcome/Resiliency

佛罗里达飓风

• 批准号: 7140210
• 负责人: Ronald E. Acierno
• 金额: $ 9.62万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-04 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140210
• 关键词: adult human (21+); age difference; alcoholism /alcohol abuse; anxiety; behavioral /social science research tag; clinical research; coping; depression; disasters; gene environment interaction; genetic screening; genetic susceptibility; health care service utilization; health services research tag; human old age (65+); human subject; interview; mental health epidemiology; mental health services; outcomes research; posttraumatic stress disorder; social support network

DESCRIPTION (provided by applicant): We propose to assess (1) mental health outcomes (including: depression, generalized anxiety disorder, PTSD, alcohol abuse, panic), (2) protective and risk factors associated with these outcomes, and (3) mental health service utilization patterns and unmet service needs in an over-sample of 1200 older adults (age 60 and over) and a comparison sample of 300 younger adults (age 21-59) residing in Florida disaster sites. The Florida Hurricanes present a unique opportunity to study the acute clinical disorder phenotypes, risk and protective factors, including genetic protective factors, and subsequent service needs of a group of older adults who were disproportionately represented as disaster victims relative to the US population. Specifically, older adults resided in the areas most severely affected by the hurricanes at population density levels approximately twice that of the average US county. As such, a large and relatively easily accessible (in terms of random screening of households successfully resulting in identifying an older adult respondent) group of affected older adults is available. We will employ Random Digit Dialing Methodology to rapidly collect random samples of data in areas of Florida affected by hurricanes. Data will be collected in the form of 20 or 25 minute telephone interviews with 1500 adults in FL whose primary residence was in the state prior to Hurricane Charlie. The survey will include measurement of cognitive and memory status, Demographics, Hurricane Exposure Characteristics, Lifetime and Recent Exposure to Potentially Traumatic Events, Resource Loss, Coping Strategies, Acute Reactions & Panic, Emotional Disorder Phenotypes, and Services Utilization. In addition to interview data, saliva samples will collected from a subset of 1000 respondents for genetic analyses to permit gene x environment interaction analyses, based on prior research indicating protective and risk factors following traumatic events associated with particular genotypes. The overarching goal of this project is to document the acute impact of these repeated disasters on older adults while scientifically informing the development and improvement of services for older adults.

描述（由申请人提供）：我们建议评估 (1) 心理健康结果（包括：抑郁症、广泛性焦虑症、创伤后应激障碍、酗酒、恐慌），(2) 与这些结果相关的保护性和风险因素，以及 (3)对居住在佛罗里达州灾区的 1200 名老年人（60 岁及以上）进行过抽样，并以 300 名年轻人（21-59 岁）作为比较样本，分析了心理健康服务利用模式和未满足的服务需求。 佛罗里达飓风提供了一个独特的机会来研究急性临床疾病表型、风险和保护因素，包括遗传保护因素，以及一组老年人的后续服务需求，相对于美国人口，这些老年人作为灾难受害者的比例过高。具体而言，老年人居住在受飓风影响最严重的地区，其人口密度大约是美国县平均水平的两倍。因此，可以获得大量且相对容易获得的受影响老年人群体（就成功地识别老年受访者的家庭随机筛查而言）。 我们将采用随机数字拨号方法快速收集佛罗里达州受飓风影响地区的随机数据样本。数据将以 20 或 25 分钟电话采访的形式收集，采访对象为佛罗里达州 1500 名成年人，他们的主要居住地在飓风查理发生前所在的州。该调查将包括认知和记忆状态、人口统计、飓风暴露特征、一生和最近暴露于潜在创伤事件、资源损失、应对策略、急性反应和恐慌、情绪障碍表型以及服务利用的测量。除了访谈数据外，还将从 1000 名受访者中收集唾液样本进行基因分析，以进行基因 x 环境相互作用分析，该分析基于先前的研究，表明与特定基因型相关的创伤事件后的保护性和风险因素。 该项目的总体目标是记录这些反复发生的灾难对老年人的严重影响，同时科学地为老年人服务的发展和改进提供信息。

项目成果

Social and psychological resources associated with health status in a representative sample of adults affected by the 2004 Florida hurricanes.

受 2004 年佛罗里达飓风影响的成年人代表性样本中与健康状况相关的社会和心理资源。

• 发表时间: 2009
• 影响因子: 2.4
• 作者: Ruggiero, Kenneth J;Amstadter, Ananda B;Acierno, Ron;Kilpatrick, Dean G;Resnick, Heidi S;Tracy, Melissa;Galea, Sandro
• 通讯作者: Galea, Sandro

Support for association of RORA variant and post traumatic stress symptoms in a population-based study of hurricane exposed adults.

在一项针对遭受飓风袭击的成年人的基于人群的研究中，支持 RORA 变异与创伤后应激症状之间的关联。

• 发表时间: 2013-11
• 影响因子: 11
• 作者: Amstadter, A B;Sumner, J A;Acierno, R;Ruggiero, K J;Koenen, K C;Kilpatrick, D G;Galea, S;Gelernter, J
• 通讯作者: Gelernter, J

Variant in RGS2 moderates posttraumatic stress symptoms following potentially traumatic event exposure.

RGS2 的变异可缓解潜在创伤事件暴露后的创伤后应激症状。

• 发表时间: 2009-04
• 影响因子: 10.3
• 作者: Amstadter, Ananda B.;Koenen, Karestan C.;Ruggiero, Kenneth J.;Acierno, Ron;Galea, Sandro;Kilpatrick, Dean G.;Gelernter, Joel
• 通讯作者: Gelernter, Joel