Complex Health Needs in Hurricane-Affected Youth and Their Families: Barriers, Vulnerabilities, and Mental Health Outcomes.

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Research on Child and Adolescent Psychopathology Pub Date : 2025-01-22 DOI:10.1007/s10802-024-01279-6
Jessica T Kelly, BreAnne A Danzi
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Abstract

Youth with complex health needs (CHNs; e.g., requiring daily assistance or equipment for care) and their parents face heightened vulnerabilities during natural disasters, potentially leading to poorer mental health outcomes compared to those without CHNs. However, limited research has focused on this group's disaster-related experiences and their impact on mental health outcomes. This study aimed to investigate the disaster experiences, perceptions, and mental health outcomes of youth with CHNs and their parents' post-hurricane and to evaluate the unique influence of CHN- and disaster-related factors on their psychological functioning. Parents (N = 142) of youth with CHNs (n = 48) and without CHNs (n = 94) who experienced a hurricane reported on their youth's and their own psychological functioning, disaster perceptions, experiences, and CHN-related information. Youth with CHNs exhibited greater perceived life threat compared to youth without CHNs. Families of youth with CHNs were more likely to evacuate and faced greater evacuation barriers. They also exhibited greater PTS, depressive, and anxiety symptom severity compared to those without CHNs. Financial healthcare concerns were not associated with youth with CHNs or their parents' mental health symptomatology. Hurricane-impeded access to healthcare necessities was associated with youth and parent PTS and depressive symptom severity and youth anxiety symptom severity. These findings underscore the vulnerabilities of youth with CHNs and their parents' post-hurricane, emphasizing the need for tailored mental health services and improved disaster planning resources to support this population effectively.

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受飓风影响的青少年及其家庭的复杂健康需求:障碍、脆弱性和心理健康结果。
有复杂健康需要的青年;(例如,需要日常援助或护理设备)和他们的父母在自然灾害期间面临更大的脆弱性,与没有chn的人相比,可能导致更差的心理健康结果。然而,有限的研究集中在这一群体的灾害相关经历及其对心理健康结果的影响上。本研究旨在探讨飓风后青少年CHN及其父母的灾难经历、认知和心理健康结果,并评估CHN和灾害相关因素对其心理功能的独特影响。有CHNs的青少年(N = 48)和没有CHNs的青少年(N = 94)的父母(N = 142)报告了他们的青少年和他们自己的心理功能、灾难感知、经历和CHNs相关信息。与没有CHNs的青年相比,有CHNs的青年表现出更大的感知生命威胁。有chn的青少年家庭更有可能撤离,并且面临更大的撤离障碍。与没有CHNs的患者相比,他们也表现出更大的PTS、抑郁和焦虑症状的严重程度。财务保健问题与青少年CHNs或其父母的心理健康症状无关。飓风阻碍获得医疗保健必需品与青少年和父母的PTS、抑郁症状严重程度和青少年焦虑症状严重程度有关。这些发现强调了患有chn的青少年及其父母在飓风后的脆弱性,强调需要量身定制的心理健康服务和改进的灾害规划资源,以有效地支持这一人群。
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来源期刊
Research on Child and Adolescent Psychopathology
Research on Child and Adolescent Psychopathology Psychology-Developmental and Educational Psychology
CiteScore
5.00
自引率
4.00%
发文量
107
期刊最新文献
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