Association of PTSD symptoms with asthma attacks among hurricane Katrina survivors

J Trauma Stress. 2014 Dec;27(6):725-9. doi: 10.1002/jts.21976. Epub 2014 Dec 2.

Abstract

The relationship between posttraumatic stress disorder (PTSD) and asthma in the wake of natural disasters is poorly understood. Using pre- and postdisaster data (N = 405) from the Resilience in Survivors of Katrina (RISK) project, we examined associations between PTSD symptoms, measured by the Impact of Event Scale-Revised (IES-R), and self-reported postdisaster asthma attacks. A 1-point increase in the IES-R avoidance score, which corresponded to one standard deviation change in this sample, was associated with double the odds of reporting an asthma attack or episode since the hurricane, 95% CI Revise spacing among characters: [1.22, 4.16]. Association with hyperarousal and intrusion symptoms was null. Further research using objective measures of asthma morbidity is needed; nevertheless, these findings may help inform postdisaster health services delivery and predisaster mitigation planning.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Asthma / epidemiology
  • Asthma / psychology*
  • Avoidance Learning
  • Black or African American / psychology
  • Black or African American / statistics & numerical data
  • Comorbidity
  • Cyclonic Storms*
  • Disasters*
  • Female
  • Humans
  • Logistic Models
  • Mothers / psychology*
  • Mothers / statistics & numerical data
  • New Orleans / epidemiology
  • Odds Ratio
  • Poverty
  • Prevalence
  • Resilience, Psychological*
  • Stress Disorders, Post-Traumatic / epidemiology
  • Stress Disorders, Post-Traumatic / physiopathology
  • Stress Disorders, Post-Traumatic / psychology*
  • Survivors / psychology*
  • Young Adult