TY - JOUR PY - 2017// TI - The role of peri-traumatic stress and disruption distress in predicting symptoms of major depression following exposure to a natural disaster JO - Australian and New Zealand journal of psychiatry A1 - Bell, Caroline J. A1 - Boden, Joseph M. A1 - Horwood, L. John A1 - Mulder, Roger T. SP - 711 EP - 718 VL - 51 IS - 7 N2 - OBJECTIVE: Few studies have examined the contribution of specific disaster-related experiences to symptoms of depression. The aims of this study were to do this by examining the roles of peri-traumatic stress and distress due to lingering disaster-related disruption in explaining linkages between disaster exposure and major depressive disorder symptoms among a cohort exposed to the 2010-2011 Canterbury (New Zealand) earthquakes.

METHODS: Structural equation models were fitted to data obtained from the Christchurch Health and Development Study at age 35 ( n = 495), 20-24 months following the onset of the disaster. Measures included earthquake exposure, peri-traumatic stress, disruption distress and symptoms of major depressive disorder.

RESULTS: The associations between earthquake exposure and major depression were explained largely by the experience of peri-traumatic stress during the earthquakes (β = 0.180, p < 0.01) and not by disruption distress following the earthquakes (β = 0.048, p = 0.47).

CONCLUSION: The results suggest that peri-traumatic stress has been under-recognised as a predictor of major depressive disorder.

Language: en

LA - en SN - 0004-8674 UR - http://dx.doi.org/10.1177/0004867417691852 ID - ref1 ER -