TY - JOUR PY - 2019// TI - Post-Hurricane Distress Scale (PHDS): a novel tool for first responders and disaster researchers JO - Disaster medicine and public health preparedness A1 - Carl, Yonatan A1 - Ortiz, Ediricardo Rodríguez A1 - Cintrón, Moisés A1 - Vega, Andy A1 - Font, Cristina A1 - Stukova, Marina A1 - Blundell, Andrew A1 - Gutierréz, Ashley N. A1 - Burgos, Raúl Ferrer SP - 82 EP - 89 VL - 13 IS - 1 N2 - OBJECTIVE: The aim of this study was the construction and validation of a novel research instrument to quantify the degree of post-hurricane trauma and distress in an affected population. The Post-Hurricane Distress Scale (PHDS) has quantitative measures of both acute and prolonged distress, attributable to meteorological and hydrological disasters.

METHODS: A careful evaluation of existing questionnaires, as well as extensive canvasing of the post-Maria population of Puerto Rico, availed the construction of the PHDS. The PHDS consists of 20 items, organized into 4 subscales. The PHDS was pre-validated (n=79), revised, and then distributed to a broad sampling of the post-Hurricane Maria Puerto Rican population (n=597). Validation, including factor analysis, analyses of concurrent validity, discriminant validity, and internal reliability, was performed.

RESULTS: After comparing various scales, factor loading profiles, concurrent validities, and models of fit, we show that the PHDS is best scored as a single 0-6 distress scale. When compared with the Traumatic Exposure Severity Scale, the PHDS shows superior concurrent validity, more accurately predicting scores for the Peritraumatic Distress Inventory, Impact of Event Scale - Revised, and Generalized Anxiety Disorder 7 Scale. The PHDS shows good internal reliability and discriminant validity.

CONCLUSIONS: The PHDS represents a novel, useful instrument for disaster first-responders and researchers. The prompt identification of high-risk populations is possible using this instrument. (Disaster Med Public Health Preparedness. 2019;13:82-89).

Language: en

LA - en SN - 1935-7893 UR - http://dx.doi.org/10.1017/dmp.2019.12 ID - ref1 ER -