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 -