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The secondary stress factors influencing the onset of mental disorders following a disaster

Korean Journal of Social and Personality Psychology / Korean Journal of Social and Personality Psychology, (P)1229-0653;
2020, v.34 no.2, pp.19-36
https://doi.org/10.21193/kjspp.2020.34.2.002




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Abstract

This study aimed to examine which secondary stress factors served as greater risk factors for the onset of mental disorders following a disaster. For this purpose, disaster victim follow-up data from the National Disaster Management Research Institute, obtained between 2012 and 2017, were used to analyze data of victims who showed no symptoms of mental illness for a period of three months prior to the disaster (n=1390). The participants were divided into two groups: those that developed a mental disorder after a disaster (n=156) and those that did not (n=1234). Logistic regression analysis was then performed to determine whether demographic factors, disaster-related factors, psychological factors, primary stress factors, and secondary stress factors predicted the onset of mental disorder following a disaster. The results showed that the risk of developing a mental disorder following a disaster was higher among women, older age, lower monthly income, victims of a social disaster, victims who suffered an injury or disease due to the disaster, and victims who were experiencing high levels of depression and post traumatic stress symptoms at the time of the study. Among secondary stress factors, the risk of developing a mental disorder following a disaster was higher among victims who experienced conflict with neighbors, local and national governments, when the disaster relief service or information provided during the recovery process was unreliable, when the government delivered inadequate medical support, and a decrease in asset. These results suggested that secondary stress management should be included as important factors for consideration in the mental health coping strategies of victims of disasters.

keywords
재난 피해자, 재난 후 정신질환 발병, 이차 스트레스, 로지스틱 회귀분석, disaster victims, the onset of mental disorders following a disaster, secondary stress, logistic regression analysis

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Korean Journal of Social and Personality Psychology