A Longitudinal Study of the Bidirectional Relationship Between Social Support and Posttraumatic Stress Following a Natural Disaster

Jonathan M. Platt, Sarah Lowe, Sandro Galea, Fran H. Norris, Karestan C. Koenen

Research output: Contribution to journalArticleResearchpeer-review

13 Citations (Scopus)

Abstract

There is ample evidence that social support is protective against posttraumatic stress (PTS) symptoms through social causation processes. It is also likely that PTS is associated with decreased social support through social selection processes. Few studies, however, have examined the longitudinal and bidirectional associations between social support and PTS in a postdisaster context, and whether such associations vary by type of support (e.g., emotional, informational, or tangible). We examined these relationships using Galveston Bay Recovery Study data. Participants (N = 658) were interviewed 2–6 months (W1), 5–9 months (W2), and 14–19 months (W3) after Hurricane Ike in 2008. Longitudinal relationships between each support type and PTS were examined in cross-lagged models. W1 emotional support was negatively associated with W2 PTS (Estimate = –.13, p =.007), consistent with social causation. W1 PTS was negatively associated with W2 emotional support (Estimate = –.14, p =.019), consistent with social selection. In contrast, pathways were nonsignificant at subsequent waves and for informational and tangible support. Results suggested that postdisaster social causation and selection were limited to emotional support and diminish over time. Based on these findings, postdisaster services should emphasize restoring supportive social connections to minimize the psychiatric consequences of disaster, especially among those with prior evidence of distress.

Original languageEnglish
Pages (from-to)205-213
Number of pages9
JournalJournal of Traumatic Stress
Volume29
Issue number3
DOIs
StatePublished - 1 Jun 2016

Fingerprint

Disasters
Social Support
Causality
Longitudinal Studies
Cyclonic Storms
Psychiatry

Cite this

Platt, Jonathan M. ; Lowe, Sarah ; Galea, Sandro ; Norris, Fran H. ; Koenen, Karestan C. / A Longitudinal Study of the Bidirectional Relationship Between Social Support and Posttraumatic Stress Following a Natural Disaster. In: Journal of Traumatic Stress. 2016 ; Vol. 29, No. 3. pp. 205-213.
@article{bfebb455171a4b1a94a18120d44dab31,
title = "A Longitudinal Study of the Bidirectional Relationship Between Social Support and Posttraumatic Stress Following a Natural Disaster",
abstract = "There is ample evidence that social support is protective against posttraumatic stress (PTS) symptoms through social causation processes. It is also likely that PTS is associated with decreased social support through social selection processes. Few studies, however, have examined the longitudinal and bidirectional associations between social support and PTS in a postdisaster context, and whether such associations vary by type of support (e.g., emotional, informational, or tangible). We examined these relationships using Galveston Bay Recovery Study data. Participants (N = 658) were interviewed 2–6 months (W1), 5–9 months (W2), and 14–19 months (W3) after Hurricane Ike in 2008. Longitudinal relationships between each support type and PTS were examined in cross-lagged models. W1 emotional support was negatively associated with W2 PTS (Estimate = –.13, p =.007), consistent with social causation. W1 PTS was negatively associated with W2 emotional support (Estimate = –.14, p =.019), consistent with social selection. In contrast, pathways were nonsignificant at subsequent waves and for informational and tangible support. Results suggested that postdisaster social causation and selection were limited to emotional support and diminish over time. Based on these findings, postdisaster services should emphasize restoring supportive social connections to minimize the psychiatric consequences of disaster, especially among those with prior evidence of distress.",
author = "Platt, {Jonathan M.} and Sarah Lowe and Sandro Galea and Norris, {Fran H.} and Koenen, {Karestan C.}",
year = "2016",
month = "6",
day = "1",
doi = "10.1002/jts.22092",
language = "English",
volume = "29",
pages = "205--213",
journal = "Journal of traumatic stress",
issn = "0894-9867",
publisher = "Wiley-Blackwell",
number = "3",

}

A Longitudinal Study of the Bidirectional Relationship Between Social Support and Posttraumatic Stress Following a Natural Disaster. / Platt, Jonathan M.; Lowe, Sarah; Galea, Sandro; Norris, Fran H.; Koenen, Karestan C.

In: Journal of Traumatic Stress, Vol. 29, No. 3, 01.06.2016, p. 205-213.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - A Longitudinal Study of the Bidirectional Relationship Between Social Support and Posttraumatic Stress Following a Natural Disaster

AU - Platt, Jonathan M.

AU - Lowe, Sarah

AU - Galea, Sandro

AU - Norris, Fran H.

AU - Koenen, Karestan C.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - There is ample evidence that social support is protective against posttraumatic stress (PTS) symptoms through social causation processes. It is also likely that PTS is associated with decreased social support through social selection processes. Few studies, however, have examined the longitudinal and bidirectional associations between social support and PTS in a postdisaster context, and whether such associations vary by type of support (e.g., emotional, informational, or tangible). We examined these relationships using Galveston Bay Recovery Study data. Participants (N = 658) were interviewed 2–6 months (W1), 5–9 months (W2), and 14–19 months (W3) after Hurricane Ike in 2008. Longitudinal relationships between each support type and PTS were examined in cross-lagged models. W1 emotional support was negatively associated with W2 PTS (Estimate = –.13, p =.007), consistent with social causation. W1 PTS was negatively associated with W2 emotional support (Estimate = –.14, p =.019), consistent with social selection. In contrast, pathways were nonsignificant at subsequent waves and for informational and tangible support. Results suggested that postdisaster social causation and selection were limited to emotional support and diminish over time. Based on these findings, postdisaster services should emphasize restoring supportive social connections to minimize the psychiatric consequences of disaster, especially among those with prior evidence of distress.

AB - There is ample evidence that social support is protective against posttraumatic stress (PTS) symptoms through social causation processes. It is also likely that PTS is associated with decreased social support through social selection processes. Few studies, however, have examined the longitudinal and bidirectional associations between social support and PTS in a postdisaster context, and whether such associations vary by type of support (e.g., emotional, informational, or tangible). We examined these relationships using Galveston Bay Recovery Study data. Participants (N = 658) were interviewed 2–6 months (W1), 5–9 months (W2), and 14–19 months (W3) after Hurricane Ike in 2008. Longitudinal relationships between each support type and PTS were examined in cross-lagged models. W1 emotional support was negatively associated with W2 PTS (Estimate = –.13, p =.007), consistent with social causation. W1 PTS was negatively associated with W2 emotional support (Estimate = –.14, p =.019), consistent with social selection. In contrast, pathways were nonsignificant at subsequent waves and for informational and tangible support. Results suggested that postdisaster social causation and selection were limited to emotional support and diminish over time. Based on these findings, postdisaster services should emphasize restoring supportive social connections to minimize the psychiatric consequences of disaster, especially among those with prior evidence of distress.

UR - http://www.scopus.com/inward/record.url?scp=85027952306&partnerID=8YFLogxK

U2 - 10.1002/jts.22092

DO - 10.1002/jts.22092

M3 - Article

VL - 29

SP - 205

EP - 213

JO - Journal of traumatic stress

JF - Journal of traumatic stress

SN - 0894-9867

IS - 3

ER -