caa a22 4500 606203672 CHVBK 20210128100958.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s10484-015-9270-4 doi (NATIONALLICENCE)springer-10.1007/s10484-015-9270-4 Stress and Cortisol in Disaster Evacuees: An Exploratory Study on Associations with Social Protective Factors [Elektronische Daten] [David Thompson, Inka Weissbecker, Elizabeth Cash, David Simpson, Meagan Daup, Sandra Sephton] Though cumulative emotional and physical effects of disasters may diminish evacuees' short and long-term mental and physical health, social factors may buffer such consequences. We approached survivors of the October 2007 San Diego, California firestorms. We gathered data during the evacuation and 3months afterward. Questionnaires measured social support as well as PTSD, depression, and anxiety symptoms. Saliva samples were used to assess the stress hormone, cortisol. Analyses, adjusting for age, gender, and socioeconomic status, showed PTSD symptoms were associated with flattening of the diurnal cortisol rhythm during evacuation. Secondary analyses showed those reporting a family emphasis on moral and religious values had lower psychological distress. Though anxiety symptoms had significantly decreased in the overall sample at follow-up, blunted cortisol rhythms persisted among those individuals with continued high anxiety. Results highlight a possible psychological, and perhaps a physiological, benefit of social and existential factors in disaster situations. Future work should explore the role of psychosocial factors and stress physiology in the development of long-term health concerns among individuals exposed to disaster. Springer Science+Business Media New York, 2015 Diurnal cortisol rhythm nationallicence Disaster evacuees nationallicence PTSD nationallicence Anxiety nationallicence Social protective factor nationallicence Thompson David School for Social Service Administration, University of Chicago, Chicago, IL, USA aut Weissbecker Inka International Medical Corps, Washington, DC, USA aut Cash Elizabeth Department of Surgery, University of Louisville School of Medicine, Louisville, KY, USA aut Simpson David Center for Hazards Research and Policy Development, University of Louisville, Louisville, KY, USA aut Daup Meagan Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, USA aut Sephton Sandra Center for Hazards Research and Policy Development, University of Louisville, Louisville, KY, USA aut Applied Psychophysiology and Biofeedback Springer US; http://www.springer-ny.com 40/1(2015-03-01), 33-44 1090-0586 40:1<33 2015 40 10484 https://doi.org/10.1007/s10484-015-9270-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10484-015-9270-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Thompson David School for Social Service Administration, University of Chicago, Chicago, IL, USA aut NATIONALLICENCE 700 1- Weissbecker Inka International Medical Corps, Washington, DC, USA aut NATIONALLICENCE 700 1- Cash Elizabeth Department of Surgery, University of Louisville School of Medicine, Louisville, KY, USA aut NATIONALLICENCE 700 1- Simpson David Center for Hazards Research and Policy Development, University of Louisville, Louisville, KY, USA aut NATIONALLICENCE 700 1- Daup Meagan Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, USA aut NATIONALLICENCE 700 1- Sephton Sandra Center for Hazards Research and Policy Development, University of Louisville, Louisville, KY, USA aut NATIONALLICENCE 773 0- Applied Psychophysiology and Biofeedback Springer US; http://www.springer-ny.com 40/1(2015-03-01), 33-44 1090-0586 40:1<33 2015 40 10484