Objective: Although disasters are a major cause of mental health problems and typically affect large numbers of people and communities, little is known about how social structures affect mental health after a disaster. The authors assessed the extent to which mental health outcomes after disaster are associated with social network structures.
Method: In a community-based cohort study of survivors of a major bushfire disaster, participants (N=558) were assessed for probable posttraumatic stress disorder and probable depression. Social networks were assessed by asking participants to nominate people with whom they felt personally close. These nominations were used to construct a social network map that showed each participant’s ties to other participants they nominated and also to other participants who nominated them. This map was then analyzed for prevailing patterns of mental health outcomes.
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The participant will interpret how a social network approach to mental health differentiates itself from the conventional statistical approaches most often used in postdisaster research.
This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.
Duration: 1 hour
Begin Date: March 1, 2017
End Date: February 28, 2019
In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™). A score of 60% or higher is required to receive credit.
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Title: Mental Health and Social Networks After Disaster
Authors: Richard A. Bryant, Ph.D., H. Colin Gallagher, Ph.D., Lisa Gibbs, Ph.D., Philippa Pattison, Ph.D., Colin MacDougall, Ph.D., Louise Harms, Ph.D., Karen Block, Ph.D., Elyse Baker, B.Sc., Vikki Sinnott, B.A., Greg Ireton, Ph.D., John Richardson, B.A., David Forbes, Ph.D., Dean Lusher, Ph.D.
Affiliations: From the School of Psychology, University of New South Wales, Sydney (R.A.B.); the Melbourne School of Psychological Sciences, University of Melbourne, Melbourne (H.C.G.); the Jack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, Melbourne (L.G., K.B., E.B., G.I., J.R.); the Office of the Deputy Vice-Chancellor (Education), University of Sydney, Sydney (P.P.); the Southgate Institute for Health, Society, and Equity, Flinders University, Adelaide (C.M.D.); the Department of Social Work, University of Melbourne, Melbourne (L.H.); the Victorian Department of Health and Human Services, Melbourne (V.S.); the Centre for Disaster Management and Public Safety, University of Melbourne, Melbourne (G.I.); Emergency Services, Australian Red Cross, Melbourne (R.A.B., J.R.); Phoenix Australia–Centre for Posttraumatic Mental Health, University of Melbourne, Melbourne (D.F.); and the Centre for Transformative Innovation, Swinburne University of Technology, Melbourne (D.L.).
Disclosures: The authors report no financial relationships with commercial interests.
Discussion of unapproved or investigational use of products*: No.
*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.
Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP); Michael A. Pogachar (Online Content Manager, Journals).
Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.
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