PTSD symptom profiles among Louisiana women affected by the 2010 Deepwater Horizon Oil Spill: A latent profile analysis

Nugent, Nicole R.; Gaston, Symielle A.; Perry, Jacqueline; Rung, Ariane L.; Trapido, Edward; Peters, Edward S.

doi:10.1016/j.jad.2019.03.018

Cited by 14 publications

(10 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Southern Louisiana is a vulnerable, disaster-prone region with a highly stressed population. Recent disasters, such as the 2005 hurricanes and the 2010 Deepwater Horizon oil spill, have resulted in significant cumulative mental health impacts related to depression, anxiety, psychological distress, and posttraumatic stress disorder [ 14 - 17 ]. Mental health services were decimated following the 2005 hurricanes [ 16 , 18 ], resulting in residents receiving less mental health treatment than they required.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of a Mobile Mindfulness Meditation Intervention Among Women: Intervention Study

Rung¹,

Oral²,

Berghammer³

et al. 2020

JMIR Mhealth Uhealth

Self Cite

View full text Add to dashboard Cite

Background Traditional mindfulness-based stress reduction programs are resource intensive for providers and time- and cost-intensive for participants, but the use of mobile technologies may be particularly convenient and cost-effective for populations that are busy, less affluent, or geographically distant from skilled providers. Women in southern Louisiana live in a vulnerable, disaster-prone region and are highly stressed, making a mobile program particularly suited to this population. Objective This study aimed to (1) assess the feasibility and acceptability of a mobile mindfulness app in real-world conditions in a pilot study of a community sample of women residing in southern Louisiana, (2) describe predictors of app usage, and (3) assess the effect of the app on secondary health outcomes. Methods Women were recruited from an oil spill study on health. A total of 236 women completed a baseline survey, were offered the mobile mindfulness program, and completed a follow-up survey. Subjects were asked to download and use the app for at least 30 days for 10 min. All study procedures were completed on the web. Primary outcomes were feasibility and acceptability of the app and characteristics of app utilization. Secondary outcomes included mindfulness, depression, perceived stress, sleep quality, physical activity, BMI, and healthy eating. Results Overall, 74.2% (236/318) of subjects completed the follow-up survey, and 13.5% (43/318) used the app. The main barrier to app usage was lack of time, cited by 37% (16/43) of users and 48.7% (94/193) of nonusers of the app. Women who chose to use the app were more highly educated (16/43, 63% had a college education vs 65/193, 33.7% of nonparticipants; P<.001), had higher incomes (23/43, 58% had incomes >US $50,000 per year vs 77/193, 43.0% of nonparticipants), and were employed (34/43, 79% vs 122/193, 63.2% of nonparticipants; P=.047). Those who engaged with the app did so at high levels, with 72% (31/43) of participants self-reporting the completion of some or all sessions and 74% (32/43) reporting high levels of satisfaction with the app. Participation with the app had a beneficial impact on depression (odds ratio [OR] 0.3, 95% CI 0.11-0.81), sleep quality (OR 0.1, 95% CI 0.02-0.96), sleep duration (OR 0.3, 95% CI 0.07-0.86), sleep latency (OR 0.3, 95% CI 0.11-0.81), and physical activity (2.8 95% CI 1.0-7.8), but mindfulness scores did not change from baseline to follow-up. Conclusions The Headspace mobile mindfulness app was easy and cost-effective to implement and acceptable to those who participated, but few women elected to try it. The unique characteristics of this southern Louisiana population suggest that more intense promotion of the benefits of mindfulness training is needed, perhaps in conjunction with some therapist or researcher support. Several short-term benefits of the app were identified, particularly for depression and sleep.

show abstract

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of a Mobile Mindfulness Meditation Intervention Among Women: Intervention Study

Rung¹,

Oral²,

Berghammer³

et al. 2020

JMIR Mhealth Uhealth

Self Cite

View full text Add to dashboard Cite

show abstract

“…Mental health issues and memory loss were also significant issues among wives of clean-up workers (Rung et al 2015). In a latent profile analysis of post-traumatic stress disorder (PTSD) in women from the WaTCH study, Nugent et al (2019) found that women in the more symptomatic classes were more likely to have been impacted by the DWH oil spill compared to asymptomatic classes.…”

Section: Humansmentioning

confidence: 99%

A review of the toxicology of oil in vertebrates: what we have learned following the Deepwater Horizon oil spill

Takeshita

Bursian

Colegrove

et al. 2021

Journal of Toxicology and Environmental Health, Part B

Self Cite

View full text Add to dashboard Cite

In the wake of the Deepwater Horizon (DWH) oil spill, a number of government agencies, academic institutions, consultants, and nonprofit organizations conducted lab-and field-based research to understand the toxic effects of the oil. Lab testing was performed with a variety of fish, birds, turtles, and vertebrate cell lines (as well as invertebrates); field biologists conducted observations on fish, birds, turtles, and marine mammals; and epidemiologists carried out observational studies in humans. Eight years after the spill, scientists and resource managers held a workshop to summarize the similarities and differences in the effects of DWH oil on vertebrate taxa and to identify remaining gaps in our understanding of oil toxicity in wildlife and humans, building upon the cross-taxonomic synthesis initiated during the Natural Resource Damage Assessment. Across the studies, consistency was found in the types of toxic response observed in the different organisms. Impairment of stress responses and adrenal gland function, cardiotoxicity, immune system dysfunction, disruption of blood cells and their function, effects on locomotion, and oxidative damage were observed across taxa. This consistency suggests conservation in the mechanisms of action and disease pathogenesis. From a toxicological perspective, a logical progression of impacts was noted: from molecular and cellular effects that manifest as organ dysfunction, to systemic effects that compromise fitness, growth, reproductive potential, and survival. From a clinical perspective, adverse health effects from DWH oil spill exposure formed a suite of signs/symptomatic responses that at the highest doses/concentrations resulted in multi-organ system failure.

show abstract

“…Southern Louisiana is a vulnerable, disaster-prone region with a highly stressed population. Recent disasters, such as the 2005 hurricanes and the 2010 Deepwater Horizon oil spill, have resulted in significant cumulative mental health impacts related to depression, anxiety, psychological distress, and posttraumatic stress disorder [14][15][16][17]. Mental health services were decimated following the 2005 hurricanes [16,18], resulting in residents receiving less mental health treatment than they required.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of a Mobile Mindfulness Meditation Intervention Among Women: Intervention Study (Preprint)

Rung¹,

Oral²,

Berghammer³

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

BACKGROUND Traditional Mindfulness-Based Stress Reduction (MBSR) programs can be resource-intensive for providers and time- and cost-intensive for participants, but the use of mobile technologies may be particularly convenient and cost-effective for populations that are busy, less affluent, or geographically distant from skilled providers. Women in southern Louisiana live in a vulnerable, disaster-prone region and are highly stressed, making a mobile MBSR intervention particularly suited to exploring in this population. OBJECTIVE The objectives of this study were to assess the feasibility and acceptability of a mobile mindfulness intervention under real-world conditions in a pilot study among a community sample of women residing in southern Louisiana; to describe predictors of intervention usage; and to assess the effect of the intervention on secondary health outcomes. METHODS Women were recruited from a study of the health effects of an oil spill in southern Louisiana. 236 women completed a baseline survey, were offered the mobile mindfulness intervention, the smartphone- or web-based HeadspaceTM app, and completed a follow-up survey. All study procedures were completed online. The primary outcomes were feasibility and acceptability of the app and characteristics of app utilization. Secondary outcomes included mindfulness, depressive symptoms, perceived stress, sleep quality, spousal disagreement, physical activity, body mass index, tobacco and alcohol use, and healthy eating. RESULTS 74% of subjects completed the follow-up survey, and 14% participated in the intervention, defined as logging into the HeadspaceTM app at least once. The main barrier to app usage was a lack of time, cited by 37% of users and 49% of non-users of the app. Women who chose to use the app tended to be more highly educated (63% had at least a college education vs. 34% of non-participants, P<.001), have higher incomes (58% had incomes >$50,000/yr vs. 43% of non-participants), and be employed (79% vs 63% of non-participants, P=.047). Those who did engage with the app did so at high levels, with 72% of participants self-reporting completion of some if not all of the sessions, and 74% reporting high levels of satisfaction with the app. Participation with the app had a beneficial impact on depressive symptoms (OR 0.3, 95% CI 0.11-0.81), sleep quality (OR 0.1, 95% CI 0.02-0.96), sleep duration (OR 0.3, 95% CI 0.07-0.86), sleep latency (OR 0.3, 95% CI 0.11-0.81), physical activity (2.8 95% CI 1.0-7.8), and fruit and vegetable intake (OR 3.0, 95% CI 1.00-8.83), but mindfulness scores, other sleep indicators, perceived stress, and BMI did not change from baseline to follow-up CONCLUSIONS The HeadspaceTM mobile mindfulness app was feasible to implement as an intervention and acceptable to those who chose to participate in this sample of southern Louisiana women. Several short-term benefits of the intervention were identified, particularly for depression and sleep.

show abstract

PTSD symptom profiles among Louisiana women affected by the 2010 Deepwater Horizon Oil Spill: A latent profile analysis

Cited by 14 publications

References 54 publications

Feasibility and Acceptability of a Mobile Mindfulness Meditation Intervention Among Women: Intervention Study

Feasibility and Acceptability of a Mobile Mindfulness Meditation Intervention Among Women: Intervention Study

A review of the toxicology of oil in vertebrates: what we have learned following the Deepwater Horizon oil spill

Feasibility and Acceptability of a Mobile Mindfulness Meditation Intervention Among Women: Intervention Study (Preprint)

Contact Info

Product

Resources

About