“…A disaster of such magnitude has detrimental effects on people living in both directly and indirectly affected areas, as this disaster impacted coastal communities as well as members of the response and cleanup efforts who were not exclusively local residents (Aguilera, Mendez, Pasaro, & Laffon, 2010;Laffon, Pasaro, & Valdiglesias, 2016). Research on the health effects of the oil spill identified rises in reports of depression Buttke, Vagi, Schnall, et al, 2012;Fan, Prescott, Zhao, Gotway, & Galea, 2015;Kwok, McGrath, et al, 2017;Lowe et al, 2016;Osofsky, Osofsky, & Hansel, 2011;Rung et al, 2016). Also, increases in anxiety were found among persons residing in places impacted by the oil spill Buttke, Vagi, Schnall, et al, 2012;Gould, Teich, Pemberton, Pierannunzi, & Larson, 2015;Lowe et al, 2016;Osofsky et al, 2011).…”