Survivors of Human-Caused and Natural DisastersA National Center for PTSD Fact SheetEvery year, millions of Americans are affected by both human-caused and natural disasters, such as earthquakes, floods, hurricanes, tornados, and wildfires. Survivors face the danger of death or physical injury and the possible loss of their homes, possessions, and communities. Such stressors place survivors at risk for behavioral and emotional readjustment problems. This fact sheet considers three questions often asked by survivors: What psychological problems might one experience as a result of surviving a disaster? What factors increase the risk of readjustment problems? What can survivors do to reduce the risk of negative psychological consequences and to best recover from disaster stress? What psychological problems might one experience as a result of surviving a disaster?Most child and adult survivors experience one or more of these normal stress reactions for several days:
Most disaster survivors only experience mild, normal stress reactions, and disaster experiences may even promote personal growth and strengthen relationships. However, as many as one out of every three disaster survivors experience some or all of the following severe stress symptoms, which may lead to lasting Posttraumatic Stress Disorder (PTSD), anxiety disorders, or depression:
What factors increase the risk of readjustment problems?Survivors are at greatest risk for severe stress symptoms and lasting readjustment problems if any of the following are either directly experienced or witnessed during or after the disaster:
Some individuals have a higher than typical risk for severe stress symptoms and lasting PTSD, including those with a history of:
Disaster stress may revive memories of prior trauma, and may intensify preexisting social, economic, spiritual, psychological, or medical problems. What can survivors do to reduce the risk of negative psychological consequences and to best recover from disaster stress?Researchers are beginning to conduct studies to answer this question. Observations by disaster mental-health specialists who assist survivors in the wake of disaster suggest that the following steps help to reduce stress symptoms and to promote postdisaster readjustment.* Protect: Find a safe haven that provides shelter; food and liquids; sanitation; privacy; and chances to sit quietly, relax, and sleep at least briefly. Direct: Begin setting and working on immediate personal and family priorities to enable you and your significant others to preserve or regain a sense of hope, purpose, and self-esteem. Connect: Maintain or reestablish communication with family, peers, and counselors in order to talk about your experiences. Take advantage of opportunities to "tell your story" and to be a listener to others as they tell theirs, so that you and they can release the stress a little bit at a time. Select: Identify key resources, such as FEMA (Federal Emergency Management Agency), the Red Cross, the Salvation Army, or the local and state health departments, for clean-up, health, housing, and basic emergency assistance. Taking each day one at a time is essential in disaster's wake. Each day is a new opportunity to FILL-UP:
See Self-Care for Survivors of Disasters for more information on specific coping strategies in the wake of a disaster. * The construct "Protect, Direct, Connect, Select" was developed by Diane Myers, unpublished manuscript. The information on this Web site is presented for educational purposes only. It is not a substitute for informed medical advice or training. Do not use this information to diagnose or treat a mental health problem without consulting a qualified health or mental health care provider. All information contained on these pages is in the public domain unless explicit notice is given to the contrary, and may be copied and distributed without restriction. For more information call the PTSD Information Line at (802) 296-6300 or send email to ncptsd@ncptsd.org. This page was last updated on Wed May 14 15:15:47 2003. |