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Mental Health Impacts of Tornadoes: A Systematic Review

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  • Sangwon Lee

    (College of Social Work, University of Tennessee, Knoxville, TN 37996, USA)

  • Jennifer M. First

    (College of Social Work, University of Tennessee, Knoxville, TN 37996, USA)

Abstract

Tornadoes are one of the most prevalent natural hazards in the United States, yet they have been underrepresented in the disaster mental health comprehensive literature. In the current study, we systematically reviewed available scientific evidence within published research journals on tornadoes and mental health from 1994 to 2021. The electronic search strategy identified 384 potentially relevant articles. Of the 384 articles, 29 articles met the inclusion criteria, representing 27,534 participants. Four broad areas were identified: (i) Mental health impacts of tornadoes; (ii) Risk factors; (iii) Protective factors; and (iv) Mental health interventions. Overall, results showed adverse mental health symptoms (e.g., post-traumatic stress disorder, depression, anxiety) in both adult and pediatric populations. A number of risk factors were found to contribute to negative mental health, including demographics, tornado exposure, post-tornado stressors, and prior exposure to trauma. Protective factors found to contribute to positive outcomes included having access to physical, social, and psychological resources. Together, these findings can serve as an important resource for future mental health services in communities experiencing tornadoes.

Suggested Citation

  • Sangwon Lee & Jennifer M. First, 2022. "Mental Health Impacts of Tornadoes: A Systematic Review," IJERPH, MDPI, vol. 19(21), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:13747-:d:950525
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    References listed on IDEAS

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    1. Lisa Reyes Mason & Bonita B. Sharma & Jayme E. Walters & Christine C. Ekenga, 2020. "Mental Health and Weather Extremes in a Southeastern U.S. City: Exploring Group Differences by Race," IJERPH, MDPI, vol. 17(10), pages 1-18, May.
    2. Yukari Yokoyama & Kotaro Otsuka & Norito Kawakami & Seiichiro Kobayashi & Akira Ogawa & Kozo Tannno & Toshiyuki Onoda & Yumi Yaegashi & Kiyomi Sakata, 2014. "Mental Health and Related Factors after the Great East Japan Earthquake and Tsunami," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-10, July.
    3. Jennifer M. First & Kelsey Ellis & Mary Lehman Held & Florence Glass, 2021. "Identifying Risk and Resilience Factors Impacting Mental Health among Black and Latinx Adults following Nocturnal Tornadoes in the U.S. Southeast," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
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    Cited by:

    1. Sangwon Lee & Jennifer M. First, 2023. "Investigation of the Microenvironment, Land Cover Characteristics, and Social Vulnerability of Heat-Vulnerable Bus Stops in Knoxville, Tennessee," Sustainability, MDPI, vol. 15(14), pages 1-12, July.

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