Post-traumatic stress disorder symptomatology in people affected by home eviction in Spain

  1. Humbelina Robles Ortega 1
  2. Pedro Guerra 1
  3. Isis González Usera 1
  4. José Luis Mata Martín 1
  5. M. Carmen Fernández Santaella 1
  6. Jaime Vila 1
  7. Julia Bolívar Muñoz 2
  8. Mariola Bernal Solano 2
  9. Inmaculada Mateo Rodríguez 2
  10. Antonio Daponte Codina 2
  1. 1 Universidad de Granada
    info

    Universidad de Granada

    Granada, España

    ROR https://ror.org/04njjy449

  2. 2 Escuela Andaluza de Salud Pública
    info

    Escuela Andaluza de Salud Pública

    Granada, España

Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2017

Volumen: 20

Tipo: Artículo

DOI: 10.1017/SJP.2017.56 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Resumen

Despite the higher proportion of foreclosures and home evictions executed in Spain, compared to other countries, and the known link between social exclusion and mental health problems, studies exploring this association in Spain remain scarce. This study investigated the link between the process of home eviction and the appearance of symptomatology of post-traumatic stress disorder (PTSD), anxiety, depression, and perceived stress. Two hundred and five people affected by the process of home eviction were assessed using a structured interview that included three validated assessment instruments for PTSD, perceived stress, anxiety and depression. Analysis involved comparison with the normative groups that formed the validation studies together with regression analysis to determine the major psychological and socio-demographic predictors of perceived stress. Of the participants, 95.1% reported that they were experiencing the process of home eviction with fear, helplessness, or horror. In PTSD symptomatology, they scored higher than the normative PTSD group in symptoms of avoidance (t = 5.01; p < .05), activation (t = 5.48; p < .01), and total score (t = 4.15; p < .05). Of this subgroup, 72.5% fulfilled the DSM-IV symptom criteria for PTSD. The major predictor of perceived stress was PTSD symptomatology (B = .09; p < .001). The process of home eviction in Spain is having an alarming impact on mental health of affected people calling for effective measures to provide psychological and social support.

Referencias bibliográficas

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. (DSM-5). Washington, DC: APA.
  • Banco de España (2015). Nota informativa sobre los procesos de ejecución hipotecaria sobre viviendas [Information note on the processes of home foreclosure]. Madrid, Spain: Author.
  • Bennett G. G., Scharoun-Lee M., & Tucker-Seeley R. (2009). Will the public’s health fall victim to the home foreclosure epidemic? PLoS Medicine, 6, e1000087. https://doi.org/10.1371/journal.pmed.1000087
  • Bolívar Muñoz J., Bernal Solano M., Mateo Rodríguez I., Daponte Codina A., Escudero Espinosa C., Sánchez Cantalejo C., ... Vila Castellar J. (2016). La salud de las personas adultas afectadas por un proceso de desahucio [The health of adults undergoing an eviction process]. Gaceta Sanitaria 30, 4–10. https://doi.org/10.1016/j. gaceta.2015.10.002
  • Cacioppo J. T., Norris C. J., Decety J., Monteleone G., & Nusbaum H. (2009). In the eye of the beholder: Individual differences in perceived isolation predict regional brain activation to social stimuli. Journal of Cognitive Neuroscience, 21, 83–92. https://doi.org/10.1162/jocn.2009.21007
  • Cohen S., Kamarck T., & Mermelstein R. (1983). A global measure of perceived stress. Journal of Health and Social Behaviour, 24, 385–396. https://doi. org/10.2307/2136404
  • De las Cuevas C., González de Rivera J. L., Henry M., & Gracia R. (1991). Análisis factorial de la versión española del SCL-90-R en la población general [Factorial analysis of the Spanish version of the SCL-90-R in the general population]. Anales de Psiquiatría, 7, 93–96.
  • Derogatis L. R. (1994). Symptom checklist 90. administration scoring and procedures manual. Minneapolis, MN: National Computer Systems Inc.
  • Desmond M. (2012). Eviction and the reproduction of urban poverty. American Journal of Sociology, 118, 88–133. https://doi.org/10.1086/666082
  • Eagle G., & Kaminer D. (2013). Continuous traumatic stress: Expanding the lexicon of traumatic stress. Peace and Conflict: Journal of Peace Psychology, 19, 85–99. https://doi.org/10.1037/a0032485
  • Echeburúa E., Corral P., Amor P. J., Zubizarreta I., & Sarasua B. (1997). Escala de gravedad de síntomas del trastorno de estrés postraumático: Propiedades psicométricas [symptom severity scale posttraumatic stress disorder: Psychometric properties]. Análisis y Modificación de Conducta, 23, 503–526.
  • Eisenberger N. I., & Cole S. W. (2012). Social neuroscience and health. Neurophysiological mechanisms linking social ties with physical health. Nature Neuroscience, 15, 669–674. https://doi.org/10.1038/nn.3086
  • Eisenberger N. I., Master S. L., Inagaki T. K., Taylor S. E., Shirinyan D., Lieberman M. D., & Naliboff B. D. (2011). Attachment figures activate a safety signal-related neural region and reduce pain experience. Proceedings of the National Academy of Sciences, 118, 11721–11726. https://doi. org/10.1073/pnas.1108239108
  • Fernández Durán R. (2006). El Tsunami urbanizador español y mundial [The Spanish and global developer Tsunami]. Barcelona, Spain: Editorial Virus.
  • Fowler K. A., Gladden R. M., Vagi K. J., Barnes J., & Frazier L. (2015). Increase in suicides associated with home eviction and foreclosure during the US housing crisis: Findings from 16 national violent death reporting system states, 2005–2010. American Journal of Public Health, 105, 311–316. https://doi.org/10.2105/ AJPH.2014.301945
  • Gili M., Roca M., Basu S., McKee M., & Stuckler D. (2013). The mental health risks of economic crisis in Spain: Evidence from primary care centers, 2006 and 2010. European Journal of Public Health, 23, 103–108. https://doi.org/10.1093/eurpub/cks035
  • Guerra P., Sánchez-Adam A., Anllo-Vento L., Ramírez I., & Vila J. (2012). Viewing loved faces inhibits defense reactions: A health-promotion mechanism? PLoS One, 7, e41631. https://doi.org/10.1371/journal.pone.0041631
  • MacDonald G., & Leary M. R. (2005). Why does social exclusion hurt? The relationship between social and physical pain. Psychological Bulletin, 131, 202–223. https://doi.org/10.1037/0033-2909.131.2.202
  • McHenry J., Carrier N., Hull E., & Kabbaj M. (2014). Sex differences in anxiety and depression: Role of testosterone. Frontiers in Neuroendocrinology, 35, 42–57. http://doi.org/10.1016/j.yfrne.2013.09.001
  • McLaughlin K. A., Nandi A., Keyes K. M., Uddin M., Aiello A. E., Galea S., & Koenen K. C. (2012). Home foreclosure and risk of psychiatric morbidity during the recent financial crisis. Psychological Medicine, 42, 1441–1448. https://doi. org/10.1017/S0033291711002613
  • Ngun T. C., Ghahramani N., Sánchez F. J., Bocklandt S., & Vilain E. (2011). The genetics of sex differences in brain and behavior. Frontiers in Neuroendocrinology, 32, 227–246. https://doi.org/10.1016/j.yfrne.2010.10.001
  • Novoa A. M., Bosch J., Díaz F., Malmusi D., Darnell M., & Trilla C. (2014). Impact of the crisis on the relationship between housing and health. Policies for good practice to reduce inequalities in health related to housing conditions. Gaceta Sanitaria, 28, 44–50. https://doi.org/10.1016/j. gaceta.2014.02.018
  • Osypuk T. L., Caldwell C. H., Platt R. W., & Misra D. P. (2012). The consequences of foreclosure for depressive symptomatology. Annals of Epidemiology, 22, 379–387. https://doi.org/10.1016/j.annepidem.2012.04.012
  • Pevalin D. J. (2009). Housing repossessions, evictions and common mental illness in the UK: Results from a household panel study. Journal of Epidemiology and Community Health, 63, 949–951. https://doi. org/10.1136/jech.2008.083477
  • Ramis-Pujol J. (2014). Una aproximación multidisciplinar al desahucio hipotecario basada en estudios de caso [A multidisciplinary approach to mortgage eviction based on case studies]. Mallorca, Spain: Fundación Innovación, Acción y conocimiento. Universidad Ramón Llull. http://www.fiayc.org/fileserver2/61753948Desah uciosHipotecarios.EstudiosCaso.Ramis.Vcorta.pdf
  • Remor E. (2006). Psychometric properties of an European Spanish Version of the Perceived Stress Scale (PSS). The Spanish Journal of Psychology, 9, 86–93. https://doi. org/10.1017/S1138741600006004
  • Remor E., & Carrobles J. A. (2001). Versión española de la Escala de Estrés Percibido (PSS-14): Estudio psicométrico en una muestra de VIH+ [Spanish version of the Perceived Stress Scale (PSS-14): Psychometric study in a sample of HIV +]. Ansiedad y Estrés, 7, 195–201.
  • Robles Ortega H. (2014). Trastornos adaptativos [Adjustment disorders]. In V. E. Caballo, I. C. Salazar, & J. A. Carrobles (Eds.), Manual de psicopatología y trastornos psicológicos [Manual of Psychopathology and Psychological Disorders] (2nd Ed.). Madrid, Spain: Ediciones Pirámide.
  • Tolin D., & Foa E. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychologial Bulletin, 132, 959–992. https://doi.org/10.1037/0033-2909.132.6.959
  • Way B. M., & Taylor S. E. (2010). The serotonin transporter polymorphism is associated with cortisol response to psychosocial stress. Biological Psychiatry, 67, 487–492. https://doi.org/10.1016/j.biopsych.2009.10.021