Disaster Exposure, the Perception of Physiological Pain, and Psychological Distress Across Adulthood
Author ORCID Identifier
Semester
Summer
Date of Graduation
2026
Document Type
Thesis
Degree Type
MS
College
Eberly College of Arts and Sciences
Department
Psychology
Committee Chair
JoNell Strough
Committee Member
Ryan Best
Committee Member
Kevin T. Larkin
Abstract
Climate change brings with it an increase in the occurrence of natural disasters, such as hurricanes, wildfires, severe storms, etc. In the aftermath, afflicted individuals may suffer adversely, especially in their physical and mental health. Previous research has found older adults to be faring better after experiencing a disaster compared to younger adults, which has been attributed to their better mental health associated with aging and gaining experience with adversities (Strough et al., 2023; 2025). The current study examined the psychological distress and physiological pain of individuals across the adult lifespan after experiencing a disaster. Participants were part of the Understanding America Study (UAS), a national U.S. panel, who completed surveys UAS 588 and UAS 592 in December 2023 and January 2024, respectively (N=9,192). Psychological distress of participants (anxiety and depression symptoms) was measured through the 4-item Patient Health Questionnaire (PHQ-4), and physiological pain was measured by two single item indicators for pain intensity and severity. Hierarchical moderated regressions found experiencing a disaster was associated with higher psychological distress for younger adults, compared to those that did not experience a disaster, while older adults reported low distress in both conditions. Experiencing a disaster was also associated with higher pain intensity and severe pain severity ratings, and this association was more pronounced at younger ages. An exploratory three-way interaction of age, disaster experience, and pain intensity was not significantly associated with psychological distress. Future research needs to focus on improving post-disaster mental and physical health of younger adults by providing them adequate resources and support, and building on the resilience of older adults, so their mental health advantages may be capitalized.
Recommended Citation
Azhar, Esha, "Disaster Exposure, the Perception of Physiological Pain, and Psychological Distress Across Adulthood" (2026). Graduate Theses, Dissertations, and Problem Reports (ETD). 13375.
https://researchrepository.wvu.edu/etd/13375