Evidence map›Paper›PMID 27573281›Full record

ArticlePsychological medicine2017

Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys.

E J Bromet, L Atwoli, N Kawakami, F Navarro-Mateu, P Piotrowski, A J King, S Aguilar-Gaxiola, J Alonso, B Bunting, K Demyttenaere and 15 more

Open access · greenAbstract read
In one paragraph

Article in Psychological medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 5 pooled it
16.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 5 syntheses or guidelines pooled it, 189 citations in OpenAlex.

  1. Pooled it
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  5. Pooled it
  6. The disaster worker resiliency training program: a randomized clinical trial.International archives of occupational and environmental health · 2021
    Trial
  7. Review
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  15. Examining the experiences of prehospital emergency workers in emergency medical intervention during terrorist attacks: a qualitative study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 20 institutions in 14 countries.

E J BrometDepartment of Psychiatry,Stony Brook University School of Medicine,Stony Brook, NY,USA.
L AtwoliDepartment of Mental Health,Moi University School of Medicine,Eldoret,Kenya.
N KawakamiDepartment of Mental Health,School of Public Health,The University of Tokyo,Tokyo,Japan.
F Navarro-MateuSubdirección General de Salud Mental, Servicio Murciano de Salud, IMIB-Arrixaca, CIBER de Epidemiología y Salud Pública (CIBERESP),Murcia,Spain.
P PiotrowskiDepartment of Psychiatry,Wroclaw Medical University,Wroclaw,Poland.
A J KingDepartment of Health Care Policy,Harvard Medical School,Boston, MA,USA.
S Aguilar-GaxiolaUniversity of California Davis School of Medicine,Sacramento, CA,USA.
J AlonsoIMIM-Hospital del Mar Research Institute,Parc de Salut Mar,Barcelona,Spain.
B BuntingSchool of Psychology, University of Ulster,Londonderry,UK.
K DemyttenaereDepartment of Psychiatry,University Hospital Gasthuisberg, Katholieke Universiteit Leuven,Leuven,Belgium.
S FlorescuNational School of Public Health, Management and Professional Development,Bucharest,Romania.
G de GirolamoIRCCS St. John of God Clinical Research Centre,Brescia,Italy.
S GluzmanUkrainian Psychiatric Association,Kiev,Ukraine.
J M HaroParc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona,Barcelona,Spain.
P de JongeDepartment of Psychiatry,Interdisciplinary Center, Psychopathology and Emotion Regulation (ICPE), University Medical Center Groningen, University of Groningen,Groningen,The Netherlands.
E G KaramDepartment of Psychiatry and Clinical Psychology, Faculty of Medicine,Balamand University,Beirut,Lebanon.
S LeeDepartment of Psychiatry,Chinese University of Hong Kong,Tai Po,Hong Kong.
V Kovess-MasfetyEcole des Hautes Etudes en Santé Publique (EHESP), EA 4057 Paris Descartes University,Paris,France.
M E Medina-MoraRamon de la Fuente Muñiz National Institute of Psychiatry,Mexico City,Mexico.
Z MneimnehSurvey Research Center, Institute for Social Research, University of Michigan,Ann Arbor, MI,USA.
B-E PennellSurvey Research Center, Institute for Social Research, University of Michigan,Ann Arbor, MI,USA.
J Posada-VillaColegio Mayor de Cundinamarca University,Bogota,Colombia.
D SalmerónDepartment of Epidemiology,Department of Health and Social Sciences,Murcia Regional Health Council, IMIB-Arrixaca, CIBER Epidemiología y Salud Pública (CIBERESP), Universidad de Murcia,Murcia,Spain.
T TakeshimaDepartment of Health and Welfare for the Disabled,Health and Welfare Bureau,Kawasaki City,Japan.
R C KesslerDepartment of Health Care Policy,Harvard Medical School,Boston, MA,USA.
Harvard University · USUniversity of Michigan–Ann Arbor · USCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESChinese University of Hong Kong · CNÉcole des Hautes Études en Santé Publique · FRInstituto Nacional de Psiquiatría · MXKU Leuven · BEMoi University · KENational School of Public Health, Management and Professional Development · ROParc Sanitari Sant Joan de Déu · ESPompeu Fabra University · ESServicio Murciano de Salud · ESStony Brook University · USThe University of Tokyo · JPUniversidad Colegio Mayor de Cundinamarca · COUniversity of Balamand · LBUniversity of California, Davis · USUniversity of Groningen · NLUniversity of Ulster · GBWroclaw Medical University · PL

Funding

EPIDEMIOLOGY-- NATIONAL COMORBIDITY SURVEY REPLICATIONU01MH060220 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 1999 to 2010
$18.7M
Risk Factors for Psychopathology in the WHO WMH SurveysR01MH070884 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 2005 to 2009
$6.0M
Trauma, Stress, and Mental Health in South AfricaR01MH059575 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WILLIAMS, DAVID R · 1998 to 2007
$2.5M
Social Role Disability and Mental-Physical Co-MorbidityR01MH069864 · NIMH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI VON KORFF, MICHAEL R · 2004 to 2007
$2.2M
The Cross-National Epidemiology of Trauma Exposure and PTSDR01MH093612 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KOENEN, KARESTAN C · 2011 to 2013
$2.0M
COMORBID MENTAL DISORDERS IN PERIODS OF SOCIAL DISRUPTIOR01MH061905 · NIMH · STATE UNIVERSITY NEW YORK STONY BROOK · PI BROMET, EVELYN J · 2000 to 2004
$1.7M
CROSS-NATIONAL STUDIES OF DRUG INVOLVEMENT: WMH2000R01DA016558 · NIDA · MICHIGAN STATE UNIVERSITY · PI ANTHONY, JAMES CHRISTOPHER · 2003 to 2008
$1.7M
Drug Dependence Epidemiology and EnviromicsK05DA015799 · NIDA · MICHIGAN STATE UNIVERSITY · PI ANTHONY, JAMES CHRISTOPHER · 2003 to 2015
$1.4M
World Mental Health Consortium Annual Meeting 2003-07R13MH066849 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HEERINGA, STEVEN G · 2003 to 2007
$735k
Lebanon-Epidemiology: The NCS Replication StudyR03TW006481 · FIC · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 2004 to 2006
$142k
FIC NIH HHS R03 TW006481NIDA NIH HHS K05 DA015799NIDA NIH HHS R01 DA016558NIMH NIH HHS R01 MH059575NIMH NIH HHS R01 MH061905NIMH NIH HHS R01 MH069864NIMH NIH HHS R01 MH070884NIMH NIH HHS R01 MH093612NIMH NIH HHS R13 MH066849NIMH NIH HHS U01 MH060220
6 · The paper itself

Abstract

backgroundResearch on post-traumatic stress disorder (PTSD) following natural and human-made disasters has been undertaken for more than three decades. Although PTSD prevalence estimates vary widely, most are in the 20-40% range in disaster-focused studies but considerably lower (3-5%) in the few general population epidemiological surveys that evaluated disaster-related PTSD as part of a broader clinical assessment. The World Mental Health (WMH) Surveys provide an opportunity to examine disaster-related PTSD in representative general population surveys across a much wider range of sites than in previous studies.

methodAlthough disaster-related PTSD was evaluated in 18 WMH surveys, only six in high-income countries had enough respondents for a risk factor analysis. Predictors considered were socio-demographics, disaster characteristics, and pre-disaster vulnerability factors (childhood family adversities, prior traumatic experiences, and prior mental disorders).

resultsDisaster-related PTSD prevalence was 0.0-3.8% among adult (ages 18+) WMH respondents and was significantly related to high education, serious injury or death of someone close, forced displacement from home, and pre-existing vulnerabilities (prior childhood family adversities, other traumas, and mental disorders). Of PTSD cases 44.5% were among the 5% of respondents classified by the model as having highest PTSD risk.

conclusionDisaster-related PTSD is uncommon in high-income WMH countries. Risk factors are consistent with prior research: severity of exposure, history of prior stress exposure, and pre-existing mental disorders. The high concentration of PTSD among respondents with high predicted risk in our model supports the focus of screening assessments that identify disaster survivors most in need of preventive interventions.

Indexed as

Global HealthDeveloped CountriesDeveloping CountriesDisastersHealth SurveysHumansMental HealthModels, StatisticalRisk FactorsStress Disorders, Post-TraumaticDisasterpost-traumatic stress disorderPTSD

Identifiers

PMID27573281
PMCPMC5432967
OpenAlexW2509386772

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.