Evidence map›Paper›PMID 29199841›Full record

ArticlePsychological trauma : theory, research, practice and policy2018

Cumulative effects of the Gulf oil spill and other disasters on mental health among reproductive-aged women: The Gulf Resilience on Women's Health study.

Emily W Harville, Arti Shankar, Christine Dunkel Schetter, Maureen Lichtveld

Open access · hybridAbstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

22 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Longitudinal effects of bushfire harm on adolescent mental health.The Australian and New Zealand journal of psychiatry · 2026
    Article
  3. Review
  4. Residential natural hazard risk and mental health effects.American journal of epidemiology · 2025
    Article
  5. Article
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  14. Article
  15. Natural hazards and mental health among US Gulf Coast residents.Journal of exposure science & environmental epidemiology · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. The effects of cumulative natural disaster exposure on adolescent psychological distress.The journal of applied research on children : informing policy for children at risk · 2021
    Article
  20. Review
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

4 authors at 2 institutions in 1 country.

Emily W HarvilleDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine.
Arti ShankarDepartment of Biostatistics and Bioinformatics, Tulane University School of Public Health and Tropical Medicine.
Christine Dunkel SchetterDepartment of Psychology, University of California-Los Angeles.
Maureen LichtveldDepartment of Global Environmental Health Sciences, Tulane University School of Public Health and Tropical Medicine.
Tulane University · USUniversity of California, Los Angeles · US

Funding

Transdisciplinary Research Consortium for Gulf Resilience on Women's HealthU19ES020677 · NIEHS · TULANE UNIVERSITY OF LOUISIANA · PI LICHTVELD, MAUREEN Y. · 2011 to 2015
$7.1M
Baton Rouge Area FoundationNational Institutes of HealthNIEHS NIH HHS U19 ES020677
6 · The paper itself

Abstract

objectiveTo test whether effects of multiple (up to 5) disasters on mental health responses were cumulative (additive effects), or whether an earlier disaster produced sensitization (higher) or habituation (lower) responses to a later one.

methodThe Gulf Resilience on Women's Health study interviewed 1,366 southern Louisiana women regarding their exposure to Hurricanes Katrina, Rita, Gustav, and Ike and the Gulf oil spill (measured several ways), and administered validated measures of symptoms of depression and posttraumatic stress disorder (PTSD). Multiple linear and logistic regression with disaster exposures entered singly, combined, and as an interaction were used to model mental health.

resultsBoth exposure to the oil spill and hurricane disaster were associated with likely depression and PTSD, consistent with a cumulative model, but we did not find statistical interactions that would suggest sensitization or habituation. When results were examined with continuous symptom measures of depression and PTSD, they were similar, with the exception that exposure to the oil spill and experiencing illness or injury because of the hurricane disaster showed a significant interaction (p < .05) in a manner consistent with a sensitization effect when predicting PTSD symptoms. The results of this study point mainly to a cumulative risk for the mental health effects of multiple disasters, although some indication of sensitization occurred among those with particularly severe experiences. There was no evidence for habituation.

conclusionsThese findings may guide efforts to assist those in regions experiencing multiple disasters that occur in close sequence. (PsycINFO Database Record

Indexed as

Cyclonic StormsDisastersMental HealthPetroleum PollutionAdolescentAdultCohort StudiesDepressionFemaleGulf of AmericaHabituation, PsychophysiologicHumansLinear ModelsLogistic ModelsLouisianaMiddle Aged

Identifiers

PMID29199841
PMCPMC10948975
OpenAlexW2773996071

What OpenQuestion holds

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Registered trials

None linked

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.