Evidence map›Paper›PMID 32522300›Full record

ArticleThe British journal of psychiatry : the journal of mental science2020

Assessing the relationship between psychosocial stressors and psychiatric resilience among Chilean disaster survivors.

Cristina A Fernandez, Karmel W Choi, Brandon D L Marshall, Benjamin Vicente, Sandra Saldivia, Robert Kohn, Karestan C Koenen, Kristopher L Arheart, Stephen L Buka

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
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  3. Review
  4. Climate Change and Substance-Use Behaviors: A Risk-Pathways Framework.Perspectives on psychological science : a journal of the Association for Psychological Science · 2023
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  5. Pre-pandemic resilience to trauma and mental health outcomes during COVID-19.Social psychiatry and psychiatric epidemiology · 2023
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  7. Potential resilience treatments for orangutans (Animal welfare (South Mimms, England) · 2023
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  9. Climate Change and Children's Mental Health: A Developmental Perspective.Clinical psychological science : a journal of the Association for Psychological Science · 2022
    Review
  10. Article
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  12. Review
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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

9 authors at 4 institutions in 2 countries.

Cristina A FernandezDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA; and Department of Epidemiology, Brown School of Public Health, Providence, RI, USA.ORCID 0000-0001-7360-9229
Karmel W ChoiDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Brandon D L MarshallDepartment of Epidemiology, Brown School of Public Health, Providence, RI, USA.
Benjamin VicenteDepartamento de Psiquiatría y Salud Mental, Universidad de Concepción, Concepción, Chile.
Sandra SaldiviaDepartamento de Psiquiatría y Salud Mental, Universidad de Concepción, Concepción, Chile.
Robert KohnDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, ProvidenceRI, USA.ORCID 0000-0001-8517-0719
Karestan C KoenenDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Kristopher L ArheartDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Stephen L BukaDepartment of Epidemiology, Brown School of Public Health, Providence, RI, USA.
Brown University · USHarvard University · USUniversity of Concepción · CLUniversity of Miami · US

Funding

Training Program in Psychiatric Genetics and Translational ResearchT32MH017119 · NIMH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KARESTAN C KOENEN, Jukka-Pekka Onnela · 1985 to 2026
$8.9M
Vulnerability to PTSD after a disaster: Clinical and public health implicationsF31MH104000 · NIMH · BROWN UNIVERSITY · PI FERNANDEZ, CRISTINA ANGELA · 2014 to 2015
$86k
NIMH NIH HHS F31 MH104000NIMH NIH HHS T32 MH017119
6 · The paper itself

Abstract

backgroundAccording to the stress inoculation hypothesis, successfully navigating life stressors may improve one's ability to cope with subsequent stressors, thereby increasing psychiatric resilience.

aimsAmong individuals with no baseline history of post-traumatic stress disorder (PTSD) and/or major depressive disorder (MDD), to determine whether a history of a stressful life event protected participants against the development of PTSD and/or MDD after a natural disaster.

methodAnalyses utilised data from a multiwave, prospective cohort study of adult Chilean primary care attendees (years 2003-2011; n = 1160). At baseline, participants completed the Composite International Diagnostic Interview (CIDI), a comprehensive psychiatric diagnostic instrument, and the List of Threatening Experiences, a 12-item questionnaire that measures major stressful life events. During the study (2010), the sixth most powerful earthquake on record struck Chile. One year later (2011), the CIDI was re-administered to assess post-disaster PTSD and/or MDD.

resultsMarginal structural logistic regressions indicated that for every one-unit increase in the number of pre-disaster stressors, the odds of developing post-disaster PTSD or MDD increased (OR = 1.21, 95% CI 1.08-1.37, and OR = 1.16, 95% CI 1.06-1.27 respectively). When categorising pre-disaster stressors, individuals with four or more stressors (compared with no stressors) had higher odds of developing post-disaster PTSD (OR = 2.77, 95% CI 1.52-5.04), and a dose-response relationship between pre-disaster stressors and post-disaster MDD was found.

conclusionsIn contrast to the stress inoculation hypothesis, results indicated that experiencing multiple stressors increased the vulnerability to developing PTSD and/or MDD after a natural disaster. Increased knowledge regarding the individual variations of these disorders is essential to inform targeted mental health interventions after a natural disaster, especially in under-studied populations.

Indexed as

DisastersResilience, PsychologicalAdultChileFemaleHumansMajor Depressive DisorderMaleMiddle AgedProspective StudiesRisk FactorsStress Disorders, Post-TraumaticSurvivorsdepressive disordersepidemiologylow- and middle-income countriesnatural disastersPost-traumatic stress disorder

Identifiers

PMID32522300
PMCPMC8268117
OpenAlexW3033980591

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.