ArticlePsychiatry and clinical neurosciences2022
Uncovering heterogeneous associations of disaster-related traumatic experiences with subsequent mental health problems: A machine learning approach.
Article in Psychiatry and clinical neurosciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- AI applications in disaster governance with health approach: A scoping review.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Heterogeneous Associations Between Frequent Virtual Communication and Loneliness Among Older Adults: Observational Analysis.Journal of medical Internet research · 2026Observational
- Individual differences in effects of stressful life events on childhood ADHD: genetic, neural, and familial contributions.Journal of child psychology and psychiatry, and allied disciplines · 2026Article
- Machine learning in mental health promotion for older adults: a scoping review.BMC geriatrics · 2026Article
- Sociodemographic heterogeneity in the association between social isolation and all-cause mortality among Japanese older adults: JAGES longitudinal panel study.The Lancet regional health. Western Pacific · 2025Article
- Assessing the Heterogeneous Treatment Effects of Glucocorticoids in Infants and Toddlers with Severe Pneumonia.Biomedicines · 2025Article
- Causal effect of video gaming on mental well-being in Japan 2020-2022.Nature human behaviour · 2024Article
- The application of machine learning techniques in posttraumatic stress disorder: a systematic review and meta-analysis.NPJ digital medicine · 2024Review
- Sociodemographic Heterogeneity in the Associations of Social Isolation With Mortality.JAMA network open · 2024Article
- Post-traumatic stress and future substance use outcomes: leveraging antecedent factors to stratify risk.Frontiers in psychiatry · 2024Article
- Diagnosing psychiatric disorders from history of present illness using a large-scale linguistic model.Psychiatry and clinical neurosciences · 2023Article
- Long-Term Associations between Disaster-Related Home Loss and Health and Well-Being of Older Survivors: Nine Years after the 2011 Great East Japan Earthquake and Tsunami.Environmental health perspectives · 2022Article
- Learning From Natural Experiments to Accelerate Demographic Research on Climate-Related Threats to Human Populations.Wiley interdisciplinary reviews. Climate changeArticle
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
Abstract
aimUnderstanding the differential mental health effects of traumatic experiences is important to identify particularly vulnerable subpopulations. We examined the heterogeneous associations between disaster-related traumatic experiences and postdisaster mental health, using a novel machine learning-based causal inference approach.
methodsData were from a prospective cohort study of Japanese older adults in an area severely affected by the 2011 Great East Japan Earthquake. The baseline survey was conducted 7 months before the disaster and the 2 follow-up surveys were conducted 2.5 and 5.5 years after (n = 1150 to n = 1644 depending on the exposure-outcome combinations). As disaster-related traumatic experiences, we assessed complete home loss and loss of loved ones. Using the generalized random forest algorithm, we estimated conditional average treatment effects (CATEs) of the disaster damages on postdisaster mental health outcomes to examine the heterogeneous associations by 51 predisaster characteristics of the individuals.
resultsWe found that, even when there was no population average association between disaster-related trauma and subsequent mental health outcomes, some subgroups experienced severe impacts. We also identified and compared characteristics of the most and least vulnerable groups (ie, top versus bottom deciles of the estimated CATEs). While there were some unique patterns specific to each exposure-outcome combination, the most vulnerable group tended to be from lower socioeconomic backgrounds with preexisting depressive symptoms for many exposure-outcome combinations.
conclusionsWe found considerable heterogeneity in the association between disaster-related traumatic experiences and subsequent mental health problems.
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Registered trials
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.