Observational studySocial psychiatry and psychiatric epidemiology2022
Association between adverse experiences during Hurricane María and mental and emotional distress among adults in Puerto Rico.
Observational study in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03794531 (Puerto Rico Observational Study of Psychosocial, Environmental, and Chronic Disease Trends), which is not on this map. Cited by 9 papers.
What it found
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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.
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.
Puerto Rico Observational Study of Psychosocial, Environmental, and Chronic Disease Trends
Who cites it
9 citing papers in PubMed.
- The Associations of Various Types of Hurricane-Related Exposures with Psychiatric and Substance Use Disorders in Puerto Rico Following Hurricane Maria.Disaster medicine and public health preparedness · 2026Article
- Organizational resilience in Puerto Rico's primary care clinics: absorbing, adapting, and transforming under stress.Frontiers in health services · 2026Article
- Exploring social, economic, and environmental correlates of suicide in Puerto Rico, 2017-2022: an ecological cross-sectional study.Injury epidemiology · 2025Article
- Association between Stressors after Hurricanes Irma and María and Psychological Distress in Patients with Active Breast and Colorectal Cancer Treatment.Puerto Rico health sciences journal · 2025Article
- "Many old people taking care of old people": Experiences of older adults after Hurricane María in Puerto Rico.PloS one · 2025Article
- Psychological and socio-economic correlates of cardiovascular health among young adults in Puerto Rico.American journal of preventive cardiology · 2024Article
- Psychological resilience, resilient coping, and health behaviors among adults in Puerto Rico after multiple adverse events.Preventive medicine reports · 2024Article
- Shift-and-persist strategies as a potential protective factor against symptoms of psychological distress among young adults in Puerto Rico.Social psychiatry and psychiatric epidemiology · 2024Article
- Environmental pollution and extreme weather conditions: insights into the effect on mental health.Frontiers in psychiatry · 2024Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo evaluate the association between adverse experiences during Hurricane María and mental and emotional distress in Puerto Rico.
methodsThis cross-sectional study used baseline data from adult (30-75 years) participants of the Puerto Rico Observational Study of Psychosocial, Environmental, and Chronic Disease Trends (PROSPECT). Enrolled individuals prior to COVID-19 who completed a 33-item questionnaire on Hurricane María-related experiences (sub-categorized as personal, service, or property losses), depression symptomatology, post-traumatic stress disorder (PTSD), and anxiety were included for analysis (n = 456).
resultsMost participants experienced fear for their family's safety, damage to their home and personal items, communication outages, and water shortages. Each additional stressor was significantly associated with higher odds of depression symptoms, PTSD, and anxiety. Personal losses were significantly associated with higher likelihood of all outcomes, while services losses were associated with depression symptoms and anxiety; property loss was not significantly associated with any outcome.
conclusionsAdverse experiences during a major natural disaster are associated with mental and emotional distress. Strategies to minimize hardships during natural disasters, especially personal and service losses, are essential to preserve mental health. Post-disaster psychological support to individuals is crucial.
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Registered trials
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