ArticleBJPsych open2024
Trajectory of adjustment difficulties following disaster: 10-year longitudinal cohort study.
Article in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The trial behind it
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- The Mental Health Impacts of Wildfire Exposure: A Scoping Review of the Quantitative Evidence.Current environmental health reports · 2026Article
- Acute Mental Health Impacts and Mid-Term Symptom Trajectories Following Wildfire Exposure.International journal of environmental research and public health · 2026Article
- Changing mental health from disaster to disaster: analysis of emergency psychiatric visits during pandemic and earthquake periods.BMC public health · 2026Observational
- A randomized controlled trial of a trauma-informed smartphone application in reducing firefighters' mental health symptoms.NPJ digital medicine · 2025Article
- Development of a questionnaire library for rapid health data acquisition during wildfire events.MethodsX · 2025Article
- Long-term impacts of bush/wildfires on mental health: preparing for the next fire.BJPsych open · 2024Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundAlthough much is known about psychopathology such as post-traumatic stress disorder (PTSD) and depression following bushfire (also known as wildfire), little is known about prevalence, trajectory and impacts for those experiencing general adjustment difficulties following exposure to these now-common events.
aimsThis was an exploratory analysis of a large cohort study that examined the prevalence, trajectory and risk factors of probable adjustment disorder over a 10-year period following bushfire exposure.
methodThe Beyond Bushfires study assessed individuals exposed to a large and deadly bushfire across three time points spanning 10 years. Self-report survey data from participants from areas with moderate and high levels of fire-affectedness were analysed:
resultsPrevalence of probable adjustment disorder was 16% (Wave 1), 15% (Wave 2) and 19% (Wave 3). Probable adjustment disorder at 3-4 years post-fires predicted a five-fold increase in risk for escalating to severe psychiatric disorder (i.e. probable fire-related PTSD/major depressive episode) at 10 years post-fires, and was associated with post-fire income and relationship stressors.
conclusionsAdjustment difficulties are prevalent post-disaster, many of which are maintained and exacerbated over time, resulting in increased risk for later disorder and adaptation difficulties. Psychosocial interventions supporting survivors with adjustment difficulties may prevent progression to more severe disorder.
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Registered trials
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