ArticleAmerican journal of epidemiology2025
Disaster-related home loss, mental health, and risk of cognitive disability: causal mediation analysis using longitudinal data of disaster survivors.
Article in American journal of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Exploring the links between humanitarian shelter support and mental health in conflict-affected contexts: Experiences from the Kharkiv region, Ukraine.Global mental health (Cambridge, England) · 2026Article
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Authors and funding
11 authors.
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Abstract
Emerging evidence links disaster-related home loss to increased cognitive impairment, yet the mechanisms underlying this association remain unclear. This study examines whether psychopathology and diminished social connection mediate the relationship between home loss and cognitive disability among older disaster survivors. We conducted a prospective cohort study of survivors of the 2011 Great East Japan Earthquake and Tsunami. Causal mediation analysis was used to estimate the role of post-disaster depressive symptoms, posttraumatic stress symptoms, social support, social participation, and social cohesion in mediating the association. Analyses adjusted for pre-disaster confounders. Among 3138 survivors, 140 experienced disaster-related home loss, and 498 experienced mild to severe cognitive disability. Home loss was associated with increased cognitive impairment, increased psychopathology, as well as decreased social connections. Forty-eight percent of the total effect of home loss on cognitive impairment was mediated by depressive symptoms, but not posttraumatic stress symptoms. Although the effect was marginal, 19% was also explained by a decline in social cohesion. Disaster-related home loss was associated with subsequent cognitive impairment through post-disaster depressive symptoms and decline in social cohesion. Group relocation and early intervention for those with depressive symptoms might ameliorate the adverse effects of home loss in cognitive disability.
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