Evidence map›Paper›PMID 42218214›Full record

ArticleScientific reports2026

A metric for quantifying adaptation to successive disruptions.

Floris van Steijn, Nazli Yonca Aydin, Neelke Doorn, Tina Comes

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Floris van SteijnFaculty of Technology, Policy and Management, TU Delft, Delft, The Netherlands. F.P.vanSteijn@tudelft.nl.
Nazli Yonca AydinFaculty of Technology, Policy and Management, TU Delft, Delft, The Netherlands.
Neelke DoornFaculty of Technology, Policy and Management, TU Delft, Delft, The Netherlands.
Tina ComesFaculty of Technology, Policy and Management, TU Delft, Delft, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Complex systems face a myriad of stresses and shocks. The ability of complex systems to deal with such shocks is often expressed in terms of the system's resilience. Although resilience is conventionally conceptualised as recovery from a single shock or disruption, in reality, systems often face a sequence of successive shocks, as is the case for earthquake aftershocks or epidemic waves. A system's ability to handle such a sequence of disruptions depends on its capacity to learn from preceding events. To capture adaptation and learning as transformative aspects of resilience, new approaches to account for performance changes across successive disruptions are needed. This paper addresses this gap by developing and empirically testing a novel, performance-based method to quantify adaptation to successive shocks, thereby contributing to the broader discussion on adaptation and resilience. We use the COVID-19 pandemic as a case study which was characterised by multiple waves across different countries and contexts, making it an ideal case to test our theoretical model. We use open-source data from Our World in Data, ranging from 2020 to 2023, and consider every COVID-19 wave as a disruption. Individual waves are identified by fitting mixtures of skew-normal curves to COVID-19 fatality time series, and a performance-based resilience metric, called the Total Performance Loss (TPL), is computed for each wave. Adaptation across successive waves is modelled using an exponential, learning-based metric that captures whether system performance improves or deteriorates over time. The results show that many countries initially showed maladaptive behaviour but adapted in later pandemic waves. The proposed methodology makes adaptation to successive disruptions measurable, and enables systematic comparison of how systems learn, and unlearn over time, which is an essential step towards understanding and improving responses to future crises.

Indexed as

COVID-19EarthquakesHumansModels, TheoreticalPandemicsSARS-CoV-2AdaptationCOVID-19Measuring resilienceSuccessive disruptions

Identifiers

PMID42218214
PMCPMC13457843

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.