{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:41:13Z","timestamp":1786113673008,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T00:00:00Z","timestamp":1779494400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T00:00:00Z","timestamp":1779494400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Poor self\u2010rated health (i.e., perceived health status relative to same\u2010aged individuals) is associated with elevated all\u2010cause mortality. Research examining post\u2010disaster self\u2010rated health is limited but could inform disaster theory and interventions. Identifying and subsequently mitigating individual and contextual determinants of self\u2010rated health could address adverse, downstream effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The current study includes secondary analyses from a randomized controlled trial of a digital mental health intervention in a diverse sample of 1357 hurricane\u2010affected adults (49.5% Latine ethnicity). We examined longitudinal relations between baseline (post\u2010disaster) mental health outcomes, baseline social support, demographics, and baseline and follow\u2010up self\u2010rated health (calculated as a change score and 12\u2010month follow\u2010up score). We hypothesized those with elevated baseline psychopathology would be more\u00a0likely to select the \u201cfair\/poor\u201d health category (relative to \u201cgood\/very good\/excellent\u201d self\u2010rated health), and that greater social support would longitudinally predict improved self\u2010rated health. Older individuals were also expected to select the \u201cfair\/poor\u201d health category.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Individuals with higher baseline depressive symptoms and sleep disturbances were more likely to report \u201cfair\/poor\u201d self\u2010rated health at baseline and 12 months. Controlling for baseline self\u2010rated health, depression remained a significant predictor of worse 12\u2010month self\u2010rated health in binary and ordinal logistic regressions. Social support did not predict baseline or 12\u2010month self\u2010rated health. Age and gender were non\u2010significant moderators; no variables predicted change scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Depressive symptoms appear to be a key predictor of self\u2010rated health one year post\u2010disaster. Addressing depression post\u2010disaster may mitigate adverse health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70154","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T19:55:37Z","timestamp":1779566137000},"page":"1296-1303","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Longitudinal Analysis of Self\u2010Rated Health Correlates and Predictors in Hurricane Survivors"],"prefix":"10.1002","volume":"82","author":[{"given":"Jeffrey M.","family":"Pavlacic","sequence":"first","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse H.","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Arthur R.","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Nebraska\u2010Lincoln Lincoln Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandro","family":"Galea","sequence":"additional","affiliation":[{"name":"School of Public Health Washington University St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth J.","family":"Ruggiero","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences Medical University of South Carolina Charleston South Carolina USA"},{"name":"College of Nursing Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,23]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.087007"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2018.210"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21020171"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010psych\u2010011123\u2010024224"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0017829"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2021.100779"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.04.011"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.98.2.310"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0001509"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1061\/(ASCE)1527\u20106988(2007)8:1(13)"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jegh.2014.12.006"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101497.2005.00291.x"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.017855"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540261.2021.2016661"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010015\u20103290\u2010x"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e31827d85ab"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010020\u201061603\u20100"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2012.04.007"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.110700"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2012.08.004"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23610"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23554"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1525\/aa.2006.108.4.643"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010publhealth\u2010031210\u2010101151"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010020\u201066628\u2010z"},{"key":"e_1_2_13_28_1","volume-title":"Modern Epidemiology","author":"Rothman K. 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