{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T18:13:25Z","timestamp":1779387205857,"version":"3.53.1"},"reference-count":57,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T00:00:00Z","timestamp":1491177600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"CDC\/NIOSH","award":["200-2011-39410"],"award-info":[{"award-number":["200-2011-39410"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:p>The psychological consequences of a second disaster on populations exposed to an earlier disaster have rarely been studied prospectively. Using a pre\u2010 and postdesign, we examined the effects of Hurricane Sandy on possible World Trade Center (WTC) related posttraumatic stress disorder (PTSD Checklist score of \u2265 50) and overall depression (major depressive disorder [MDD]; Patient Health Questionnaire depression score of \u2265 10) among 870 WTC responders with a follow\u2010up monitoring visit at the Long Island WTC Health Program during the 6 months post\u2010Hurricane Sandy. The Hurricane Sandy exposures evaluated were damage to home (8.3%) and to possessions (7.8%), gasoline shortage (24.1%), prolonged power outage (42.7%), and filing a Federal Emergency Management Agency claim (11.3%). A composite exposure score also was constructed. In unadjusted analyses, Hurricane Sandy exposures were associated with 1.77 to 5.38 increased likelihood of PTSD and 1.58 to 4.13 likelihood of MDD; odds ratios for \u2265 3 exposures were 6.47 for PTSD and 6.45 for MDD. After adjusting for demographic characteristics, WTC exposure, pre\u2010Hurricane Sandy mental health status, and time between assessments, reporting \u2265 3 Hurricane Sandy exposures was associated with a 3.29 and 3.71 increased likelihood of PTSD and MDD, respectively. These findings underscore the importance of assessing the impact of a subsequent disaster in ongoing responder health surveillance programs.<\/jats:p>","DOI":"10.1002\/jts.22178","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T12:18:44Z","timestamp":1491394724000},"page":"107-114","source":"Crossref","is-referenced-by-count":22,"title":["Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders"],"prefix":"10.1002","volume":"30","author":[{"given":"Evelyn J.","family":"Bromet","sequence":"first","affiliation":[{"name":"Department of Psychiatry Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Clouston","sequence":"additional","affiliation":[{"name":"Program in Public Health, Department of Preventive Medicine Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Kotov","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn M.","family":"Guerrera","sequence":"additional","affiliation":[{"name":"Department of Medicine Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin J.","family":"Luft","sequence":"additional","affiliation":[{"name":"Department of Medicine Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00006610"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-011-0408-2"},{"key":"e_1_2_5_5_1","first-page":"147","article-title":"Mental health outcomes at the Jersey Shore after Hurricane Sandy","volume":"15","author":"Boscarino J. 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