{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T03:18:56Z","timestamp":1766027936141,"version":"3.48.0"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["T32MHO18869"],"award-info":[{"award-number":["T32MHO18869"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences","doi-asserted-by":"publisher","award":["F32ES34238"],"award-info":[{"award-number":["F32ES34238"]}],"id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>On February 3, 2023, a Norfolk Southern train derailed in East Palestine, Ohio, releasing toxic compounds into the surrounding air, water, and soil. Technological chemical disasters represent potentially traumatic events capable of influencing mental disorders, such as posttraumatic stress disorder (PTSD) and major depression (MD). This study reports the first comprehensive investigation of the prevalence and correlates of mental disorders among potentially exposed residents of Ohio, Pennsylvania, and West Virginia 9 months postderailment. In this cross\u2010sectional study, a nonprobability sample of 1,000 adults living within 65 miles of the derailment site completed a self\u2010administered clinical survey interview assessing PTSD and MD, physical health symptoms, negative derailment\u2010related beliefs and experiences, and preexisting psychiatric risk factors. Analyses were demographically weighted to yield estimates representative of the 65 mile\u2013radius population. Most respondents were concerned about potential toxic exposure (73.9%) and associated health problems (92.1%), and half did not fully trust the information public health officials provided about the event (52.1%); half (49.7%) also reported at least one new or worsening physical health symptom since the derailment. Presumptive PTSD (15.4%) and MD (13.3%) were prevalent 9 months postderailment. Closer proximity to the derailment site was associated with greater endorsement of health concerns and symptoms, ds = 0.21\u20130.22, but not with greater mental disorder, OR = 1.02. Chemical disasters could have psychological consequences even without documented exposures, potentially due to uncertainty regarding exposure and associated health effects. The East Palestine community may benefit from increased attention to mental health services as a component of disaster response.<\/jats:p>","DOI":"10.1002\/jts.70003","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T06:45:12Z","timestamp":1754981112000},"page":"1032-1044","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of posttraumatic stress disorder and major depression in Ohio, Pennsylvania, and West Virginia 9 months after the East Palestine train derailment"],"prefix":"10.1002","volume":"38","author":[{"given":"Cameron P.","family":"Pugach","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Reuben","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela D.","family":"Moreland","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex O.","family":"Rothbaum","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Boyle","sequence":"additional","affiliation":[{"name":"ICF International  Reston Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael G.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Deparmtent of Microbiology and Immunology Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Dayton","sequence":"additional","affiliation":[{"name":"ICF International  Reston Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Kinder","sequence":"additional","affiliation":[{"name":"ICF International  Reston Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandro","family":"Galea","sequence":"additional","affiliation":[{"name":"School of Public Health Boston University  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salma","family":"Abdalla","sequence":"additional","affiliation":[{"name":"School of Public Health Boston University  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Abba\u2010Aji","sequence":"additional","affiliation":[{"name":"School of Public Health Boston University  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean G.","family":"Kilpatrick","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. (2022).Diagnostic and statistical manual of mental disorders. (5th ed. text rev.)https:\/\/doi.org\/10.1176\/appi.books.9780890425787","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003\u2010066X.48.6.665"},{"key":"e_1_2_8_4_1","unstructured":"Berkowitz S. Bryant R. Brymer M. Hamblen J. Jacobs A. Layne C. &Watson P.(2010).Skills for psychological recovery: field operations guide. National Center for PTSD & the National Child Traumatic Stress Network.https:\/\/www.nctsn.org\/sites\/default\/files\/resources\/special\u2010resource\/spr_complete_english.pdf"},{"key":"e_1_2_8_5_1","unstructured":"Brymer M. Jacobs A. Layne C. Pynoos R. Ruzek J. Steinberg A. Vernberg E. &Watson P.(2006).Psychological first aid: Field operations guide(2nd ed.). 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