{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T22:25:37Z","timestamp":1790720737985,"version":"4.1.0"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"unspecified","delay-in-days":402,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R21MD013666"],"award-info":[{"award-number":["R21MD013666"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U54GM133807"],"award-info":[{"award-number":["U54GM133807"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U54MD007587"],"award-info":[{"award-number":["U54MD007587"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U54MD007600"],"award-info":[{"award-number":["U54MD007600"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789324001691_sec2\">\n\t    <jats:title>Objective<\/jats:title>\n\t    <jats:p>Robust research has established that preexisting physical and mental health conditions increase risk for adverse psychiatric outcomes after disasters. However, it is unclear if increased risk is independent of disaster exposure, and most studies have relied on retrospective reports of pre-disaster functioning.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001691_sec3\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>In a pre-post sample of high-risk Puerto Rican adults (N = 361) who experienced Hurricanes Irma and Maria, we assessed: 1) whether indicators of pre-disaster depression and physical health conditions were associated with posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) symptoms; and 2) whether the effects of pre-disaster depression and physical health conditions on PTSD and MDD symptoms were indirect via disaster exposure or had exacerbated the effects of disaster exposure on PTSD and MDD symptoms.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001691_sec4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Pre-disaster depression and physical health problems were significantly associated with higher post-disaster MDD symptoms (B = 1.50, SE = 0.36, p &lt; .001, and B = 0.21; SE = 0.09, P = 0.016), but not PTSD symptoms. Indirect effects of pre-disaster depression and physical health symptoms via disaster exposure were non-significant, and neither moderated the association of disaster exposure on PTSD and MDD symptoms.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001691_sec5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Research is needed to understand other pathways through which pre-disaster health conditions predict post-disaster mental health.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2024.169","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T08:42:31Z","timestamp":1738831351000},"source":"Crossref","is-referenced-by-count":2,"title":["Pre-disaster Health Vulnerabilities Predict Major Depressive Disorder Symptoms Among High-Risk Puerto Rican Adults after Hurricanes Maria and Irma"],"prefix":"10.1017","volume":"19","author":[{"given":"Regina M.","family":"Musicaro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zerbrina","family":"Valdespino-Hayden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9875-1993","authenticated-orcid":false,"given":"Marijulie Martinez","family":"Lozano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6853-1663","authenticated-orcid":false,"given":"Carlamarie Noboa","family":"Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaumudi","family":"Joshipura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah R.","family":"Lowe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"S1935789324001691_r6","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-006-0033-9"},{"key":"S1935789324001691_r5","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000433"},{"key":"S1935789324001691_r1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-032013-182435"},{"key":"S1935789324001691_r2","doi-asserted-by":"publisher","DOI":"10.1007\/s40572-019-00245-5"},{"key":"S1935789324001691_r3","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.66.6.883"},{"key":"S1935789324001691_r10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijdrr.2021.102657"},{"key":"S1935789324001691_r7","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2007.0043"},{"key":"S1935789324001691_r8","unstructured":"[8] Cangialosi, JP , Latto, AS , and Berg, R Tropical Cyclone Report: Hurricane Irma (AL112017): 30 August\u201312 September 2017. National Center Tropical Cyclone Report. 2018;111."},{"key":"S1935789324001691_r11","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-021-01222-7"},{"key":"S1935789324001691_r9","unstructured":"[9] Santos-Burgoa, C , Goldman, A , Andrade, E , et al. Ascertainment of the estimated excess mortality from hurricane Maria in Puerto Rico. 2018. Accessed October 26, 2022. https:\/\/hsrc.himmelfarb.gwu.edu\/sphhs_global_facpubs\/288\/"},{"key":"S1935789324001691_r4","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22581"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789324001691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T08:42:35Z","timestamp":1738831355000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789324001691\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":11,"alternative-id":["S1935789324001691"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2024.169","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e22"}}