{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:45:26Z","timestamp":1777610726405,"version":"3.51.4"},"reference-count":62,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T00:00:00Z","timestamp":1736121600000},"content-version":"unspecified","delay-in-days":5,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD013866"],"award-info":[{"award-number":["R01MD013866"]}],"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":["R01MD016426"],"award-info":[{"award-number":["R01MD016426"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["GM109326"],"award-info":[{"award-number":["GM109326"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["HD060888"],"award-info":[{"award-number":["HD060888"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789324001757_sec1\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>Psychological reactions in response to disasters have been associated with increased mental health (MH) symptomatology, decreased quality of life (QOL), and post-traumatic stress (PTSD). This study provides a rare opportunity to examine post disaster MH longitudinally in a sample of adolescents.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001757_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>From 2018-20, adolescents (12-18 years, <jats:italic>N<\/jats:italic>=228) were interviewed about disaster exposure, QOL using the Adolescent Quality of Life-Mental Health Scale (AQOL-MHS), psychological symptoms, and diagnoses.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001757_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Having an MH diagnosis and PTSD are clear indicators of worse Emotional Regulation (ER) (<jats:italic>P<\/jats:italic> \u2264 0.03, <jats:italic>P<\/jats:italic> \u2264 0.0001) and Self-Concept (SC) (<jats:italic>P<\/jats:italic> \u2264 0.006, <jats:italic>P<\/jats:italic> \u2264 0.002) QOL. Girls were disproportionately affected in all models for SC and Social Context domains (<jats:italic>P<\/jats:italic> \u2264 0.0001, <jats:italic>P<\/jats:italic> \u2264 0.01). Interaction models results for ER (<jats:italic>P<\/jats:italic> \u2264 0.05) and SC (<jats:italic>P<\/jats:italic> \u2264 0.01) indicate that those with PTSD are improving over time at a greater rate than those without PTSD.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001757_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Recovery takes time and a clear sex disparity for girls was observed. Results for the different AQOL-MHS domains highlight how the challenges experienced by disasters are multifaceted. Knowing who is at greater risk can allow for better resource allocation and targeted population-based prevention strategies to promote and maintain MH and resolve risk factors for mental illnesses.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2024.175","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T06:30:52Z","timestamp":1736145052000},"source":"Crossref","is-referenced-by-count":1,"title":["Psychological Associations of Multiple Disasters: A Longitudinal Study of Adolescents in Puerto Rico"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5512-8552","authenticated-orcid":false,"given":"Ligia M.","family":"Chavez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro A.","family":"Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jim P.","family":"Stimpson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keilyn M.","family":"Vale Lassalle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet T.","family":"Saumell-Rivera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander N.","family":"Ortega","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,1,6]]},"reference":[{"key":"S1935789324001757_r58","first-page":"23","volume-title":"Paper presented at: 23rd World Congress of the Int Ass Child Adolesc Psychiatry","author":"Magall\u00f3n-Neri","year":"2018"},{"key":"S1935789324001757_r50","doi-asserted-by":"publisher","DOI":"10.1186\/s13034-020-00329-3"},{"key":"S1935789324001757_r60","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2014.928270"},{"key":"S1935789324001757_r19","unstructured":"19. 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