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A prospective cross-sectional design was applied with a purposive sample of 1,034 adults who completed an online survey between April 9 and 15. Standardized instruments were used to evaluate post-traumatic stress disorder (PTSD), depression, anxiety, perceived social support and emotion regulation strategies. The study had three main objectives: (a) to estimate the prevalence of clinically significant emotional symptoms; (b) to analyze symptom variation according to trauma exposure level (direct, intermediate or vicarious); and (c) to explore sociodemographic and psychological predictors through multiple regression models. Results showed prevalence rates of 14.1% for PTSD, 27.9% for depression and 21.7% for anxiety. Higher symptom severity was observed among participants with direct exposure. Emotion suppression was consistently associated with greater psychological distress, while perceived social support was a protective factor against depression and anxiety. Female gender and younger age also emerged as significant predictors. These findings highlight the importance of considering both individual and contextual factors in post-disaster mental health responses and provide regionally relevant evidence to inform culturally sensitive interventions.<\/jats:p>","DOI":"10.1017\/gmh.2025.10097","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T12:06:14Z","timestamp":1765281974000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Post-traumatic stress, depression and anxiety following the jet set nightclub collapse: Evidence from a nationwide prospective study in the Dominican Republic"],"prefix":"10.1017","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0353-4804","authenticated-orcid":false,"given":"Zoilo Emilio","family":"Garc\u00eda-Batista","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02m457w49","id-type":"ROR","asserted-by":"publisher"}],"name":"Pontificia Universidad 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