{"doi":"10.1002/jts.70025","title":"Long‐term negative mental health outcomes in mothers exposed to Hurricane Maria in Puerto Rico during the pre‐ and perinatal periods","abstract":"In September 2017, Category 4 Hurricane Maria devastated Puerto Rico (PR). This cross-sectional study evaluated the long-term mental health outcomes among women who were pregnant during or became pregnant shortly after (i.e., within 3 months) hurricane exposure. The HELiOS Study cohort recruited 187 mother-child dyads. Mothers reported prenatal hurricane-related experiences (threat, injury, property loss) and completed assessments of posttraumatic stress disorder (PTSD), perceived stress, and depressive symptoms. Maternal probable depression (19.5%), probable PTSD (21.4%), and moderate-to-severe stress (66.1%) were prevalent 12-54 months postpartum. Linear regression models showed that property damage/loss predicted depressive, B = 0.290, p = .007, and PTSD symptoms, B = 0.893, p = .001, and injury predicted higher depressive, B = 0.546, p = .039, and PTSD symptoms, B = 1.979, p = .003. Prehurricane depression also predicted higher depressive, B = 1.927, p = .035, and PTSD symptoms, B = 4.628, p = .046, whereas total trauma count was associated with PTSD symptoms, B = 1.905, p = .003, and perceived stress, B = 0.803, p = .007. Mothers interviewed closer to the hurricane were more likely to report PTSD symptoms, B = 5.001, p = .021. Married, B = -10.706, p = .038, and cohabitating women, B = -10.948, p = .035, reported lower perceived stress. Hurricane-related experiences during pregnancy can have negative long-term effects on maternal mental health. Single mothers and pregnant women with a history of trauma exposure and/or depression may have a heightened risk of adverse postdisaster mental health outcomes.","journal":"Journal of Traumatic Stress","year":2025,"id":583020,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8902,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1495310,"name":"Frances Fuster","orcid":null,"position":1,"is_corresponding":false},{"id":1494938,"name":"Polaris Gonzalez","orcid":"0000-0001-8854-3998","position":2,"is_corresponding":false},{"id":424136,"name":"Sona Rivas‐Tumanyan","orcid":"0000-0002-3773-7028","position":3,"is_corresponding":false},{"id":639993,"name":"Maribel Campos","orcid":"0000-0002-7744-3550","position":4,"is_corresponding":false},{"id":669196,"name":"Carmen J. Buxó","orcid":"0000-0002-8819-1643","position":5,"is_corresponding":false},{"id":1114591,"name":"Evangelia Morou-Bermúdez","orcid":"0000-0002-2198-1376","position":6,"is_corresponding":false},{"id":794948,"name":"Karen Martínez","orcid":"0000-0001-7011-2751","position":7,"is_corresponding":false},{"id":1494937,"name":"Nayra Rodríguez","orcid":"0000-0003-1650-9998","position":0,"is_corresponding":true}],"reference_count":43,"raw_metadata":null,"created_at":"2026-07-19T02:58:59.653747Z","pmid":"41276837","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}