BACKGROUND: The current study examined rates of comorbidity among children's symptoms of posttraumatic stress (PTS) and depression after a natural disaster, Hurricane Ike. We also compared children with comorbid symptoms to children without comorbid symptoms, examining recovery, severity of symptoms, and risk factors. METHOD: Children (n=277, 52% girls, 38% Hispanic, 28% White, 19% Black, grades 2-4) were assessed at 8 and 15 months postdisaster.