A national survey of stress reactions after the September 11, 2001, terrorist attacks

A national survey of stress reactions after the September 11, 2001, terrorist attacks
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DOI:
10.1056/nejm200111153452024
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发表时间:
2001-11-15
影响因子:
158.5
通讯作者:
Berry, SH
Berry, SH
中科院分区:
医学1区
文献类型:
--
作者:
Schuster, MA;Stein, BD;Berry, SH

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背景:未亲身经历创伤性事件的人可能会出现应激反应。我们评估了2001年9月11日恐怖袭击对心理健康的即时影响。 方法:在9月11日之后的3到5天,我们采用随机数字拨号的方式,对具有全国代表性的560名美国成年人进行了访谈,了解他们对恐怖袭击的反应以及他们对自己孩子反应的看法。 结果:44%的成年人报告出现了一种或多种严重的应激症状;90%的人至少在一定程度上出现了一种或多种症状。全国各地的受访者都报告有应激症状。他们通过与他人交谈(98%)、求助于宗教(90%)、参加团体活动(60%)和捐款(36%)来应对。84%的家长报告说他们自己或家中其他成年人与孩子就袭击事件交谈了一个小时或更长时间;34%的家长限制了孩子看电视。35%的孩子出现了一种或多种应激症状,47%的孩子担心自己或亲人的安全。 结论:在9月11日恐怖袭击之后,美国全国各地的人,包括儿童,都出现了严重的应激症状。即使是在远离近期袭击事件发生地执业的临床医生,也应该准备好帮助有创伤相关应激症状的人。
Background: People who are not present at a traumatic event may experience stress reactions. We assessed the immediate mental health effects of the terrorist attacks on September 11, 2001.Methods: Using random-digit dialing three to five days after September 11, we interviewed a nationally representative sample of 560 U.S. adults about their reactions to the terrorist attacks and their perceptions of their children's reactions.Results: Forty-four percent of the adults reported one or more substantial symptoms of stress; 90 percent had one or more symptoms to at least some degree. Respondents throughout the country reported stress symptoms. They coped by talking with others (98 percent), turning to religion (90 percent), participating in group activities (60 percent), and making donations (36 percent). Eighty-four percent of parents reported that they or other adults in the household had talked to their children about the attacks for an hour or more; 34 percent restricted their children's television viewing. Thirty-five percent of children had one or more stress symptoms, and 47 percent were worried about their own safety or the safety of loved ones.Conclusions: After the September 11 terrorist attacks, Americans across the country, including children, had substantial symptoms of stress. Even clinicians who practice in regions that are far from the recent attacks should be prepared to assist people with trauma-related symptoms of stress.