Gender Differences in Probable Posttraumatic Stress Disorder Among Police Responders to the 2001 World Trade Center Terrorist Attack

Gender Differences in Probable Posttraumatic Stress Disorder Among Police Responders to the 2001 World Trade Center Terrorist Attack
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DOI:
10.1002/ajim.20876
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发表时间:
2010-12-01
影响因子:
3.5
通讯作者:
Cone, James E.
Cone, James E.
中科院分区:
医学4区
文献类型:
--
作者:
Bowler, Rosemarie M.;Han, Hui;Cone, James E.

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背景警察回应2001年世界贸易中心(WTC)灾难以前报道有可能的创伤后应激障碍(PTSD)的患病率增加,方法4017名警察回应者(3,435名男性和582名女性)进行了采访2-3年后,9/11/01作为世界贸易中心健康注册的一部分。采用创伤后应激自评量表(Posttraumatic Stress Checklist,PCL.Results),根据DSM-IV诊断标准,对人口统计学、职业和事件特异性危险因素进行PTSD的评估。两种性别的风险因素包括9/11相关的伤害和老年。对于男性,具体的风险因素是:存在于世贸中心塔9/11和西班牙裔的种族;和女性,目睹恐怖和教育不到一个college degree.Conclusions显着较高的患病率可能PTSD被发现为女性警察应答。虽然这一发现与平民群体一致,但与其他对PTSD和WTC救援和恢复工作者以及9/11之前的警察的研究形成对比。Am. J. Ind. Med. 53:1186-1196,2010. (C)2010 Wiley-Liss,Inc.
Background Police responders to the 2001 World Trade Center (WTC) disaster were previously reported to have an increased prevalence of probable posttraumatic stress disorder (PTSD).Methods Four thousand seventeen police responders (3,435 men and 582 women) were interviewed 2-3 years after 9/11/01 as part of the World Trade Center Health Registry. Demographic, occupational, and event-specific risk factors were evaluated for probable PTSD, determined by DSM-IV criteria using the Posttraumatic Stress Checklist (PCL).Results Overall prevalence of probable PTSD was 8.3% (women: 13.9%; men: 7.4%, P < 0.001). Risk factors for both genders included 9/11-related injury and older age. For men, specific risk factors were: presence in WTC Towers on 9/11 and Hispanic ethnicity; and for women, witnessing horror and education less than a college degree.Conclusions Significantly higher prevalence of probable PTSD was found for female police responders. Although consistent with civilian populations, this finding contrasts with other studies of PTSD and WTC rescue and recovery workers, and police prior to 9/11. Am. J. Ind. Med. 53: 1186-1196, 2010. (C) 2010 Wiley-Liss, Inc.