Alcohol use, mental health status and psychological well-being 2 years after the World Trade Center attacks in New York City
Alcohol use, mental health status and psychological well-being 2 years after the World Trade Center attacks in New York City
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DOI：
10.1080/00952990500479522
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发表时间：
2006-05-01
影响因子：
2.7
通讯作者：
Galea, S
中科院分区：
文献类型：
--
作者：
Adams, RE;Boscarino, JA;Galea, S
在过去30年中，研究表明，社区范围内的灾难幸存者遭受各种身心健康问题。研究人员还记录了这些灾难后物质使用的增加。在本研究中，我们研究了在纽约市世界贸易中心（NYC）恐怖袭击的背景下，酒精使用和心理健康状况之间的关系。本报告的数据来自对袭击当天居住在纽约市的成年人的2波小组研究。第一波（W1）和第二波（W2）访谈分别发生在袭击发生后一年和两年。总体而言，2，368人完成了W1调查（合作率，63%），1，681人完成了W2调查（重新采访率，71%）。研究的酒精使用变量包括酗酒、酒精依赖、饮酒天数增加和每天饮酒量增加。检查的结果包括创伤后应激障碍（PTSD），重性抑郁症，BSI-18-全球严重程度和SF 12-精神和身体健康状况的措施。在控制了人口统计学、压力和资源因素后，多变量logistic回归表明，所有酒精指标与一个或多个这些结果相关。特别是，酗酒与部分PTSD相关，而酒精依赖与PTSD亚综合征、PTSD严重程度、抑郁、BSI-18总体严重程度和SF-12不良心理健康状态相关。灾后饮酒增加与PTSD亚综合征呈正相关，与SF-12身体健康呈负相关。我们讨论了这些结果的原因和严重饮酒可能对灾后恢复过程产生的负面影响。
Over the past 30 years, studies have shown that survivors of community-wide disasters suffer from a variety of physical and mental health problems. Researchers also have documented increased substance use in the aftermath of these disasters. In the present study, we examined the relationship between alcohol use and mental health status within the context of the terrorist attacks on the World Trade Center in New York City (NYC). The data for the present report come from a 2-wave panel study of adults living in NYC on the day of the attacks. Wave 1 (W1) and Wave 2 (W2) interviews occurred one year and two years after the attacks, respectively. Overall, 2,368 individuals completed the W1 survey ( cooperation rate, 63%) and 1,681 completed the W2 survey (re-interview rate, 71%). The alcohol use variables examined were binge drinking, alcohol dependence, increased days drinking, and increased drinks per day. The outcomes examined included measures of posttraumatic stress disorder (PTSD), major depression, BSI-18-Global Severity and measures of SF12-mental and physical health status. After controlling for demographic, stress, and resource factors, multivariate logistic regressions indicated that all alcohol measures were related to one or more of these outcomes. In particular, binge drinking was related to partial PTSD, while alcohol dependence was associated subsyndromal PTSD, severity of PTSD, depression, BSI-18 global severity, and SF-12 poor mental health status. Increased post-disaster drinking was positively associated with subsyndromal PTSD and negatively associated with SF-12 physical health. We discuss reasons for these results and the negative consequences that heavy alcohol use may have on the postdisaster recovery process.