Posttraumatic stress disorder in Manhattan, New York City, after the September 11th terrorist attacks
Posttraumatic stress disorder in Manhattan, New York City, after the September 11th terrorist attacks
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DOI：
10.1093/jurban/79.3.340
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发表时间：
2002-09-01
影响因子：
6.6
通讯作者：
Vlahov, D
中科院分区：
文献类型：
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作者：
Galea, S;Resnick, H;Vlahov, D
对灾后一般人群的急性心理健康症状的估计很少。我们评估了2001年9月11日恐怖袭击后5-8周曼哈顿居民中急性创伤后应激障碍（PTSD）的患病率和相关因素。我们用随机数字拨号的方式联系了居住在曼哈顿110街以下的成年人的代表性样本。参与者被采访了以前的生活事件，个人特征，暴露于9月11日的事件，以及袭击后的心理症状。在988名符合条件的成年人中，19.3%的人报告在一生中的某个时候出现了与创伤后应激障碍相符的症状，8.8%的人报告了与当前（过去30天内）创伤后应激障碍诊断相符的症状。总体而言，57.8%的受访者在过去一个月内报告至少有一种PTSD症状。最常见的过去一个月的症状是侵入性记忆（27.4%）和失眠（24.5%）。在多变量模型中，当前PTSD的预测因素是居住在运河街以下，社会支持低，9月11日之前12个月的生活压力源，围事件恐慌发作，在袭击中失去财产，以及参与救援工作。这些发现可以帮助指导人口密集的城市地区未来灾害的资源规划。
Estimates of acute mental health symptoms in the general population after disasters are scarce. We assessed the prevalence and correlates of acute posttraumatic stress disorder (PTSD) in residents of Manhattan 5-8 weeks after the terrorist attacks of September 11, 2001. We used random-digit dialing to contact a representative Sample of adults living in Manhattan below 110th Street. Participants were interviewed about prior life events, personal characteristics, exposure to the events of September 11th, and psychological symptoms after the attack. Among 988 eligible adults, 19.3% reported symptoms consistent with PTSD at some point in their life, and 8.8% reported symptoms consistent with a diagnosis of current (within the past 30 days) PTSD. Overall, 57.8% of respondents reported at least one PTSD symptom in the past month. The most common past-month symptoms were intrusive memories (27.4%) and insomnia (24.5%). Predictors of current PTSD in a multivariable model were residence below Canal Street, low social support, life stressors 12 months prior to September 11th, perievent panic attack, losing possessions in the attacks, and involvement in the rescue efforts. These findings can help guide resource planning for future disasters in densely populated urban areas.