Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks

Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks
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DOI:
10.1093/aje/kwg187
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发表时间:
2003-09-15
影响因子:
5
通讯作者:
Kilpatrick, D
Kilpatrick, D
中科院分区:
医学2区
文献类型:
--
作者:
Galea, S;Vlahov, D;Kilpatrick, D

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作者调查了911恐怖袭击后6个月内纽约市普通人群中可能的创伤后应激障碍(PTSD)患病率的趋势。在2001年9月11日之后的1个月、4个月和6个月,对纽约市大都市区逐渐扩大的部分成年人进行了三次随机数字拨号电话调查。在这三次调查中,分别招募了1,008、2,001和2,752名具有人口统计学代表性的成年人。与曼哈顿911袭击有关的PTSD的流行率从911后1个月的7.5%(95%置信区间:5.7,9.3)下降到911后6个月的0.6%(95%置信区间:0.3,0.9)。虽然创伤后应激障碍症状的患病率在更直接受到袭击的人中一直较高,但大量未直接受到袭击的人也符合可能的创伤后应激障碍的标准。这些数据表明,在袭击后的前6个月内,纽约市普通人群中大多数可能的PTSD症状迅速消退。在人口稠密的城市地区发生的大规模灾害所造成的心理后果可能会超出直接受灾者的范围,影响到一般民众。
The authors investigated trends in probable post-traumatic stress disorder (PTSD) prevalence in the general population of New York City in the first 6 months after the September 11 terrorist attacks. Three random digit dialing telephone surveys of adults in progressively larger portions of the New York City metropolitan area were conducted 1 month, 4 months, and 6 months after September 11, 2001. A total of 1,008, 2,001, and 2,752 demographically representative adults were recruited in the three surveys, respectively. The current prevalence of probable PTSD related to the September 11 attacks in Manhattan declined from 7.5% (95% confidence interval: 5.7, 9.3) 1 month after September 11 to 0.6% (95% confidence interval: 0.3, 0.9) 6 months after September 11. Although the prevalence of PTSD symptoms was consistently higher among persons who were more directly affected by the attacks, a substantial number of persons who were not directly affected by the attacks also met criteria for probable PTSD. These data suggest a rapid resolution of most of the probable PTSD symptoms in the general population of New York City in the first 6 months after the attacks. The psychological consequences of a large-scale disaster in a densely populated urban area may extend beyond persons directly affected by the disaster to persons in the general population.