Enduring mental health morbidity and social function impairment in world trade center rescue, recovery, and cleanup workers: the psychological dimension of an environmental health disaster.
Enduring mental health morbidity and social function impairment in world trade center rescue, recovery, and cleanup workers: the psychological dimension of an environmental health disaster.
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在世界贸易中心救援，康复和清理工作者中持久心理健康发病率和社会功能障碍：环境健康灾难的心理维度。
DOI：
10.1289/ehp.11164
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发表时间：
2008-09
影响因子：
10.4
通讯作者：
Southwick, Steven
中科院分区：
文献类型：
--
作者：
Stellman, Jeanne Mager;Smith, Rebecca P.;Katz, Craig L.;Sharma, Vansh;Charney, Dennis S.;Herbert, Robin;Moline, Jacqueline;Luft, Benjamin J.;Markowitz, Steven;Udasin, Iris;Harrison, Denise;Baron, Sherry;Landrigan, Philip J.;Levin, Stephen M.;Southwick, Steven
关键词：
世界贸易中心（WTC）的袭击使数千名工人暴露在危险的环境条件和心理创伤中。2002年，为了评估这些工人的健康状况，国会指示国家职业安全和健康研究所建立世贸中心医疗监测和治疗方案。这个项目已经建立了一个庞大的世贸中心救援，恢复和清理工作者队伍。我们以前记录了广泛的肺功能障碍，在这个队列中与有毒环境暴露。我们这项研究的目的是描述世贸中心工人群体的心理健康结果、社会功能障碍和精神共病，以及工人子女的症状。在世贸中心袭击事件发生后的10到61个月，10,132名世贸中心工作人员完成了一份自我管理的心理健康问卷。在完成问卷调查的工人中，11.1%符合可能的创伤后应激障碍（PTSD）标准，8.8%符合可能的抑郁标准，5.0%符合可能的惊恐障碍标准，62%符合严重应激反应标准。PTSD的患病率与阿富汗退伍军人的患病率相当，并且远高于美国普通人群。在5年的观察中，点患病率从13.5%下降到9.7%。并发症广泛，包括极高的社会功能受损风险。PTSD与失去家人和朋友，家庭，工作和社会生活的中断以及工人子女行为症状的发生率显著相关。在9/11恢复行动中工作与心理健康和社会功能的慢性损害有关。心理困扰和精神病理学在世贸中心的工人大大超过人口的标准。继续需要监测和治疗方案。
The World Trade Center (WTC) attacks exposed thousands of workers to hazardous environmental conditions and psychological trauma. In 2002, to assess the health of these workers, Congress directed the National Institute for Occupational Safety and Health to establish the WTC Medical Monitoring and Treatment Program. This program has established a large cohort of WTC rescue, recovery, and cleanup workers. We previously documented extensive pulmonary dysfunction in this cohort related to toxic environmental exposures. Our objective in this study was to describe mental health outcomes, social function impairment, and psychiatric comorbidity in the WTC worker cohort, as well as perceived symptomatology in workers’ children. Ten to 61 months after the WTC attack, 10,132 WTC workers completed a self-administered mental health questionnaire. Of the workers who completd the questionnaire, 11.1% met criteria for probable post-traumatic stress disorder (PTSD), 8.8% met criteria for probable depression, 5.0% met criteria for probable panic disorder, and 62% met criteria for substantial stress reaction. PTSD prevalence was comparable to that seen in returning Afghanistan war veterans and was much higher than in the U.S. general population. Point prevalence declined from 13.5% to 9.7% over the 5 years of observation. Comorbidity was extensive and included extremely high risks for impairment of social function. PTSD was significantly associated with loss of family members and friends, disruption of family, work, and social life, and higher rates of behavioral symptoms in children of workers. Working in 9/11 recovery operations is associated with chronic impairment of mental health and social functioning. Psychological distress and psychopathology in WTC workers greatly exceed population norms. Surveillance and treatment programs continue to be needed.
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影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
10.4
作者：
Bromet, EJ;Gluzman, S;Goldgaber, D
通讯作者：
Goldgaber, D
影响因子：
5
作者：
Galea, S;Vlahov, D;Kilpatrick, D
通讯作者：
Kilpatrick, D
影响因子：
1.1
作者：
Laffaye, Charlene;Kennedy, Colleen;Stein, Murray B
通讯作者：
Stein, Murray B
影响因子：
--
作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE