Mental health of workers and volunteers responding to events of 9/11: Review of the literature
Mental health of workers and volunteers responding to events of 9/11: Review of the literature
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DOI：
10.1002/msj.20026
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发表时间：
2008-03-01
影响因子：
--
通讯作者：
Katz, Craig L.
中科院分区：
文献类型：
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作者：
Bills, Corey B.;Levy, Nancy A. S.;Katz, Craig L.
背景：应对9月11日事件的灾难工作者暴露于创伤事件。没有研究系统地调查了应对9月11日事件的灾难工作者的不同心理健康状况和需求。方法：使用PubMed和Medline，检索词为“2001年9月11日”或“9月11日”或“9/11“或“世贸中心”或“世界贸易中心”，作者回顾了所有研究9.11事故现场或纽约市Fresh Kills垃圾填埋场工人心理健康结果的文章。结果：总共有25篇文章符合研究纳入标准，通常使用不同的方法。这些文章描述了不同程度的心理健康疾病学，不良心理健康结果的危险因素，并利用心理健康services.Conclusions：暴露于9月11日事件的工人的心理健康需求范围从很少到没有照顾药物治疗。一系列的风险因素，包括在世贸中心现场和职业活动的暴露，影响这些需求，但具体的心理健康干预措施的作用不太清楚。这些研究结果表明，未来需要为救灾工作者提供一个由全面的灾后监测和强调灾前心理健康支持的无障碍心理健康治疗服务。确定了一些需要进一步考虑和研究的领域，包括需要对参与的应答人群进行更多样化的探索，以及调查创伤后应激障碍（PTSD）以外的潜在心理健康结果。
Background: Disaster workers responding to the events of September 11th were exposed to traumatic events. No study has systematically investigated the diverse mental health status and needs of the heterogeneous population of disaster workers responding to the events of September 11th.Methods: Using PubMed and Medline and the search terms of "September 11, 2001" or "September 11" or "9/11 "or "WTC" or "World Trade Center", the authors reviewed all articles that examined the mental health outcomes of workers at one of the three September 11th crash sites or the Fresh Kills landfill in New York City.Results: In total, 25 articles met study inclusion criteria, often using different methodologies. The articles described varying degrees of mental health symptomatology, risk factors for adverse mental health outcomes, and utilization of mental health services.Conclusions: The mental health needs of workers exposed to the events of September 11th ranged from little to no care to pharmacotherapy. A range of risk factors, including exposures at the WTC site and occupational activities, impacted on these needs but the role of specific mental health interventions was less clear. These findings suggest the need for a future program for disaster workers consisting of an accessible mental health treatment service supported by comprehensive postdisaster surveillance and emphasis on pre-disaster mental wellness. A number of areas for further consideration and study were identified, including the need for a more diverse exploration of involved responder Populations as well as investigation of potential mental health outcomes beyond post-traumatic stress disorder (PTSD).