Substance use and functional impairment among adolescents directly exposed to the 2001 World Trade Center attacks
Substance use and functional impairment among adolescents directly exposed to the 2001 World Trade Center attacks
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DOI：
10.1111/j.1467-7717.2008.01077.x
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发表时间：
2009-07-01
期刊：
影响因子：
3.2
通讯作者：
Sederer, Lloyd
中科院分区：
文献类型：
--
作者：
Chemtob, Claude M.;Nomura, Yoko;Sederer, Lloyd
暴露于世界贸易中心（WTC）的攻击，增加物质的使用，功能障碍和精神卫生服务的使用，控制抑郁症和创伤后应激障碍之间的关系进行了评估，通过直接暴露的学生（N = 1040）参加五个初中和五个高中最接近的世贸中心的校内调查。该调查是在袭击发生18个月后进行的。有一个WTC暴露风险因素的学生使用药物的人数增加了五倍，而有三个或更多暴露风险的学生增加了近19倍。物质使用的增加与学校作业、学校行为和成绩受损有关。报告药物使用增加的学生需要帮助的可能性几乎是无症状学生的两倍，但接受服务的可能性并不比无症状学生高。报告药物使用增加的青少年，没有并发症，不太可能比其他人接受心理服务。需要关注遭受灾害的吸毒青少年的需要。
The relationship between exposure to the World Trade Center (WTC) attacks, increased substance use, functional impairment and mental health service use, controlling for depression and post-traumatic stress disorder, was assessed through an in-school survey of directly exposed students (N = 1040) attending the five middle and five high schools nearest the WTC. The survey was conducted 18 months after the attacks. Students with one WTC exposure risk factor had a five-fold increase in substance use, while those with three or more exposure risks had a nearly 19-fold increase. Increased substance use was associated with impaired school work, school behaviour and grades. Students reporting increased substance use were nearly twice as likely to want help but were no more likely than asymptomatic students to receive services. Adolescents reporting increased substance use, without co-morbidity, were less likely to receive psychological services than others. Attention to the needs of substance-using adolescents exposed to disaster is needed.