THE PSYCHOLOGICAL IMPACT OF TERRORIST ATTACKS: EXAMINING A DOSE-RESPONSE RELATIONSHIP BETWEEN EXPOSURE TO 9/11 AND AXIS I MENTAL DISORDERS
THE PSYCHOLOGICAL IMPACT OF TERRORIST ATTACKS: EXAMINING A DOSE-RESPONSE RELATIONSHIP BETWEEN EXPOSURE TO 9/11 AND AXIS I MENTAL DISORDERS
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DOI：
10.1002/da.20742
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发表时间：
2010-11-01
影响因子：
7.4
通讯作者：
Sareen, Jitender
中科院分区：
文献类型：
--
作者：
Henriksen, Christine A.;Bolton, James M.;Sareen, Jitender
背景资料：先前的研究表明，9/11恐怖袭击与创伤后应激障碍（PTSD）和抑郁症之间存在剂量反应关系。然而，这种关系还没有被检查与其他轴I精神障碍。本研究探讨了轴I精神障碍的发病率是否与9/11恐怖袭击的暴露水平有关。方法：数据来自2004年至2005年间收集的第二波全国酒精及相关疾病流行病学调查（NESARC-2; N= 34，653，年龄20岁以上）。这项调查利用完全结构化的面对面访谈来评估自2001年至2002年期间收集的NESARC第1波以来DSM-IV轴I障碍的存在情况。采用多元逻辑回归分析来研究暴露于9/11事件的水平与自第1波以来轴I疾病的患病率之间的关系。结果：在调整后的模型中，较高水平的暴露增加了新发PTSD、任何焦虑症和任何精神障碍的几率。与没有接触过9/11的参与者相比，那些直接经历过9/11的人患创伤后应激障碍的几率是6倍，患焦虑症的几率是2.5倍，患精神障碍的几率是近两倍。结论：9·11事件暴露水平与PTSD之间存在剂量反应关系。此外，更高水平的暴露会增加患焦虑症和I轴精神障碍的几率。抑郁和焦虑27：993-1000，2010. (C)2010 Wiley-Liss，Inc.
Background: Previous research has suggested a dose response relationship between exposure to the 9/11 terrorist attacks and posttraumatic stress disorder (PTSD) and depression. However, this relationship has not been examined with other Axis I mental disorders. This study examined whether the incidence of Axis I mental disorders was associated with level of exposure to the 9/11 terrorist attacks. Method: Data came from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-2; N= 34,653, ages 20+) collected between 2004 and 2005. This survey utilized a fully structured face-to-face interview to assess the presence of DSM-IV Axis I disorders since Wave 1 of the NESARC, collected between 2001 and 2002. Multiple logistic regression analyses were employed to examine the relationship between the level of exposure to 9/11 and the prevalence of Axis I disorders since Wave 1. Results: In adjusted models, higher levels of exposure increased the odds of having new onset PTSD, any anxiety disorder, and any mental disorder. Compared to participants who were not exposed to 9/11, those who directly experienced 9/11 had six times the odds of having PTSD, 2.5 times the odds of having any anxiety disorder, and nearly twice the odds of having any mental disorder. Conclusions: Results suggest that there is a dose response relationship between level of exposure to the 9/11 attacks and PTSD. Furthermore, higher levels of exposure increase the odds of having any anxiety disorder and any Axis I mental disorder. Depression and Anxiety 27:993-1000, 2010. (C) 2010 Wiley-Liss, Inc.