9/11: Persistent Mental Health Impact on WTC Survivors

描述（由申请人提供）：以前的灾难研究不能充分准备的国家，以解决9月11日恐怖袭击的心理健康后果，虽然研究，包括俄克拉荷马州城市爆炸研究提供了宝贵的信息，以指导早期后9/11心理健康干预。需要进行新的研究，以扩大与这种前所未有的大规模恐怖主义事件有关的知识。 虽然新的研究已经检查了袭击对纽约市间接受影响居民和全国人口的早期心理健康影响，但尚未对最高度暴露的人群进行深入的精神病学评估-从世界贸易中心（世贸中心）楼上的幸存者在飞机袭击后逃离-尚未进行。经验丰富的华盛顿大学和俄克拉荷马州大学灾难研究小组的专业知识和资源与纽约市9/11研究财团合作，建议采用最先进的方法，对这个高度暴露的人群的心理健康影响进行深入研究，现在通过一年多的网络，这个小组可以接触到。目前正在与幸存者进行的焦点小组正在指导我们针对9111经历的相关和独特方面的评估工具的改进。 这项拟议的研究将对400名暴露最严重的幸存者进行诊断性精神评估，包括世贸中心塔楼最高层的企业工人及其配偶/同居伴侣（还将获得有关其子女的次要信息，为我们即将进行的研究做准备）。研究样本将在最初评估后两年重新评估，以检查PTSD和其他精神病理学的纵向持续性。该研究的目的是跟踪9/11事件后2年至6年的创伤后应激障碍（PTSD）和其他精神疾病以及这一最高暴露人群的持续治疗需求，并研究他们对正义的看法以及参与研究对他们的负担。这些发现将对未来的研究产生重要影响。它们将为制定和实施干预措施提供信息，这些干预措施旨在使个人在灾后工作场所和家中与家人一起恢复更充分的功能。

DESCRIPTION (provided by applicant): Previous disaster studies could not adequately prepare the nation to address the mental health consequences of the September 11 terrorist attacks, although research including the Oklahoma City bombing study provided valuable information to guide early post-9/11 mental health interventions. New studies are needed to expand knowledge pertinent to such unprecedented large-scale terrorist incidents. Although new research has examined early mental health effects of the attacks on indirectly affected residents of New York City and the nation's population, in-depth psychiatric evaluation of the most highly exposed population--survivors from the upper floors of the World Trade Center (WTC) who escaped after the planes struck--has not been carried out. The combined expertise and resources of the highly experienced Washington University and University of Oklahoma Disaster Research Teams in collaboration with a New York City 9/11 research consortium proposes to apply state-of-the-art methodology to conduct indepth research on the mental health effects on this highly exposed population now accessible to this team through more than a year of networking. Focus groups currently being conducted with survivors are guiding the refinement of our assessment tools for the relevant and unique aspects of the 9111 experience. The proposed study will conduct diagnostic psychiatric assessments on 400 of the most heavily exposed survivors including workers of businesses on the highest floors of the WTC towers, and their spouses/ cohabitating partners (also obtaining secondary information on their children in preparation for our upcoming research with them). The study sample will be reassessed two years after the initial evaluation to examine longitudinal persistence of PTSD and other psychopathology. The aims of the study are to follow the course (from 2 through 6 years post-9/11) of posttraumatic stress disorder (PTSD) and other psychiatric disorders and ongoing treatment needs among this most highly exposed population, and to study their perceptions of justice and the burden of research participation on them. The findings will address important implications for conducting future research. They will inform the development and implementation of interventions aimed at restoration of individuals to fuller function in the post disaster workplace and at home with their families.