9/11: Persistent Mental Health Impact on WTC Survivors

9/11：世贸中心幸存者的持续心理健康影响

• 批准号: 6803409
• 负责人: CAROL S NORTH
• 金额: $ 43.88万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-25 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6803409
• 关键词: clinical research; disasters; human subject; longitudinal human study; mental disorder diagnosis; mental health; mental health epidemiology; mental health services; posttraumatic stress disorder; psychological adaptation; psychopathology

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.

描述（由申请人提供）：以前的灾难研究无法充分准备国家以应对9月11日恐怖袭击的心理健康后果，尽管包括俄克拉荷马城轰炸在内的研究提供了有价值的信息，以指导9/11之后的早期心理健康干预措施。需要新的研究来扩大与这种前所未有的大规模恐怖事件有关的知识。 尽管新的研究已经检查了攻击对纽约市间接影响居民和美国人口间接影响的早期心理健康影响，但对最暴露的人口最受暴露的人口的深入精神病学评估 - 来自世界贸易中心（WTC）的流浪者（WTC）逃脱了飞机之后的逃脱。经验丰富的华盛顿大学和俄克拉荷马大学灾难研究团队的综合专业知识和资源与纽约市的9/11研究联盟合作，建议采用对这个高度曝光人群的心理健康影响的深入研究，现在可以通过超过一年的网络来对该团队访问该团队。目前与幸存者一起进行的焦点小组正在指导我们的评估工具的改进，以了解9111体验的相关和独特方面。 拟议的研究将对400名最曝光的幸存者进行诊断性精神病评估，包括WTC塔楼最高楼层的企业工人及其配偶/同居伴侣（还获得有关其子女的次要信息，以为我们即将与他们的研究做好准备）。研究样本将在初步评估后两年重新评估，以检查PTSD和其他心理病理学的纵向持久性。该研究的目的是遵循创伤后应激障碍（PTSD）（PTSD）和其他精神疾病的课程（从9/11后2年到6年），以及在这个最受曝光的人群中的持续治疗需求，并研究他们对正义的看法以及他们的研究成果。这些发现将解决对未来研究的重要意义。他们将告知旨在恢复个人在灾难工作场所以及与家人家中更全面功能的干预措施的发展和实施。