The burden of full and subsyndromal posttraumatic stress disorder among police involved in the World Trade Center rescue and recovery effort
| Autor: | Philip J. Landrigan, Jeanne Mager Stellman, Fatih Ozbay, Evelyn J. Bromet, Craig L. Katz, Vansh Sharma, Iris Udasin, Stephen M. Levin, Steven M. Southwick, Denise Harrison, Clyde B. Schechter, Benjamin J. Luft, Dori B. Reissman, Jacqueline Moline, Michael Crane, Robin Herbert, Robert H. Pietrzak |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Family support Population Poison control Suicide prevention Occupational safety and health Stress Disorders Post-Traumatic Risk Factors mental disorders Injury prevention Odds Ratio medicine Humans education Psychiatry Biological Psychiatry Aged Retrospective Studies education.field_of_study Depression business.industry Mental Disorders Panic disorder Human factors and ergonomics Middle Aged medicine.disease Health Surveys Police Psychiatry and Mental health Female September 11 Terrorist Attacks business Stress Psychological |
| Zdroj: | Journal of Psychiatric Research. 46:835-842 |
| ISSN: | 0022-3956 |
| DOI: | 10.1016/j.jpsychires.2012.03.011 |
| Popis: | Background This study examined the prevalence, correlates, and perceived mental healthcare needs associated with subsyndromal PTSD in police involved in the World Trade Center (WTC) rescue and recovery effort. Methods A total of 8466 police completed an interview/survey as part of the WTC Medical monitoring and Treatment Program an average of four years after 9/11/2001. Results The past month prevalence of full and subsyndromal WTC-related PTSD was 5.4% and 15.4%, respectively. Loss of someone or knowing someone injured on 9/11 (odds ratios [ORs] = 1.56–1.86), pre-9/11 stressors (ORs = 1.30–1.50), family support (ORs = 0.83–0.94), and union membership (ORs = 0.50–0.52) were associated with both full and subsyndromal PTSD. Exposure to the dust cloud (OR = 1.36), performing search and rescue work (OR = 1.29), and work support (OR = 0.89) were additionally associated with subsyndromal PTSD. Rates of comorbid depression, panic disorder, and alcohol use problems (ORs = 3.82–41.74), and somatic symptoms and functional difficulties (ORs = 1.30–1.95) were highest among police with full PTSD, with intermediate rates among police with subsyndromal PTSD (ORs = 2.93–7.02; and ORs = 1.18–1.60, respectively). Police with full and subsyndromal PTSD were significantly more likely than controls to report needing mental healthcare (41.1% and 19.8%, respectively, versus 6.8% in trauma controls). Conclusions These results underscore the importance of a more inclusive and dimensional conceptualization of PTSD, particularly in professions such as police, as operational definitions and conventional screening cut-points may underestimate the psychological burden for this population. Accordingly, psychiatric clinicians should assess for disaster-related subsyndromal PTSD symptoms in disaster response personnel. |
| Databáze: | OpenAIRE |
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