Mental health in NYC after WTC disaster

世贸中心灾难后纽约市的心理健康状况

• 批准号: 6651121
• 负责人: DAVID VLAHOV
• 金额: $ 58.71万
• 依托单位: NEW YORK ACADEMY OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-08-23 至 2005-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6651121
• 关键词: anxiety; behavioral /social science research tag; clinical research; comorbidity; depression; disasters; experience; health care service availability; health care service utilization; human subject; interview; longitudinal human study; mass information media; mental health epidemiology; mental health services; population survey; posttraumatic stress disorder; psychological stressor; psychometrics; social support network; socioeconomics; substance abuse related disorder; urban area; work site

The purpose of this longitudinal cohort study is to assess prevalence and correlates of medium-term and long-term psychological distress among residents of the New York City (NYC) metropolitan area in response to the World Trade Center disaster (WTSD). This study plans to extend a baseline assessment and recruiting interview that will take place on March 2002 with two further survey waves in September 2002 and September 2003. Previous post-disaster research suggests that 4-5% or more of all residents of NYC may have chronic Post-Traumatic Stress Disorder (PTSD) 6 months after the incident; this would represent 400,000 New Yorkers. Given the density of NYC and the unparalleled human and financial losses resulting from the WTCD, the prevalence of psychological distress among residents of the NYC metropolitan area may be even higher The scope of the WTCD in NYC presents a unique opportunity to assess hypotheses that have previously been formulated through research after smaller disasters and to guide future disaster planning and response. This research will provide estimates of the changing prevalence of psychological distress (particularly PTSD, anxiety, and depression) in the NYC metropolitan area. We will assess the prognostic role of correlates of psychological distress including event experiences (e.g., distance from WTC), demographics (e.g., age, gender, race/ethnicity, occupation), socio-economic factors (e.g., socio-economic status, social support); lifetime traumatic events, past victimization, past exposure to stressors and trauma, acute emotional events, and commonly occurring co-morbidities (e.g., substance use). We will also inventory the changing availability of mental health and health care services related to post-WTCD sequelae and measure service utilization and perceived organizational responsiveness in the medium- and long-term. In order to answer these questions a cohort of persons living in the NYC metropolitan area (divided into four zones radiating concentrically from the WTC site) will be recruited through random digit dialing in March 2002. This proposal pertains to the follow-up waves 2 and 3 of this cohort. We will administer well validated diagnostic survey measures to respondents at baseline and in follow-up. We will recruit 2,670 persons for this study at baseline (and expecting 25% attrition over a 2 year period; i.e., n=2000 for final cohort). We will use multivariable analyses and hierarchical modeling to address key research hypotheses in this proposal.

这项纵向队列研究的目的是评估纽约市居民（NYC）大都市地区中期和长期心理困扰的普遍性和相关性，以应对世界贸易中心灾难（WTSD）。这项研究计划延长2002年3月将在2002年3月进行的基线评估和招聘访谈，并于2002年9月和2003年9月进行两次调查浪潮。先前的疾风后研究表明，事件发生后6个月6个月，纽约市的所有居民中有4-5％或更多的纽约市居民可能患有慢性创伤后应激障碍（PTSD）。这将代表40万纽约人。鉴于WTCD造成的纽约市的密度以及无与伦比的人类和财务损失，纽约市大都会地区居民的心理困扰率可能更高，这可能更高，纽约市WTCD的范围更高，这是一个独特的机会，是一个独特的机会，可以评估较小的疾病灾难和未来灾难计划和响应灾难和响应，以评估以前通过研究表达的假设。这项研究将估计纽约市大都会地区心理困扰（尤其是PTSD，焦虑和抑郁症）的发生率的变化。我们将评估心理困扰相关性的预后作用，包括事件经历（例如，与WTC的距离），人口统计学（例如，年龄，性别，种族/种族/种族，职业），社会经济因素（例如社会经济状况，社会经济地位，社会支持）；终生的创伤事件，过去的受害，过去暴露于压力源和创伤，急性情绪事件以及通常发生的合并症（例如，使用物质）。 我们还将库存与WTCD后遗症有关的心理健康和卫生保健服务的不断变化，并在中期和长期内衡量服务利用以及感知的组织响应能力。为了回答这些问题，将在2002年3月通过随机数字拨号招募，居住在纽约市大都会地区的人群（分为从WTC站点散发出的四个区域）。该提议与该队列的后续浪潮2和3。我们将在基线和随访中对受访者进行良好验证的诊断调查措施。我们将在基线上招募2,670人参加这项研究（预计在2年内会损耗25％；即最终队列的n = 2000）。我们将使用多变量分析和分层建模来解决该提案中的关键研究假设。