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）：尽管包括俄克拉荷马城爆炸研究在内的研究提供了宝贵的信息来指导 9/11 后早期的心理健康，但之前的灾难研究无法让国家做好充分准备，应对 9 月 11 日恐怖袭击造成的心理健康后果干预措施。需要进行新的研究来扩大与此类前所未有的大规模恐怖事件相关的知识。 尽管新的研究已经检验了袭击事件对间接受影响的纽约市居民和全国人口的早期心理健康影响，但对暴露程度最高的人群——世贸中心 (WTC) 高层的幸存者进行了深入的精神病学评估。 ）飞机撞击后逃脱的人尚未被救出。经验丰富的华盛顿大学和俄克拉荷马大学灾难研究团队与纽约市 9/11 研究联盟合作，结合专业知识和资源，建议应用最先进的方法对心理健康影响进行深入研究通过一年多的网络，该团队现在可以接触到这一高度暴露的人群。目前正在与幸存者进行的焦点小组正在指导完善我们针对 9111 经历的相关和独特方面的评估工具。 拟议的研究将对 400 名最严重暴露的幸存者进行诊断性精神病学评估，其中包括世贸中心塔楼最高层的企业工人及其配偶/同居伴侣（还获取有关他们孩子的二手信息，为我们即将进行的研究做准备）他们）。研究样本将在初次评估两年后重新评估，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这一暴露程度最高的人群中创伤后应激障碍 (PTSD) 和其他精神疾病的病程（9/11 后 2 至 6 年）以及持续的治疗需求，并研究他们对正义以及他们参与研究的负担。这些发现将对开展未来的研究产生重要影响。他们将为制定和实施旨在使个人在灾后工作场所和家庭中与家人更充分发挥功能的干预措施提供信息。