Mental health in NYC after WTC disaster

世贸中心灾难后纽约市的心理健康状况

基本信息

批准号：
7013007
负责人：
DAVID VLAHOV
金额：
$ 27.61万
依托单位：
NEW YORK ACADEMY OF MEDICINE
依托单位国家：
美国
项目类别：
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

项目摘要

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 (NYC) 大都市区居民因世贸中心灾难 (WTSD) 而遭受的中长期心理困扰的患病率和相关性。这项研究计划延长将于 2002 年 3 月进行的基线评估和招聘面试，并于 2002 年 9 月和 2003 年 9 月进行两轮进一步的调查。先前的灾后研究表明，纽约市所有居民中 4-5% 或更多的人可能有事件发生后 6 个月出现慢性创伤后应激障碍 (PTSD)；这代表了 400,000 名纽约人。鉴于纽约市的人口密度以及 WTCD 造成的无与伦比的人力和财务损失，纽约市大都市区居民的心理困扰患病率可能更高。 WTCD 在纽约市的范围为评估之前提出的假设提供了一个独特的机会通过较小灾害后的研究制定并指导未来的灾害规划和响应。这项研究将提供纽约大都市区心理困扰（特别是创伤后应激障碍、焦虑和抑郁）患病率变化的估计。我们将评估心理困扰相关因素的预后作用，包括事件经历（例如，距世贸中心的距离）、人口统计数据（例如，年龄、性别、种族/民族、职业）、社会经济因素（例如，社会经济地位、社会地位）。支持）;一生的创伤事件、过去的受害经历、过去暴露于压力源和创伤、急性情绪事件以及常见的合并症（例如药物滥用）。我们还将盘点与 WTCD 后遗症相关的不断变化的心理健康和医疗保健服务的可用性，并衡量中长期的服务利用率和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的方式招募一群居住在纽约市大都市区（分为以世贸中心为中心呈同心辐射状的四个区域）的人群。该提案涉及后续的第 2 波和第 2 波。该队列中的 3 名。我们将在基线和后续阶段对受访者实施经过充分验证的诊断调查措施。我们将在基线时招募 2,670 人参与本研究（预计 2 年内人员流失率为 25%；即最终队列的 n=2000 人）。我们将使用多变量分析和层次建模来解决本提案中的关键研究假设。