Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/28751
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dc.contributor.authorBromet, E Jen
dc.contributor.authorHobbs, M Jen
dc.contributor.authorClouston, S A Pen
dc.contributor.authorGonzalez, Aen
dc.contributor.authorKotov, Ren
dc.contributor.authorLuft, B Jen
dc.date.accessioned2020-05-22T01:58:48Z-
dc.date.available2020-05-22T01:58:48Z-
dc.date.issued2016-03-
dc.identifier.citationPsychological Medicine, 46(4), p. 771-783en
dc.identifier.issn1469-8978en
dc.identifier.issn0033-2917en
dc.identifier.urihttps://hdl.handle.net/1959.11/28751-
dc.description.abstractBackground: Post-traumatic symptomatology is one of the signature effects of the pernicious exposures endured by responders to the World Trade Center (WTC) disaster of 11 September 2001 (9/11), but the long-term extent of diagnosed Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) post-traumatic stress disorder (PTSD) and its impact on quality of life are unknown. This study examines the extent of DSM-IV PTSD 11–13 years after the disaster in WTC responders, its symptom profiles and trajectories, and associations of active, remitted and partial PTSD with exposures, physical health and psychosocial well-being. Method: Master's-level psychologists administered sections of the Structured Clinical Interview for DSM-IV and the Range of Impaired Functioning Tool to 3231 responders monitored at the Stony Brook University World Trade Center Health Program. The PTSD Checklist (PCL) and current medical symptoms were obtained at each visit. Results: In all, 9.7% had current, 7.9% remitted, and 5.9% partial WTC-PTSD. Among those with active PTSD, avoidance and hyperarousal symptoms were most commonly, and flashbacks least commonly, reported. Trajectories of symptom severity across monitoring visits showed a modestly increasing slope for active and decelerating slope for remitted PTSD. WTC exposures, especially death and human remains, were strongly associated with PTSD. After adjusting for exposure and critical risk factors, including hazardous drinking and co-morbid depression, PTSD was strongly associated with health and well-being, especially dissatisfaction with life. Conclusions: This is the first study to demonstrate the extent and correlates of long-term DSM-IV PTSD among responders. Although most proved resilient, there remains a sizable subgroup in need of continued treatment in the second decade after 9/11.en
dc.languageenen
dc.publisherCambridge University Pressen
dc.relation.ispartofPsychological Medicineen
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.titleDSM-IV post-traumatic stress disorder among World Trade Center responders 11-13 years after the disaster of 11 September 2001 (9/11)en
dc.typeJournal Articleen
dc.identifier.doi10.1017/S0033291715002184en
dc.identifier.pmid26603700en
dcterms.accessRightsGolden
local.contributor.firstnameE Jen
local.contributor.firstnameM Jen
local.contributor.firstnameS A Pen
local.contributor.firstnameAen
local.contributor.firstnameRen
local.contributor.firstnameB Jen
local.subject.for2008110319 Psychiatry (incl. Psychotherapy)en
local.subject.for2008111706 Epidemiologyen
local.subject.for2008170106 Health, Clinical and Counselling Psychologyen
local.subject.seo2008920410 Mental Healthen
local.subject.seo2008920209 Mental Health Servicesen
local.subject.seo2008920204 Evaluation of Health Outcomesen
local.profile.schoolNew England Institute of Healthcare Research, Faculty of Medicine and Healthen
local.profile.emailmegan.hobbs@une.edu.auen
local.output.categoryC1en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.publisher.placeUnited Kingdomen
local.format.startpage771en
local.format.endpage783en
local.peerreviewedYesen
local.identifier.volume46en
local.identifier.issue4en
local.access.fulltextYesen
local.contributor.lastnameBrometen
local.contributor.lastnameHobbsen
local.contributor.lastnameCloustonen
local.contributor.lastnameGonzalezen
local.contributor.lastnameKotoven
local.contributor.lastnameLuften
dc.identifier.staffune-id:mhobbs8en
local.profile.orcid0000-0003-0131-0089en
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.identifier.unepublicationidune:1959.11/28751en
local.date.onlineversion2015-11-25-
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
local.title.maintitleDSM-IV post-traumatic stress disorder among World Trade Center responders 11-13 years after the disaster of 11 September 2001 (9/11)en
local.relation.fundingsourcenoteCenters for Disease Control and Prevention/National Institute for Occupational Safety and Health (CDC/NIOSH) (grant number 200-2011-39410)en
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.search.authorBromet, E Jen
local.search.authorHobbs, M Jen
local.search.authorClouston, S A Pen
local.search.authorGonzalez, Aen
local.search.authorKotov, Ren
local.search.authorLuft, B Jen
local.identifier.erajournal6592en
local.identifier.erapublisher1418en
local.istranslatedNoen
local.uneassociationNoen
local.atsiresearchNoen
local.sensitive.culturalNoen
local.year.available2015en
local.year.published2016en
local.fileurl.closedpublishedhttps://rune.une.edu.au/web/retrieve/478c5f2b-25f2-4e2b-bf44-92022ac44da9en
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