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Title: Fatigue severity in World Trade Center (9/11) responders: a preliminary study
Contributor(s): Friedberg, Fred (author); Adamowicz, Jenna L (author); Caikauskaite, Indre (author); Napoli, Anthony (author); Shapira, Oren (author); Hobbs, Megan  (author)orcid ; Bromet, Evelyn (author); Kotov, Roman (author); Gonzalez, Adam (author); Clouston, Sean (author); Luft, Benjamin (author)
Publication Date: 2016
Early Online Version: 2016-04-12
DOI: 10.1080/21641846.2016.1169726
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Abstract: Purpose: To assess fatigue severity in World Trade Center (9/11) responders 13 years later. Methods: The participant pool consisted of male 9/11 responders enrolled in the Stony Brook World Trade Center Health Program (WTC-HP), one of five centers of excellence established by the Centers for Disease Control and Prevention. Fatigue severity was assessed with the Fatigue Severity Scale. WTC-related medical conditions were certified by a physician and diagnoses of 9/11-related post-traumatic stress disorder (PTSD) and major depressive disorder (MDD) were determined with the Structured Clinical Interview for DSM-IV (SCID). Results: High fatigue severity was reported by 20.8% of the sample (N=1079) and was significantly associated with PTSD, major depressive disorder, sleep apnea, gastro-esophageal reflux disease, upper respiratory disease, and lower respiratory disease. These associations remained significant for PTSD, major depressive disorder and lower respiratory disease when adjusted for medications, age and BMI. Only 17.3% of the high fatigue subgroup did not have an identified medical or psychiatric diagnosis. Fewer fatigued (21.1%) than non-fatigued (72.0%) responders rated their physical health as ‘good’ or ‘very good.’ Also fewer fatigued (33.9%) than non-fatigued (54.1%) responders were employed full-time (p<.0001). Conclusions: This study found clinically elevated fatigue in a high percentage of a male WTC responder cohort that prior to 9/11/2001 would be considered a ‘healthy worker cohort.’ To better understand the pathophysiology of fatigue, newer methodologies such as symptom provocation (e.g. exercise) designs may be useful.
Publication Type: Journal Article
Source of Publication: Fatigue: Biomedicine, Health & Behavior, 4(2), p. 70-79
Publisher: Routledge
Place of Publication: United States of America
ISSN: 2164-1862
Fields of Research (FoR) 2008: 110319 Psychiatry (incl. Psychotherapy)
111706 Epidemiology
170106 Health, Clinical and Counselling Psychology
Fields of Research (FoR) 2020: 520302 Clinical psychology
320221 Psychiatry (incl. psychotherapy)
520304 Health psychology
Socio-Economic Objective (SEO) 2008: 920410 Mental Health
920209 Mental Health Services
920204 Evaluation of Health Outcomes
Socio-Economic Objective (SEO) 2020: 200409 Mental health
200305 Mental health services
200202 Evaluation of health outcomes
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

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