9/11 Trauma and Toxicity in Childhood: Longitudinal Health and Behavioral Outcomes

Details

• Personal Author:
  Bresnahan MA ; Geronazzo-Alman L ; Hoven CW ; Szema AM
• Description:
  On 9/11, children who were residents of the World Trade Center area or students in local schools experienced a wide range of psychological traumas and toxic exposures. Yet, surprisingly, much less research has been done with those exposed to 9/11 as children than with adults. The bulk of research has focused on those who were adults on 9/11, which has furnished strong evidence linking 9/11 traumatic and toxic exposures (both on 9/11 and subsequently) to a wide range of subsequent adult psychiatric and physical disorders. Based on this research, we can, unfortunately, expect that youth who were directly exposed on 9/11, during sensitive periods in their physical and mental development, will carry even greater and ongoing lifetime risks for a variety of behavioral and physical health difficulties. The Stress and Well-Being (S&W) study followed N=1,000 individuals exposed to 9/11 as children and N=500, age and gender matched, unexposed Controls. The study was focused on psychological trauma and psychiatric and behavioral outcomes and generated concrete evidence for the ongoing developmental psychiatric and behavioral problems in this group, a decade after 9/11. In this S&W2 Study, we expanded the scope of the baseline S&W Study by assessing these individuals for toxic exposures, objective measures of their physical health (airway disorders and inflammatory processes), as well as their ongoing psychiatric (mental health, substance abuse) and behavioral (decision anomalies and high-risk behavior) outcomes. We examined the interaction between traumatic and toxic exposures and the resulting comorbidities of physical and mental health issues. This approach was designed to fill important knowledge gaps, resulting in valuable information to guide both psychiatric and general medical care for those children exposed to 9/11, while simultaneously providing new information about the long-term comorbid mental-physical health sequelae of traumatic exposure in childhood, relevant for all youth exposed to traumatic events. [Description provided by NIOSH]
• Subjects:
  Behavior Decision Making Delivery Of Health Care Hazardous Substances Mental Disorders Mental Health Nervous System Occupational Health Safety September 11 Terrorist Attacks Stress Disorders, Post-Traumatic

  More +
• Keywords:
  Behavioral Disorders Children Decision Making Longitudinal Study Medical Care Mental Health Toxic Materials Traumatic Incident Stress World Trade Center WTC
• Series:
  Grant Final Reports
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Final Cooperative Agreement Report
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OEP - Office of Extramural Programs
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-34
• NIOSHTIC Number:
  nn:20067195
• Citation:
  Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, U01-OH-011308, 2022 Dec; :1-34
• Contact Point Address:
  Christina W. Hoven, DrPH, MPH, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032-1007
• Email:
  Christina.Hoven@nyspi.columbia.edu
• Federal Fiscal Year:
  2023
• Performing Organization:
  New York State Psychiatric Institute
• Peer Reviewed:
  False
• Start Date:
  20160901
• Source Full Name:
  National Institute for Occupational Safety and Health
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f3fef4efe22cf8d253062cdbef9e780d51016f06d7323bd4e4c4da296d8f79efe36ecb5454b6c05722c0494974b466a8a22db65e36339415ce0156ca84f68653
• Download URL:
  https://stacks.cdc.gov/view/cdc/219188/cdc_219188_DS1.pdf
• File Type:
  [PDF - 1.32 MB ]