Exposure to Mass Disaster and Probable Panic Disorder Among Children in New York City

Details

• Personal Author:
  Bresnahan M ; Cheslack-Postava K ; Eisenberg R ; Fan B ; Goodwin RD ; Hoven CW ; Musa GJ ; Weinberger AH ; Wicks J
• Description:
  While both direct and indirect exposure to mass trauma are increasing in the United States, relatively little is known about the potential link between mass trauma and risk of panic disorder early in life. It is also unclear whether history of prior individual trauma increases risk of panic disorder even further among those with exposure to mass trauma. The current study investigated the association between exposure to a mass trauma event (the World Trade Center (WTC) attack) and risk of panic disorder among children, how panic disorder varies by exposure severity and sociodemographic characteristics, and whether there is an interaction between individual and mass trauma exposure in the risk of panic disorder. Data were from an epidemiologic study of probable mental disorders among New York City schoolchildren exposed to the WTC terrorist attack. Severe (adjusted odds ratio [AOR] = 2.0 (1.1, 3.7)) exposure to the WTC disaster was associated with increased odds of probable panic disorder, relative to mild exposure. The prevalence of panic disorder increased with higher level of WTC exposure among all sociodemographic strata. Prior individual trauma exposure was associated with increased odds of panic disorder (AOR = 2.4 (1.6, 3.5)), but there was no evidence of interaction between prior individual trauma exposure and exposure to the WTC disaster. Preventive measures to address the widespread nature of mass disaster exposure at increasingly earlier ages and via media could mitigate the potential impact on mental health. [Description provided by NIOSH]
• Subjects:
  Adolescent Aging Demography Environmental Exposure Epidemiology Mental Disorders Mental Health Nervous System Occupational Health Risk Assessment Risk Factors Safety September 11 Terrorist Attacks Stress Disorders, Post-Traumatic

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• Keywords:
  Adolescents Age Groups Author Keywords: Adolescents Children Demographic Characteristics Disaster Sites Emotional Stress Exposure Levels Humans Mental Disorders Mental Health Panic Disorder Physiological Effects Post-traumatic Stress Disorder Psychological Effects Psychology PTSD Risk Factors September 11 Attacks Socioeconomics Terrorism Trauma Traumatic Incident Stress World Trade Center WTC

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• ISSN:
  0022-3956
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  349-353
• Volume:
  138
• NIOSHTIC Number:
  nn:20063048
• Citation:
  J Psychiatr Res 2021 Jun; 138:349-353
• Contact Point Address:
  Renee D. Goodwin, Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, Rm 1030D, New York, NY, 10032, United States
• Email:
  rdg66@columbia.edu
• Federal Fiscal Year:
  2021
• Performing Organization:
  New York State Psychiatric Institute, New York
• Peer Reviewed:
  True
• Start Date:
  20150701
• Source Full Name:
  Journal of Psychiatric Research
• End Date:
  20170630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f54edf3e8635b8bfc6a5b7d733fbf4d21037dd12fe1556f093f6cfcf0670aa51070ada0b06c983fe6c5333e2df9e76421277b5dfb50a496d2d2f7a8419d6bfec
• Download URL:
  https://stacks.cdc.gov/view/cdc/226177/cdc_226177_DS1.pdf
• File Type:
  [PDF - 337.77 KB ]