Enduring Mental Health Morbidity and Social Function Impairment in World Trade Center Rescue, Recovery, and Cleanup Workers: The Psychological Dimension of an Environmental Health Disaster
Published Date:Sep 2008
Source:Environ Health Perspect. 2008; 116(9):1248-1253.
Post-traumatic Stress Disorder
September 11 Terrorist Attacks
Stress Disorders, Post-Traumatic
World Trade Center
Funding:200-2002-00384/PHS HHS/United States
U10 OH008216/OH/NIOSH CDC HHS/United States
U10 OH008223/OH/NIOSH CDC HHS/United States
U10 OH008225/OH/NIOSH CDC HHS/United States
U10 OH008232/OH/NIOSH CDC HHS/United States
U10 OH008275/OH/NIOSH CDC HHS/United States
U10 UOH008239/PHS HHS/United States
The World Trade Center (WTC) attacks exposed thousands of workers to hazardous environmental conditions and psychological trauma. In 2002, to assess the health of these workers, Congress directed the National Institute for Occupational Safety and Health to establish the WTC Medical Monitoring and Treatment Program. This program has established a large cohort of WTC rescue, recovery, and cleanup workers. We previously documented extensive pulmonary dysfunction in this cohort related to toxic environmental exposures.
Our objective in this study was to describe mental health outcomes, social function impairment, and psychiatric comorbidity in the WTC worker cohort, as well as perceived symptomatology in workers’ children.
Ten to 61 months after the WTC attack, 10,132 WTC workers completed a self-administered mental health questionnaire.
Of the workers who completd the questionnaire, 11.1% met criteria for probable post-traumatic stress disorder (PTSD), 8.8% met criteria for probable depression, 5.0% met criteria for probable panic disorder, and 62% met criteria for substantial stress reaction. PTSD prevalence was comparable to that seen in returning Afghanistan war veterans and was much higher than in the U.S. general population. Point prevalence declined from 13.5% to 9.7% over the 5 years of observation. Comorbidity was extensive and included extremely high risks for impairment of social function. PTSD was significantly associated with loss of family members and friends, disruption of family, work, and social life, and higher rates of behavioral symptoms in children of workers.
Working in 9/11 recovery operations is associated with chronic impairment of mental health and social functioning. Psychological distress and psychopathology in WTC workers greatly exceed population norms. Surveillance and treatment programs continue to be needed.
text/plain image/gif image/jpeg text/plain
You May Also Like: