Cognitive function among World Trade Center-exposed community members with mental health symptoms.

Details

• Personal Author:
  Bao J ; Masurkar A ; Reibman J ; Rosen R ; Shao Y ; Urban N ; Wisniewski T ; Zhang Q ; Zhang Y
• Description:
  The World Trade Center Environmental Health Center (WTC EHC), is a federally designated clinical center of excellence for surveillance and treatment of WTC disaster exposed community members (WTC Survivors). Cognitive impairment (CI) has been extensively described in WTC responders and a concern for progressive impairment in all WTC disaster exposed groups has been raised. Cognitive status, however, has not been systematically characterized in the WTC Survivor population. We describe cognitive status in a subgroup of the Survivor population referred for mental health evaluation (N = 480) in the WTC EHC as measured by scores on the Montreal Cognitive Assessment (MoCA) instrument, and examine their association with WTC exposures and individual level covariates including PTSD and depression screening inventory scores. In regression analyses, probable cognitive impairment (MoCA score < 26) was found in 59% of the study subjects and was significantly associated with age, race/ethnicity, education, income, depression and PTSD scores. Being caught in the dust cloud on 11 September 2011 was significantly associated with cognitive impairment even after controlling for the above. These data suggest an association with cognitive dysfunction in WTC Survivors with exposure to the toxic dust/fumes and psychological stress from the 9/11 terrorist attack and warrant further systematic study. [Description provided by NIOSH]
• Subjects:
  Dust Hazardous Substances Mental Health Nervous System Occupational Health Safety September 11 Terrorist Attacks Stress, Psychological
• Keywords:
  Author Keywords: World Trade Center; Cognitive Impairment; Trauma; PTSD; Toxin Exposure; MoCA; Cognition; MCI WTC; World Trade Center; Cognitive Function; Mental Health; Mental Stress; Regression Analysis; PTSD; Post-traumatic Stress Disorder; Dust Exposure; Dusts; Toxins;
• ISSN:
  1660-4601
• Document Type:
  Text
• Funding:
  Contract
• 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
• Volume:
  19
• Issue:
  6
• NIOSHTIC Number:
  nn:20064888
• Citation:
  Int J Environ Res Public Health 2022 Mar; 19(6):3440
• Contact Point Address:
  Rebecca Rosen, Department of Psychiatry, NYU Grossman School of Medicine, New York, NY 10016
• Email:
  rebeccalrosen@nyulangone.org
• Federal Fiscal Year:
  2022
• Performing Organization:
  NYC Health + Hospitals (H+H): NYC H+H Data Center
• Peer Reviewed:
  True
• Start Date:
  20170401
• Source Full Name:
  International Journal of Environmental Research and Public Health
• End Date:
  20210331
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:af338e598713f36b4f16267a1dbca9f4ec080411e897e6c48c696cf92757b5d2ee0e1fcbf62c0db555a030f62a303dc3248fadd7f6ed9f215215c87bb26ce6c5
• Download URL:
  https://stacks.cdc.gov/view/cdc/248762/cdc_248762_DS1.pdf
• File Type:
  [PDF - 1.38 MB ]