Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

The burden of full and subsyndromal posttraumatic stress disorder among police involved in the World Trade Center rescue and recovery effort.

Authors
Pietrzak-RH; Schechter-CB; Bromet-EJ; Katz-CL; Reissman-DB; Ozbay-F; Sharma-V; Crane-M; Harrison-D; Herbert-R; Levin-SM; Luft-BJ; Moline-JM; Stellman-JM; Udasin-IG; Landrigan-PJ; Southwick-SM
Source
J Psychiatr Res 2012 Jul; 46(7):835-842
NIOSHTIC No.
20041323
Abstract
BACKGROUND: This study examined the prevalence, correlates, and perceived mental healthcare needs associated with subsyndromal PTSD in police involved in the World Trade Center (WTC) rescue and recovery effort. METHODS: A total of 8466 police completed an interview/survey as part of the WTC Medical monitoring and Treatment Program an average of four years after 9/11/2001. RESULTS: The past month prevalence of full and subsyndromal WTC-related PTSD was 5.4% and 15.4%, respectively. Loss of someone or knowing someone injured on 9/11 (odds ratios [ORs]=1.56-1.86), pre-9/11 stressors (ORs=1.30-1.50), family support (ORs=0.83-0.94), and union membership (ORs=0.50-0.52) were associated with both full and subsyndromal PTSD. Exposure to the dust cloud (OR=1.36), performing search and rescue work (OR=1.29), and work support (OR=0.89) were additionally associated with subsyndromal PTSD. Rates of comorbid depression, panic disorder, and alcohol use problems (ORs=3.82-41.74), and somatic symptoms and functional difficulties (ORs=1.30-1.95) were highest among police with full PTSD, with intermediate rates among police with subsyndromal PTSD (ORs=2.93-7.02; and ORs=1.18-1.60, respectively). Police with full and subsyndromal PTSD were significantly more likely than controls to report needing mental healthcare (41.1% and 19.8%, respectively, versus 6.8% in trauma controls). CONCLUSIONS: These results underscore the importance of a more inclusive and dimensional conceptualization of PTSD, particularly in professions such as police, as operational definitions and conventional screening cut-points may underestimate the psychological burden for this population. Accordingly, psychiatric clinicians should assess for disaster-related subsyndromal PTSD symptoms in disaster response personnel.
Keywords
Mental-health; Humans; Men; Women; Police-officers; Law-enforcement-workers; Injuries; Stress; Exposure-levels; Dusts; Workers; Worker-health; Work-environment; Work-areas; Statistical-analysis; Alcohols; Psychological-stress; Psychological-reactions; Emergency-responders; Author Keywords: Posttraumatic stress disorder; Police; World Trade Center; Depression; Healthcare needs
Contact
Robert H. Pietrzak, National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, Yale University School of Medicine, 950 Campbell Avenue 151E, West Haven, CT 06516
CODEN
JPYRA3
Publication Date
20120701
Document Type
Journal Article
Email Address
robert.pietrzak@yale.edu
Funding Type
Contract; Cooperative Agreement
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U10-OH-008232; Contract-200-2002-0038; B08292012
Issue of Publication
7
ISSN
0022-3956
NIOSH Division
OD
Source Name
Journal of Psychiatric Research
State
CT; NY; DC; NJ
Performing Organization
Mount Sinai School of Medicine of New York
TOP