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Posttraumatic Stress Disorder in the General Population After Mass Terrorist Incidents: Considerations About the Nature of Exposure

Published online by Cambridge University Press:  07 November 2014

Sandro Galea  and
Heidi Resnick
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Abstract

Epidemiologically, disasters represent multiple forms of possible exposures, including exposure type (eg, natural versus human-made), intensity, and duration. It has been suggested that the consequences of human-made disasters (eg, terrorist incidents) may be more severe than those of natural disasters; recent evidence suggests that there may be a high prevalence of posttraumatic stress disorder (PTSD) among both direct survivors of such attacks and in the general population. Several studies after the September 11, 2001, terrorist attacks found that the prevalence of PTSD was higher in New York City than it was in the rest of the US and that there was a substantial burden of PTSD among persons who were not directly affected by the attacks. This raises important questions about the meaning of “exposure” to a disaster. Using data from an assessment of PTSD in the first 6 months after September 11th we considered the nature of the PTSD experienced by persons who were not directly affected by the September 11th attacks. These data suggest that persons in the general population may have clinically important posttraumatic stress symptomatology after a mass terrorist incident. Future research should consider mechanisms through which persons in the general population may be at risk for PTSD after such incidents.

Type
Review Article
Information
CNS Spectrums , Volume 10 , Issue 2 , February 2005 , pp. 107 - 115
Copyright
Copyright © Cambridge University Press 2005

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References

REFERENCES

1.Norris, FH. Epidemiology of trauma: frequency and impact of different potentially traumatic events on different demographic groups. J Consult Clin Psychol. 1992;60:409–418.CrossRefGoogle ScholarPubMed
2.Breslau, N, Davis, GC, Andreski, P, Peterson, E. Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry. 1991;48:216–222.Google Scholar
3.Resnick, HS, Kilpatrick, DG, Dansky, BS, Saunders, BE, Best, CL. Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. J Consult Clin Psychol. 1993;61:984–991.Google Scholar
4.Kessler, RC, Sonnega, A, Bromet, E, Hughes, M, Nelson, CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995;52:1048–1060.Google Scholar
5.Breslau, N, Kessler, RC, Chilcoat, HD, Schultz, LR, Davis, GC, Andreski, P. Trauma and posttraumatic stress disorder in the community: the 1996 Detroit Area Survey of Trauma. Arch Gen Psychiatry. 1998;55:626–632.CrossRefGoogle ScholarPubMed
6.Kessler, RC. Posttraumatic stress disorder: the burden to the individual and to society. J Clin Psychiatry 2000;61(suppl 5):4–12.Google Scholar
7.Corradi, J, Fagen, PW, Garreton, M. Fear at the Edge: State Terror and Resistance in Latin America. Berkeley, Calif: University of California Press; 1992.CrossRefGoogle Scholar
8.Nordstrom, C, Martin, J. The Paths to Domination, Resistance, and Terror. Berkeley, Calif: University of California Press; 1992.CrossRefGoogle Scholar
9.Burkle, FM Jr.Acute-phase mental health consequences of disasters: implications for triage and emergency medical services. Ann Emerg Med. 1996;28:119–128.Google Scholar
10.Norris, FH, Friedman, MJ, Watson, PJ, Byrne, CM, Diaz, E, Kaniasty, K. 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry. 2002;65:207–239.CrossRefGoogle Scholar
11.Tucker, P, Boehler, SD, Dickson, W, Lensgraf, SJ, Jones, D. Mental health response to the Oklahoma City bombing. J Okla State Med Assoc. 1999;92:168–171.Google Scholar
12.Smith, DW, Christiansen, EH, Vincent, R, Hann, NE. Population effects of the bombing of Oklahoma City. J Okla State Med Assoc. 1999;92:193–198.Google Scholar
13.Sprang, G. Post-Disaster Stress Following the Oklahoma City Bombing: an examination of three community groups. J Interper Violence. 1999;14:169–183.CrossRefGoogle Scholar
14.Pfefferbaum, B, Nixon, SJ, Tivis, RD, et al.Television exposure in children after a terrorist incident. Psychiatry. 2001;64:202–211.Google Scholar
15.Pfefferbaum, BB, Nixon, SJ, Tucker, PM, et al.Posttraumatic stress responses in bereaved children after the Oklahoma City bombing. J Am Acad Child Adolesc Psychiatry. 1999;38:1372–1379.Google Scholar
16.Schuster, MA, Stein, BD, Jaycox, LH, et al.A national survey of stress reactions after the September 11, 2001, terrorist attacks. New Engl J Med. 2001;345:1507–1512.CrossRefGoogle ScholarPubMed
17.Weathers, FW, Litz, BT, Herman, DS, Huska, JA, Keane, TM. The PTSD Checklist (PCL): reliability, validity, and diagnostic utility. Paper presented at: annual meeting of the International Society for Traumatic Stress Studies. San Antonio, Tex, October 24-27, 1993.Google Scholar
18.Schlenger, WE, Caddell, JM, Ebert, L, et al.Psychological reactions to terrorist attacks: findings from the National Study of Americans' Reactions to September 11. JAMA. 2002;288:581–588.CrossRefGoogle ScholarPubMed
19.Silver, RC, Holman, EA, McIntosh, DN, Poulin, M, Gil-Rivas, V. Nationwide Longitudinal Study of Psychological Responses to September 11. JAMA. 2002;288:1235–1244.Google Scholar
20.Galea, S, Ahem, J, Resnick, H, Kilpatrick, D, Bucuvalas, M, Gold, J, Vlahov, D. Psychological sequelae of the September 11th attacks in Manhattan, New York City. N Engl J Med. 2002;346:982–987.Google Scholar
21.Vlahov, D, Galea, S, Resnick, H, et al.Increased consumption of cigarettes, alcohol and marijuana among manhattan residents after the September 11th terrorist attacks. Am J Epidemiol. 2002;555:988–996.CrossRefGoogle Scholar
22.Galea, S, Vlahov, D, Resnick, H, et al.Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. Am J Epidemiol. 2003;158:514–524.Google Scholar
23.Kilpatrick, DG, Acierno, R, Schnurr, PP, Saunders, B, Resnick, HS, Best, CL. Risk factors for adolescent substance abuse and dependence: data from a national sample. J Consult Clin Psychol. 2000;68:19–30.CrossRefGoogle ScholarPubMed
24.North, CS, Nixon, SJ, Shariat, S, et al.Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA. 1999;282:755–762.CrossRefGoogle ScholarPubMed
25.Bleich, A, Gelkopf, M, Solomon, Z. Exposure to terrorism, stress-related mental health symptoms, and coping behaviors among a nationally representative sample in Israel. JAMA. 2003;290:612–620.CrossRefGoogle ScholarPubMed
26.Cardena, E, Koopman, C, Classen, C, Waelde, LC, Spiegel, D. Psychometric properties of the Stanford Acute Reaction Questionnaire (SASRQ). J Trauma Stress. 2000;13:719–734.CrossRefGoogle ScholarPubMed
27.Gidron, Y, Kaplan, Y, Velt, As, Shalem, R. Prevalence and moderators of terror-related posttraumatic stress disorder symptoms in Israeli citizens. Isr Med Assoc J. 2004;6:387–391.Google Scholar
28.Scholte, WF, Olff, M, Ventevogel, P, de Vries, GJ, Jansveld, E, Cardozo, BL, Crawford, CA. Mental health symptoms following war and repression in eastern Afghanistan. JAMA. 2004;292:585–593.Google Scholar
29.Fernandez, WG, Galea, S, Ahern, J, Sisco, S, Waldman, RJ, Koci, B, Vlahov, D. Mental health status among ethnic Albanians seeking medical care in an emergency department two years after the war in Kosovo: a pilot project. Ann Emerg Med. 2004;43:E1–E8.Google Scholar
30.Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.Google Scholar
31.Shalev, AY, Tuval-Mashiach, R, Hadar, H. Posttraumatic stress disorder as a result of mass trauma. J Clin Psychiatry. 2004;65(suppl 1):4–10.Google Scholar
32.Bureau of the Census. Census Summary Tape, File 3A (STF3A). Washington, DC: US Dept of Commerce; 2000.Google Scholar
33.Galea, S, Boscarino, J, Resnick, H, Vlahov, D. Mental health in New York City after the September 11 terrorist attacks: results from two population surveys. In: Manderscheid, R, Henderson, MJ, eds. Mental Health, United States, 2002. Washington, DC: US Government Print Office; 2003.Google Scholar
34.Ahern, J, Galea, S, Resnick, H, Vlahov, D. Television images and probable posttraumatic stress disorder after September 11: the role of background characteristics, event exposures, and perievent panic. J Nerv Ment Dis. 2004;192:217–226.Google Scholar
35.Ahern, J, Galea, S, Resnick, H, Kilpatrick, D, Bucuvalas, M, Vlahov, D. Television images and psychological symptoms after the September 11 terrorist attacks. Psychiatry. 2002;65:289–300.Google Scholar
36.Kessler, RC, McGonagle, KA, Zhao, S, et al.Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51:8–19.CrossRefGoogle ScholarPubMed
37.Shalev, AY. What is posttraumatic stress disorder? J Clin Psychiatry. 2001;62(suppl 17):4–10.Google ScholarPubMed
38.Solomon, SD, Canino, GJ. Appropriateness of DSM-III-R criteria for posttraumatic stress disorder. Compr Psychiatry. 1990;31:227–237.CrossRefGoogle ScholarPubMed