Steven Stellman - Adolescent behavior and PTSD 6-7 years after the World Trade Center terrorist attacks of September 11, 2001

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      Mann, M., Li, J., Farfel, M. R., Maslow, C. B., Osahan, S. S.,   Stellman, S. D. 2 (3-4) 1-9-

      Abstract: Behavioral problems and   psychopathologies were reported in children exposed to the World   Trade Center (WTC) attacks in New York City within 2–3 y   post-disaster. Little is known of subsequent 9/11 related   behavioral and emotional problems. We assessed risk factors for   behavioral difficulties and probable posttraumatic stress   disorder (PTSD) in 489 adolescent enrollees ages 11–18 y of age   in the World Trade Center Health Registry cohort using the   Strengths and Difficulties Questionnaire (SDQ) and DISC   Predictive Scales (DPS), respectively, as reported by the   adolescents. Associations between parental PTSD and adolescent   PTSD and behavioral problems were studied in a subset of 166   adolescent-parent pairs in which the parent was also a Registry   enrollee. Nearly one-fifth (17.4%) of the adolescents, all of   whom were 5–12 y old at the time of the attacks, scored in the   abnormal (5.7%) or borderline (11.7%) range of total SDQ.   Problems were more frequent in minority, low-income, and   single-parent adolescents. Abnormal and borderline SDQ scores   were significantly associated with direct WTC exposures and with   WTC-related injury or death of a family member. Adolescent PTSD   was significantly associated with WTC exposure and with fear of   one’s own injury or death, and with PTSD in the parent (OR = 5.6;   95% CI 1.1–28.4). This adolescent population should be monitored   for persistence or worsening of these problems. Co-occurrence of   parent and child mental health symptoms following a disaster may   have implications for healthcare practitioners and for disaster   response planners.

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