Steven Stellman - Co-occurring lower respiratory symptoms and posttraumatic stress disorder 5 to 6 years after the World Trade Center terrorist attack

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      Publication Details (including relevant citation   information):

      Nair, H. P., Ekenga, C. C., Cone, J. E., Brackbill, R. M.,   Farfel, M. R., Stellman, S. D. 102 (10) 1964-73-

      Abstract: OBJECTIVES: We have described the   epidemiology of co-occurring lower respiratory symptoms (LRS) and   probable posttraumatic stress disorder (PTSD) 5 to 6 years after   exposure to the 9/11 disaster. METHODS: We analyzed residents,   office workers, and passersby (n = 16,363) in the World Trade   Center Health Registry. Using multivariable logistic regression,   we examined patterns of reported respiratory symptoms, treatment   sought for symptoms, diagnosed respiratory conditions, mental   health comorbidities, quality of life, and unmet health care   needs in relation to comorbidity. RESULTS: Among individuals with   either LRS or PTSD, 24.6% had both conditions. The odds of   comorbidity was significantly higher among those with more severe   9/11 exposures. Independent of 9/11 exposures, participants with   LRS had 4 times the odds of those without it of meeting criteria   for PTSD, and those with PTSD had 4 times the odds of those   without it of meeting criteria for LRS. Participants with   comorbidity had worse quality of life and more unmet mental   health care needs than did all other outcome groups. CONCLUSIONS:   Respiratory and mental illness are closely linked in individuals   exposed to 9/11 and should be considered jointly in public health   outreach and treatment programs.

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