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Posttraumatic stress reactions in new York City children after the September 11, 2001, terrorist attacks
Gerry Fairbrother1, Jennifer Stuber, Sandro Galea
1Division of Health and Science Policy, The New York Academy of Medicine, New York, NY 10029, USA. gfairbro@NYAM.org
Insights
Following the September 11 attacks, 18% of New York City children experienced severe posttraumatic stress reactions (PTSR). Parental PTSD and media exposure were key predictors of PTSR in children.
Area of Science:
- Child Psychology
- Trauma Studies
- Public Health
Background:
- The September 11, 2001, attacks had a profound impact on New York City (NYC).
- Assessing the mental health consequences for children is crucial for understanding long-term effects.
Purpose of the Study:
- To determine the prevalence of posttraumatic stress reactions (PTSR) in NYC children after the 9/11 attacks.
- To identify significant predictors of PTSR in this pediatric population.
Main Methods:
- A cross-sectional survey was conducted with parents of children aged 4-17 in NYC.
- The Posttraumatic Stress Disorder Reaction Index-Child Revision was used to measure PTSR in children.
Main Results:
- 18% of NYC children exhibited severe or very severe PTSR.
- 66% of children experienced moderate PTSR.
- Parental PTSD, parental crying, high exposure to graphic TV images, and living in Manhattan predicted severe PTSR.
Conclusions:
- A significant number of NYC children displayed severe PTSR post-9/11.
- Pediatricians play a vital role in screening, treatment, and referral for childhood PTSR.
- Limiting children's exposure to disaster media and providing emotional support are key recommendations.
Objective:
To assess the prevalence of posttraumatic stress reactions (PTSR) in New York City (NYC) children following the September 11, 2001, attacks and determine the key predictors of PTSR.
Methods:
Cross-sectional random digit-dial survey in NYC of parents of children 4-17 years old 4 months after the attacks. PTSR in children was measured using the 20-item Posttraumatic Stress Disorder Reaction Index-Child Revision, with parents as respondents.
Results:
Overall, 18% of NYC children had "severe" or "very severe" PTSR, and 66% had "moderate" PTSR. In a multivariate model, parental posttraumatic stress disorder (PTSD; odds ratio [OR] = 4.50; P <.01), the parent crying in front of the child (OR = 3.19; P <.001), seeing 3 or more graphic images of the disaster on television (OR = 3.18; P <.01), and living in Manhattan were associated with severe or very severe PTSR in children.
Conclusions:
A substantial proportion of NYC children had severe or very severe PTSR after September 11, and most children exhibited at least moderate PTSR. These findings suggest an enhanced role for primary care physicians, particularly pediatricians, for screening, treatment, and referral (coupled with appropriate training and reimbursement), especially in light of continued terrorist threats. These findings also have implications for advice that pediatricians can give to parents about limiting disaster-related television exposure and children's need for emotional support.
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