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Chronic PTSD patients' functioning before and after the September 11 attacks.

Craig Rosen1, Quyen Tiet, Steven Cavella

  • 1Department of Veterans Affairs (VA) Sierra-Pacific Mental Illness Research Education and Clinical Center, VA National Center for PTSD, Menlo Park, California 94025, USA. crosen@stanford.edu

Journal of Traumatic Stress
|December 31, 2005
PubMed
Summary

Veterans with posttraumatic stress disorder (PTSD) experienced distress from 9/11, but their overall functioning remained largely unchanged. Media exposure showed minimal impact on their well-being.

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Area of Science:

  • Psychology
  • Trauma Studies
  • Veterans Affairs

Background:

  • Posttraumatic stress disorder (PTSD) is a significant mental health concern.
  • The September 11 terrorist attacks (9/11) represented a major collective trauma.
  • Understanding the impact of vicarious trauma on individuals with pre-existing PTSD is crucial.

Purpose of the Study:

  • To investigate the effects of vicarious exposure to the 9/11 attacks on treatment-seeking veterans with pre-existing PTSD.
  • To assess changes in functioning, symptoms, substance use, and role performance post-9/11.

Main Methods:

  • Longitudinal study design.
  • Survey data collected from 178 veterans with PTSD before and 6 months after 9/11.
  • Analysis of functioning, symptom severity, substance use, and media consumption.

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Main Results:

  • Half of the participants reported some impairment in functioning due to thoughts/feelings about 9/11.
  • No significant changes were observed in mean symptom, substance use, or role functioning outcomes from pre-9/11 levels.
  • Time spent following 9/11 media coverage was weakly associated with only two of eight functioning outcomes.

Conclusions:

  • While vicarious exposure to 9/11 caused distress for some veterans with PTSD, it did not significantly alter their overall functioning trajectory.
  • Pre-existing PTSD may confer resilience against the functional impact of large-scale traumatic events.
  • Further research is needed to explore nuanced effects and potential protective factors.