Anxiety sensitivity mediates the association between post-traumatic stress symptom severity and interoceptive threat-related smoking abstinence expectancies among World Trade Center disaster-exposed smokers

2015 ◽  
Vol 51 ◽  
pp. 204-210 ◽  
Author(s):  
Samantha G. Farris ◽  
Daniel J. Paulus ◽  
Adam Gonzalez ◽  
Brittain L. Mahaffey ◽  
Evelyn J. Bromet ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Symptom Severity ◽  
World Trade ◽  
World Trade Center ◽  
Smoking Abstinence ◽  
Post Traumatic Stress ◽  
Stress Symptom ◽  
World Trade Center Disaster ◽  
Trade Center ◽  
Post Traumatic

scholarly journals Exposure to the World Trade Center Disaster and 9/11-Related Post-Traumatic Stress Disorder and Household Disaster Preparedness

2015 ◽  
Vol 9 (6) ◽  
pp. 625-633 ◽  
Author(s):  
Lisa M. Gargano ◽  
Kimberly Caramanica ◽  
Sarah Sisco ◽  
Robert M. Brackbill ◽  
Steven D. Stellman
Keyword(s):  
Social Support ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
World Trade ◽  
World Trade Center ◽  
Hurricane Sandy ◽  
Post Traumatic Stress ◽  
World Trade Center Disaster ◽  
Trade Center ◽  
Post Traumatic

AbstractObjectiveIn a population with prior exposure to the World Trade Center disaster, this study sought to determine the subsequent level of preparedness for a new disaster and how preparedness varied with population characteristics that are both disaster-related and non-disaster-related.MethodsThe sample included 4496 World Trade Center Health Registry enrollees who completed the Wave 3 (2011-2012) and Hurricane Sandy (2013) surveys. Participants were considered prepared if they reported possessing at least 7 of 8 standard preparedness items. Logistic regression was used to determine associations between preparedness and demographic and medical factors, 9/11-related post-traumatic stress disorder (PTSD) assessed at Wave 3, 9/11 exposure, and social support.ResultsOver one-third (37.5%) of participants were prepared with 18.8% possessing all 8 items. The item most often missing was an evacuation plan (69.8%). Higher levels of social support were associated with being prepared. High levels of 9/11 exposure were associated with being prepared in both the PTSD and non-PTSD subgroups.ConclusionsOur findings indicate that prior 9/11 exposure favorably impacted Hurricane Sandy preparedness. Future preparedness messaging should target people with low social support networks. Communications should include information on evacuation zones and where to find information about how to evacuate. (Disaster Med Public Health Preparedness. 2015;9:625–633)

Post-traumatic stress disorder dimensions and asthma morbidity in World Trade Center rescue and recovery workers

2017 ◽  
Vol 54 (7) ◽  
pp. 723-731 ◽  
Author(s):  
I. Mindlis ◽  
E. Morales-Raveendran ◽  
E. Goodman ◽  
K. Xu ◽  
C. Vila-Castelar ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
World Trade ◽  
Stress Disorder ◽  
World Trade Center ◽  
Post Traumatic Stress ◽  
Asthma Morbidity ◽  
Trade Center ◽  
Post Traumatic

Resilience to post-traumatic stress among World Trade Center survivors: A mixed-methods study

2017 ◽  
Vol 15 (5) ◽  
pp. 275 ◽  
Author(s):  
Lisa M. Gargano, PhD ◽  
Sindhushree Hosakote, MS ◽  
Qi Zhi, MPH ◽  
Kristine A. Qureshi, PhD ◽  
Robyn R. Gershon, DrPH
Keyword(s):  
Emergency Response ◽  
Thematic Analysis ◽  
Traumatic Stress ◽  
World Trade ◽  
World Trade Center ◽  
Post Traumatic Stress ◽  
Factors Associated ◽  
Response Training ◽  
Trade Center ◽  
Post Traumatic

The purpose of this study was to identify individual characteristics, behaviors, and psychosocial factors associated with symptoms of post-traumatic stress disorder (PTSD) among World Trade Center (WTC) disaster evacuation survivors. The study utilized a mixed-method design. In-depth interviews were conducted using a prepared script. PTSD was assessed using the PTSD checklist-civilian (PCL-C; a score ≥ 50 indicates probable PTSD). Thematic analysis was conducted to identify factors associated with PTSD. A purposive sample of 29 WTC evacuees was recruited using a multimodal recruitment strategy. Eligibility included: history of evacuation from the WTC (Tower 1 and/or Tower 2) on September 11, 2001, and decisional capacity for informed consent. Five participants had PCL-C scores ≥ 50. Thematic analysis identified resiliency factors (protective for PTSD), including leadership, taking action based on “gut” feelings (to evacuate), social support (staying in a group), going on “automatic survival” mode, and previous training on emergency response. Risk factors for PTSD included lack of emergency response training, lack of sense of urgency, poor physical condition, lack of communication skills, lack of direction, peri-event physical injury, peri-event traumatic exposure (horror), and moral injury (guilt and remorse). Several modifiable factors that may confer resilience were identified. In particular, the role of emergency response training in preventing disaster-related mental illness should be explored as a possible strategy for enhancing resilience to disaster events.

scholarly journals BIOLOGICAL MARKERS OF AGING: CHRONIC STRESS AND COGNITIVE IMPAIRMENT IN RESPONDERS FROM THE WORLD TRADE CENTER

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S93-S94
Author(s):  
Erica D Diminich ◽  
Sean Clouston ◽  
Stacey B Scott ◽  
Nikhil Palekar ◽  
Erica D santiago ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
World Trade ◽  
Ptsd Symptom ◽  
World Trade Center ◽  
Post Traumatic Stress ◽  
The World ◽  
Trade Center ◽  
Post Traumatic

Abstract Post-traumatic Stress Disorder (PTSD) is a stress related syndrome. Chronic PTSD has increasingly been associated with poor health outcomes, neurodegeneration and risk for cognitive impairment (CI). However, the biological mechanisms underlying the development and maintenance of symptoms and potential associations in accelerating aging are not well understood. The aim of this study was to evaluate whether specific biomarkers influence functional limitations and cognitive impairment in rescue and recovery workers (i.e. responders) from the attacks on the World Trade Center (WTC) in New York. Plasma biomarkers were collected during annual health and wellness visits at the WTC responder clinic between 2012 and 2014. Short Physical Performance Battery (SPPB) and clinical data were examined with prospective PTSD symptom scores collected during participant’s initial enrollment into the parent study as early as 2002. We examined the relationship between cardiovascular (Diastolic Blood Pressure, Systolic Blood Pressure, pulse rate), metabolic (Total Cholesterol, HDL cholesterol, Triglycerides, Glucose, Body Mass Index) and inflammation markers (Albumin, White Blood Count) with Post-traumatic Stress Disorder (PTSD), cognitive functioning (Montreal Cognitive Assessment) and frailty (Short Physical Performance Battery) in responders from the World Trade Center (WTC). We first examined correlations between biomarkers, PTSD symptom severity, PTSD dimensions, cognitive functioning and frailty. We then conducted multivariate regression analyses. In models adjusted for potential confounders, among N=1,045 responders, elevated PTSD was strongly associated with increased frailty, cardiovascular dysregulation and mild cognitive impairment. Current work is ongoing to identify trajectories of change in cognition with frailty and biological factors.

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