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Long-term psychopathology changes among the injured and members of the community after a massive terrorist attack

Published online by Cambridge University Press:  16 April 2020

L. Ferrando ,
S. Galea ,
E. Sainz Cortón ,
C. Mingote ,
E. García Camba ,
A. Fernandez Líria  and
R. Gabriel
L. Ferrando*
Affiliation:
Instituto IAP, Serrano 178, 28002Madrid, Spain
S. Galea
Affiliation:
3663 SPH I1415 Washington Heights Ann Arbor, Michigan48109-2029, USA
E. Sainz Cortón
Affiliation:
Servicio de Psiquiatría, Hospital General Universitario Gregorio Marañón, 28007Madrid, Spain
C. Mingote
Affiliation:
Servicio de Psiquiatría, Hospital Universitario 12 de Octubre, 28041Madrid, Spain
E. García Camba
Affiliation:
Servicio de Psiquiatría, Hospital Universitario de la Princesa, 28006Madrid, pain
A. Fernandez Líria
Affiliation:
Servicio de Psiquiatría, Hospital Universitario Príncipe de Asturias, 28805 Alcalá de Henares, Madrid, Spain
R. Gabriel
Affiliation:
Unidad de Investigación, Instituto IdiPaz, Hospital Universitario La Paz and Universidad Autónoma de Madrid, 28046Madrid, Spain
*
*Corresponding author. Fax: +34 91 5644718. E-mail address: [email protected] (L. Ferrando).
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Abstract

Background and aim

To document long-term prevalence trends and changes in Post-Traumatic Stress Disorder (PTSD), Current Major Depression (MD), Agoraphobia, Generalized Anxiety Disorder (GAD), and Panic Disorder, in two groups of people with different levels of exposure to a massive terrorist attack.

Methods

Cohort study. Two random samples of people exposed to a terrorist attack, the injured (n = 127) and community residents (n = 485) were followed and assessed, 2 and 18 months after the event.

Results

Among the injured, 2 and 18 months after the attack, the prevalences were respectively, PTSD: 44.1% and 34%, MD: 31.5% and 23.7%, Agoraphobia: 23.8% and 20.7%, GAD: 13.4% and 12.4% and Panic Disorder: 9.4% and 11.3%. The corresponding figures among residents were PTSD: 12.3% and 3.5%, MD: 8.5% and 5.4%, Agoraphobia: 10.5% and 8.7%, GAD: 8.6%, and 8.2% and Panic Disorder 2.1% and 2.7%.

Conclusions

Two months after the event, the prevalence of mental disorders among both injured and residents was higher than expected levels at baseline conditions. Eighteen months after the event, psychopathological conditions did not change significantly among the injured but returned to the expected baseline rates among community residents.

Keywords

Mental disordersPsychopathologyTraumatic eventTerrorism
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 8 , November 2011 , pp. 513 - 517
Copyright
Copyright © Elsevier Masson SAS 2011

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References

Adams, RE, Boscarino, JAPredictors of PTSD and delayed PTSD after disaster: the impact of exposure and psychosocial resources. J Nerv Ment Dis 2006;194(7):485–493.CrossRefGoogle ScholarPubMed
Alonso, J, Angermeyer, MC, Bernert, S, Bruffaerts, R, Brugha, TS, Bryson, H, et al.European Study of the Epidemiology of Mental Disorders (ESEMeD) Project. J. Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD proyect). J Acta Psych Scandinava 109Suppl. 4202004 21–27.Google Scholar
Bobes, J, Calcedo-Barba, A, García, M, Francois, M, Rico-Villademoros, F, González MP, Evaluación de las propiedades psicométricas de la versión española de cinco cuestionarios para la evaluación del TEPT. Actas Esp Psiquiatr 2000; 28: 207–218.Google Scholar
Bobes, J, Gutierrez, M, Palao, D, Ferrando, L, Gibert-Rahola, J, Lecrubier, Y, et al.Validez del MINI (Mini International Neuropsychiatric Interview) en tres centros de AP en España. Psiquitría Biológica 4Suppl. 21997 79Google Scholar
Boscarino, JA, Adams, RE, Figley, CRMental health service use 1-year after the World Trade Center disaster: implications for mental health care. Gen Hosp Psychiatry 2004;26(5):346CrossRefGoogle ScholarPubMed
Boscarino, JA, Galea, S, Ahern, J, Resnick, H, Vlahov, DUtilization of mental health services following the September 11th terrorist attacks in Manhattan, New York City. Int J Emerg Ment Health 2002;4(3):143–155.Google Scholar
Boscarino, JA, Galea, S, Ahern, J, Resnick, H, Vlahov, DPsychiatric medication use among Manhattan residents following the World Trade Center disaster. J Trauma Stress 16 2003301-6 34CrossRefGoogle ScholarPubMed
Brackbill, RM, Hadler, JL, DiGrande, L, Ekenga, CC, Farfel, MR, Friedman, S, et al.Asthma and posttraumatic stress symptoms 5 to 6 years following exposure to the World Trade Center terrorist attack. JAMA 2009;302(5):502–516.CrossRefGoogle ScholarPubMed
Breslau, N, Chase, GA, Anthony, JCThe uniqueness of the DSM definition of post-traumatic stress disorder: implications for research. Psychol Med 2002;32(4):573–576.CrossRefGoogle ScholarPubMed
Breslau, NEpidemiologic studies of trauma, posttraumatic stress disorder, and other psychiatric disorders. Can J Psychiatry 2002; 47: 923–992.CrossRefGoogle ScholarPubMed
Conejo-Galindo, J, Medina, O, Fraguas, D, Terán, S, Sainz-Cortón, E, Arango, CPsychopathological sequelae of the 11th March terrorist attacks in Madrid: an epidemiological study of victims treated in a hospital. Eur Arch Psychiatry Clin Neurosci 2008;258(1):28–34.CrossRefGoogle Scholar
Davidson, J.R.T., Book, SW, Colket, JT, Tupler, LA, Roth, S, David, D, et al.Assessment of a new self-rating scale for post-traumatic stress disorder. Psychol Med 1997; 27: 153–160.CrossRefGoogle ScholarPubMed
Delahanty, DLAre we prepared to handle the mental health consequences of terrorism? Am J Psychiatry 2007;164(2):189–191.CrossRefGoogle ScholarPubMed
DiMaggio, C, Galea, S, Madrid, PAPopulation psychiatric medication prescription rates following a terrorist attack. Prehosp Disaster Med 2007;22(6):479–484.CrossRefGoogle ScholarPubMed
Gabriel, R, Ferrando, L, Sainz Cortón, E, Mingote, C, Garcia Camba, E, Fernadez Líria, A, et al.Psychopathological consequences after a terrorist attack: an epidemiological study among victims, general population and police officers. Eur Psychiatry 2007; 22: 339–346.CrossRefGoogle ScholarPubMed
Galea, S, Ahern, J, Resnick, H, Kilpatrick, D, Bucuvalas, M, Gold, J, et al.Psychological sequelae of the September 11th terrorist attacks in New York City. N Engl J Med 2002; 346: 982–987.CrossRefGoogle Scholar
Galea, S, Resnick, H, Ahern, J, Gold, J, Bucuvalas, M, Kilpatrick, D, et al.Posttraumatic stress disorder in Manhattan, New York City, after the September 11th terrorist attacks. J Urban Health 2002; 79: 340–353.CrossRefGoogle ScholarPubMed
Galea, S, Resnick, HPosttraumatic stress disorder in the general population after mass terrorist incidents: considerations about the nature of exposure. CNS Spectr 2005;10(2):107–115.CrossRefGoogle ScholarPubMed
Galea, S, Vlahov, D, Resnick, H, et al.An investigation of the psychological effects of the September 11, attacks on New York City: developing and implementing research in the acute postdisaster period. CNS Spectr 2002; 7: 585–587.CrossRefGoogle ScholarPubMed
Haro, JM, Palacín, C, Vilagut, G, Martínez, M, Bernal, M, Luque, I, et al.Prevalence of mental disorders and associated factors: results from the ESEMeD-Spain study. Med Clin (Barc) 1126(12)2006 445–451.CrossRefGoogle Scholar
Jehel, L, Paterniti, S, Brunet, A, Duchet, C, Guelfi, JDPrediction of the occurrence and intensity of post-traumatic stress disorder in victims 32 months after bomb attack. Eur Psychiatry 2003; 18: 172–176.Google ScholarPubMed
Laugharne, J, Janca, A, Widiger, TPosttraumatic stress disorder and terrorism: 5 years after 9/11. Curr Opin Psychiatry 2007;20(1):36–41.CrossRefGoogle ScholarPubMed
Lecrubier, Y, Sheehan, DV, Weiller, E, Amorim, P, Bonora, I, Harnett Sheehan, K, et al.The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI”. Eur Psychiatry 1997; 12: 224–231.CrossRefGoogle Scholar
Miguel-Tobal, JJ, Cano-Vindel, A, Gonzalez-Ordi, H, Iruarrizaga, I, Rudenstine, S, Vlahov, DGSPTSD and depression after the Madrid March 11 train bombings. J Trauma Stress 2006;19(1):69–80.CrossRefGoogle Scholar
Neria, Y, Gross, R, Olfson, M, Gameroff, MJ, Wickramaratne, P, Das, A, et al.Posttraumatic stress disorder in primary care one year after the 9/11 attacks. Gen Hosp Psychiatry 2006;28(3):213–222.CrossRefGoogle ScholarPubMed
Norris, FH, Friedman, MJ, Watson, PJ, et al.60,000 disaster victims speak: part I. an empirical review of the empirical literature, 1981–2001. Psychiatry 2002; 65: 207–239.CrossRefGoogle ScholarPubMed
North, CS, Nixon, SJ, Shariat, S, et al.Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA 1999; 282: 755–762.CrossRefGoogle ScholarPubMed
Rodríguez, P, Serra, JACoordinación general de las actuaciones del 11 M en el hospital General Universitario Gregorio Marañón de Madrid. Med Clin 124Suppl. 12005 3–7.CrossRefGoogle Scholar
Sainz-Cortón, E, Gonzalo Franco, S, Gómez Rojo, RMSalud Mental Med Clin (Barc) 124Suppl. 12005 39–41.CrossRefGoogle Scholar
Schlenger, WE, Caddell, JM, Ebert, L, Jordan, BK, Rourke, KM, Wilson, D, et al.Aug Psychological reactions to terrorist attacks: findings from the National Study of Americans’ Reactions to September 11. JAMA 7288(5)2002 581–588.CrossRefGoogle Scholar
Sheehan, DV, Lecrubier, Y, Harnett Sheehan, K, Janavs, J, Weiller, E, Keskiner, A, et al.The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability”. Eur Psychiatry 1997; 12: 232–241.CrossRefGoogle Scholar
Stellman, JM, Smith, RP, Katz, CL, Sharma, V, Charney, DS, Herbert, R, et al.Enduring mental health morbidity and social function impairment in World Trade Center rescue, recovery, and cleanup workers: the psychological dimension of an environmental health disaster. Environ Health Perspect 2008;116(9):1248–1253.CrossRefGoogle ScholarPubMed
Verger, P, Dab, W, Lamping, DL, Loze, JY, Deschaseaux-Voinet, C, Abenhaim, L, et al.The psychological impact of terrorism: an epidemiologic study of posttraumatic stress disorder and associated factors in victims of the 1995–1996 bombings in France. Am J Psychiatry 2004;161(8):1384–1389.CrossRefGoogle ScholarPubMed
Whalley, MG, Brewin, CRMental health following terrorist attacks. Br J Psychiatry 2007; 190: 94–96.CrossRefGoogle ScholarPubMed
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