Abstract
Although an increasing amount of community mental health research has investigated the deleterious effects of disasters and the targeting and efficacy of treatment in their aftermath, little research has sought to identify preexisting characteristics of the social environment that are predictive of post-disaster distress. A national US telephone survey fielded before and after September 11, 2001, was used to investigate the psychological distress among American adolescents related to the attacks, and to identify environmental and other characteristics that predisposed youth to experience higher or lower levels of post-disaster distress. The study found that widespread characteristics of children’s school environments—school disorder and physical threats—were at least as strongly associated with a proxy for psychological distress as exposure to the events of 9/11. Further, children exposed to physical threats at school appeared to be more vulnerable to the psychological effects of disasters than children in safer school environments.
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References
American Psychiatric Assocation. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: American Psychiatric Association.
Ancoli-Israel, S., & Roth, T. (1999). Characteristics of insomnia in the United States: Results of the 1991 National Sleep Foundation Survey, 1. Sleep, 22(Suppl. 2), S347–S353.
Benca, R. M., Obermeyer, W. H., Thisted, R. A., & Gillin, J. C. (1992). Sleep and psychiatric disorders. A meta-analysis. Archives of General Psychiatry, 49, 651–668.
Borkovec, F. D., Robinson, E., Pruzinsky, T., & DePree, J. A. (1983). Preliminary exploration of worry: Some characteristics and processes. Behavior Research and Therapy, 21, 9–16.
Boscarino, J. A. (1995). Posttraumatic stress and associated disorders among Vietnam veterans—The significance of combat exposure and social support. Journal of Traumatic Stress, 8(2), 317–336.
Brewin, C., Andrews, B., & Valentine, J. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68, 746–766.
Bromet, E., Parkinson, D., Schulberg, H., Dunn, L., & Gondek, P. (1982). Mental health of residents near the Three Mile Island reactor: A comparative study of selected groups. Journal of Preventive Psychiatry, 1, 225–274.
Caldera, T., Palma, L., Penayo, U., & Kullgren, G. (2001). Psychological impact of the hurricane Mitch in Nicaragua in a one-year perspective. Social Psychiatry and Psychiatric Epidemiology, 36(3), 108–114.
Dow, B. M., Kelsoe, J. R., & Gillin, J. C. (1996). Sleep and dreams in Vietnam PTSD and depression. Biological Psychiatry, 39, 42–50.
Felton, C. J. (2002). Project liberty: A public health response to New Yorkers’ mental health needs arising from the world trade center terrorist attacks. Journal of Urban Health-Bulletin of the New York Academy of Medicine, 79(3), 429–433.
Felton, C. J. (2004). Lessons learned since September 11th 2001 concerning the mental health impact of terrorism, appropriate response strategies and future preparedness. Psychiatry-Interpersonal and Biological Processes, 67(2), 147–152.
Fitzpatrick, K., & Boldizar, J. (1993). The prevalence and consequences of exposure to violence among African-American youth. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 424–430.
Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Bucuvalas, M., Gold, J., et al. (2002a). Psychological sequelae of the September 11 terrorist attacks in New York City. New England Journal of Medicine, 346(13), 982–987.
Galea, S., Resnick, H., Ahern, J., Gold, J., Bucuvalas, M., Kilpatrick, D., et al. (2002b). Posttraumatic stress disorder in Manhattan, New York City, after the September 11th terrorist attacks. Journal of Urban Health-Bulletin of the New York Academy of Medicine, 79(3), 340–353.
Galea, S., Vlahov, D., Resnick, H., Ahern, J., Susser, E., Gold, J., et al. (2003). Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. American Journal of Epidemiology, 158(6), 514–524.
Garbarino, J., Kostelny, K., & Dobrow, N. (1991). What children can tell us about living in danger. American Psychologist, 46, 376–383.
Garrison, C. Z., Bryant, E. S., Addy, C. L., Spurrier, P. G., Freedy, J. R., & Kilpatrick, D. G. (1995). Posttraumatic-stress-disorder in adolescents after Hurricane-Andrew. Journal of the American Academy of Child and Adolescent Psychiatry, 34(9), 1193–1201.
Gray, M. J., Maguen, S., & Litz, B. T. (2004). Acute psychological impact of disaster and large-scale trauma: Limitations of traditional interventions and future practice recommendations. Prehospital and Disaster Medicine, 19(1), 64–72.
Kakutani, M. (2001, September 18, 2001). Critic’s notebook: Rituals for grieving extend past tradition into public displays. New York Times, p B11.
Kato, H., Asukai, N., Miyake, Y., Minakaw, K., & Nishiyama, A. (1996). Post-traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanshi-Awaji earthquake in Japan. Acta Psychiatrica Scandinavica, 93, 477–481.
Klitzman, S., & Freudenberg, N. (2003). Implications of the world trade center attack for the public health and health care infrastructures. American Journal of Public Health, 93(3), 400–406.
Koopman, C., Classen, C., & Spiegel, D. (1994). Predictors of post-traumatic stress symptoms among survivors of the Oakland/Berkeley, Calif, firestorm. American Journal of Psychiatry, 151, 888–894.
Lonigan, C. J., Shannon, M. P., Taylor, C. M., Finch, A. J., & Sallee, F. R. (1994). Risk factors for the development of post-traumatic symptomatology. Journal of the American Academy of Child and Adolescent Psychiatry, 33(1), 94–106.
Madakasira, S., & Obrien, K. F. (1987). Acute posttraumatic-stress-disorder in victims of a natural disaster. Journal of Nervous and Mental Disease, 175(5), 286–290.
Mijanovich, T., & Weitzman, B. C. (2003). Which “broken windows” matter? School, neighborhood, and family characteristics associated with youths’ feelings of unsafety. Journal of Urban Health-Bulletin of the New York Academy of Medicine, 80(3), 400–415.
North, C. S., Nixon, S. J., Shariat, S., Mallonee, S., McMillen, J. C., Spitznagel, E. L., et al. (1999). Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA-Journal of the American Medical Association, 282(8), 755–762.
Pillar, G., Malhotra, A., & Lavie, P. (2000). Post-traumatic stress disorder and sleep—What a nightmare!. Sleep Medicine Reviews, 4, 183–200.
Putnam, R. D. (2002). Bowling together. The American Prospect, 13(3), 20–24.
Pynoos, R., Calvin, F., & Nader, K. (1987). Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry, 44, 1057–1063.
Raphael, B., & Wooding, S. (2004). Debriefing: Its evolution and current status. Psychiatric Clinics of North America, 27, 407–423.
Regehr, C., Hill, J., & Clancy, G. D. (2000). Individual predictors of traumatic reactions in firefighters. Journal of Nervous and Mental Disease, 188(6), 333–339.
Richters, J., & Martinez, P. (1993). The NIMH community violence project: I. Children as victims of and witnesses to violence. Psychiatry, 56, 7–21.
Schlenger, W. E., Caddell, J. M., Ebert, L., Jordan, B. K., Rourke, K. M., Wilson, D., et al. (2002). Psychological reactions to terrorist attacks—Findings from the national study of Americans’ reactions to September 11. JAMA-Journal of the American Medical Association, 288(5), 581–588.
Schuster, M. A., Stein, B. D., Jaycox, L. H., Collins, R. L., Marshall, G. N., Elliott, M. N., et al. (2001). A national survey of stress reactions after the September 11, 2001, terrorist attacks. New England Journal of Medicine, 345(20), 1507–1512.
Shakoor, B., & Chalmers, D. (1991). Co-victimization of African-American children who witness violence: Effects on cognitive, emotional, and behavioral development. Journal of the National Medical Association, 83, 233–238.
Shalev, A. Y. (2004). Further lessons from 9/11: Does stress equal trauma? Psychiatry-Interpersonal and Biological Processes, 67(2), 174–177.
Southwick, S. M., & Charney, D. S. (2004). Responses to trauma: Normal reactions or pathological symptoms. Psychiatry-Interpersonal and Biological Processes, 67(2), 170–173.
Stein, B. D., Elliott, M. N., Jaycox, L. H., Collins, R. L., Berry, S. H., Klein, D. J., et al. (2004). A national longitudinal study of the psychological consequences of the September 11, 2001 terrorist attacks: Reactions, impairment, and help-seeking. Psychiatry-Interpersonal and Biological Processes, 67(2), 105–117.
Summerfield, D. (2001). The invention of post-traumatic stress disorder and the social usefulness of a psychiatric category. British Medical Journal, 322, 95–98.
Traugott, M., Brader, T., Coral, D., Curtin, R., Featherman, D., Groves, R., et al. (2002). How Americans responded: A study of public reactions to 9/11/01. Ps-Political Science & Politics, 35(3), 511–516.
Weiss, L., Fabri, A., McCoy, K., Coffin, P., Netherland, J., & Finkelstein, R. (2002). A vulnerable population in a time of crisis: Drug users and the attacks on the world trade center. Journal of Urban Health-Bulletin of the New York Academy of Medicine, 79(3), 392–403.
Weiss, M. G., Saraceno, B., Saxena, S., & van Ommeren, M. (2003). Mental health in the aftermath of disasters: Consensus and controversy. Journal of Nervous and Mental Disease, 191(9), 611–615.
Wessely, S. (2004). When being upset is not a mental health problem. Psychiatry, 67(2), 153–157.
Wilson, W. C., & Rosenthal, B. S. (2004). Psychological effects of attack on the world trade center: Analysis before and after. Psychological Reports, 94(2), 587–606.
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Mijanovich, T., Weitzman, B.C. Disaster in Context: The Effects of 9/11 on Youth Distant from the Attacks. Community Ment Health J 46, 601–611 (2010). https://doi.org/10.1007/s10597-009-9240-5
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DOI: https://doi.org/10.1007/s10597-009-9240-5