Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-29T08:01:59.144Z Has data issue: false hasContentIssue false

An Investigation of the Psychological Effects of the September 11, 2001, Attacks on New York City: Developing and Implementing Research in the Acute Postdisaster Period

Published online by Cambridge University Press:  07 November 2014

Abstract

The September 11, 2001, attack on New York City was the largest human-made disaster in United States history. In the first few days after the attack, it became clear that the scope of the attacks (including loss of life, property damage, and financial strain) was unprecedented and that the attacks could result in substantial psychological sequelae in the city population. Researchers at the Center for Urban Epidemiologic Studies at the New York Academy of Medicine designed and implemented an assessment of the mental health of New Yorkers 5—8 weeks after the attacks. To implement this research in the immediate postdisaster period, researchers at the center had to develop, in a compressed time interval, new academic collaborations, links with potential funders, and unique safeguards for study respondents who may have been suffering from acute psychological distress. Results of the assessment contributed to a New York state mental health needs assessment that secured Federal Emergency Management Agency funding for mental health programs in New York City. This experience suggests that mechanisms should be in place for rapid implementation of mental health assessments after disasters.

Type
Case Study
Copyright
Copyright © Cambridge University Press 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Dead and missing. New York Times. December 26, 2001:B2.Google Scholar
2.McCarthy, M. USA talks of war after more than 5000 killed in terrorist attacks. Lancet. 2001;358:939.CrossRefGoogle ScholarPubMed
3.Tally of twin towers death is down sharply. New York Times. November 21, 2001:A1,B9.Google Scholar
4.Bush, LM, Abrams, BH, Beall, A, Johnson, CC. Index case of fatal inhalational anthrax due to bioterrorism in the United States. N Engl J Med. 2001;345:16071610.CrossRefGoogle ScholarPubMed
5.Jernigan, JA, Stephens, DS, Ashford, DA, et al.Bioterrorism-related inhalational anthrax: The first 10 cases reported in the United States. Emerg Infect Dis. 2001;7:933944.CrossRefGoogle ScholarPubMed
6.Herman, D, Susser, E, Felton, C. Rates and treatment costs of mental disorders stemming from the World Trade Center terrorist attacks: an initial needs assessment. The Center for Mental Health Services, Substance Abuse and Mental health Services Administration; 2002.Google Scholar
7.Hidalgo, RB, Davidson, JRT. Posttraumatic stress disorder: epidemiology and health-related considerations. J Clin Psychiatry. 2000;61(suppl 7):513.Google ScholarPubMed
8.Green, BL, Lindy, JD. Post-traumatic stress disorder in victims of disasters. Psych Clin N America. 1994;17:301309.CrossRefGoogle ScholarPubMed
9.Solomon, SD, Green, BL. Mental health effects of natural and human-made disasters. PTSD Research Quarterly. 1992;3:18.Google Scholar
10.Rubonis, AV, Bickman, L. Psychological impairment in the wake of disaster: the disaster-psychopathology relationship. Psych Bull. 1991;10:384399.CrossRefGoogle Scholar
11.Norris, FH. 50,000 disaster victims speak: an empirical review of the empirical literature, 1981-2001. Psychiatry. In press.Google Scholar
12.Schuster, MA, Stein, BD, Jaycox, LH, et al.A national survey of stress reactions after the September 11, 2001, terrorist attacks. N Engl J Med. 345:15071512.CrossRefGoogle Scholar
13.Carr, VJ, Lewin, TJ, Webster, RA, Kenardy, JA. A synthesis of the findings from the Quake Impact Study: a two-year investigation of the psychosocial sequelae of the 1989 Newcastle earthquake. Soc Psychiatry Psychiatr Epidemiol. 1997;32:123136.CrossRefGoogle ScholarPubMed
14.Hanson, RF, Kilpatrick, DG, Freedy, R, Saunders, BE. Los Angeles County after the 1992 civil disturbances: degree of exposure and impact on mental health. J Consult Clin Psychol. 1995;63:987–96.CrossRefGoogle ScholarPubMed
15.Resnick, HS, Kilpatrick, DG, Dansky, BS, Saunders, BE, Best, CL. Prevalence of civilian trauma and PTSD in a representative national sample of women. J Consult Clin Psychol. 1993;61:984991.CrossRefGoogle Scholar
16.Kilpatrick, DG, Acierno, R, Resnick, HS, Saunders, BE, Best, CL. A two year longitudinal analysis of the relationship between violent assault and alcohol and drug use in women. J Consult Clin Psychol. 1997;65:834847.CrossRefGoogle Scholar
17.Galea, S, Ahern, J, Fuller, C, Freudenberg, N, Vlahov, D. Needle exchange programs and experience of violence in an inner-city neighborhood. J Acqui Defic Syndr. 2001;28:282288.CrossRefGoogle Scholar
18.Weeks, MF, Kulka, RA, Lessler, JT, Whitmore, RW. Personal versus telephone surveys for collecting household health data at the local level. Am J Pub Health. 1983;73:13891394.CrossRefGoogle ScholarPubMed
19.Simon, GE, Revicki, D, VonKorff, M. Telephone assessment of depression severity. J Psychol Rev. 27:247252.Google Scholar
20.Paulsen, AS, Crowe, RR, Noyes, R, Pfohl, B. Reliability of the telephone interview in diagnosing anxiety disorders. Arch Gen Psychiatry. 1988;45:6263.CrossRefGoogle ScholarPubMed
21. Behavioral Risk Factor Surveillance System [National Center for Chronic Disease Prevention and Health Promotion Web site]. Available at: http://www.cdc.gov/needphp/brfss/about.htm. Accessed November 1, 2001.Google Scholar
22.Folkman, S. Personal control and stress and coping processes: a theoretical analysis. J Pers Soc Psychol. 1984:46:839–52.CrossRefGoogle ScholarPubMed
23.Freedy, JR, Kilpatrick, DG. Resnick, HS. Natural disasters and mental health: theory, assessment, and intervention. Handbook of post-disaster interventions. J Soc Behav Person. 1993;8(special issue):49103.Google Scholar
24.Gibbs, MS. Factors in the victim that mediate between stress and psychopathology: a review. J Trauma Stress. 1989:2:489514.CrossRefGoogle Scholar
25.Resnick, HS, Kilpatrick, DG, Best, CL, Kramer, TL. Vulnerability-stress factors in development of posttraumatic stress disorder. J Nerv Ment Dis. 1992:180:424–30.CrossRefGoogle ScholarPubMed
26.Freedy, JR. Saladin, ME. Kilpatrick, DG, Resnick, HS, Saunders, BE. Understanding acute psychological distress following natural disaster. J Trauma Stress. 1994:7:257–73.CrossRefGoogle ScholarPubMed
27.Solomon, Z. Mikulincer, M. Hobfoll, SE. Objective versus subjective measurement of stress and social support: combat-related reactions J Consult Clin Psychol. 1987;55:577–83.CrossRefGoogle ScholarPubMed
28.Kilpatrick, DG, Resnick, HS, Freedy, JR, et al.The posttraumatic stress disorder field trial: evaluation of the PTSD construct–criteria A through E. In: Widiger, T, Frances, A, Pincus, H, et al, eds. DSM-IV Sourcebook, vol 4. Washington, DC: American Psychiatric Association Press, 1998:803844.Google Scholar
29.Spitzer, RL, Williams, JB, Gibbon, M. Structured Clinical Interview for DSM-III-R: Non-patient version. New York, NY: Biometrics Research Department, New York State Psychiatric Institute; 1987.Google Scholar
30.Kilpatrick, DG, Saunders, BE, Smith, DW. Research in Brief: Prevalence and consequences of child victimization: Results from the National Survey of Adolescents. Washington, DC: National Institute of Justice; 2001.Google Scholar
31.Galea, S, Ahern, J. Resnick, H, Kilpatrick, D, Bucuvalas, M, Gold, J, Vlahov, D. Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002:346:982987.CrossRefGoogle ScholarPubMed
32.Galea, S, Resnick, H, Ahern, J, et al.A Post-traumatic stress disorder in Manhattan. New York City, after the September 11th attacks. J Urban Health. 2002:79:25.CrossRefGoogle Scholar
33.McDermott, BM, Palmer, LJ. Post-disaster service provision following proactive identification of children with emotional distress and depression. Aust NZ J Psychiatry. 1999:33:855863.CrossRefGoogle ScholarPubMed
34. Your opinion counts: 1988 refusal rate study. Washington, DC: Council of American Survey Organizations, 1988.Google Scholar
35.Vlahov, D, Galea, S, Resnick, H, Ahern, J, Boscarino, JA, Bucuvalas, M, et al.Increased consumption of cigarettes, alcohol, and marijuana among Manhattan residents after the September 11th terrorist attacks. Am J Epidemiol. In press.Google Scholar
36.Boscarino, JA, Galea, S, Ahern, J, Resnick, H, Vlahov, D. Utilization of Mental Health Services following the September 11th terrorist attacks in Manhattan, New York City. Int J Emerg Ment Health. In Press.Google Scholar
37.Ahern, J, Galea, S, Resnick, H, et al.Television images and psychological symptoms after the September 11th terrorist attacks. Psychiatry. In press.Google Scholar
38. US Department of Health and Human Services. Mental Health: A report of the Surgeon General. Rockville, Md: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999. Available at: URL: http://www.surgeongeneral.gov/Library/MentalHealth/pdfs/front.pdf. Accessed November 1, 2001.Google Scholar