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Disability and posttraumatic stress disorder in disaster relief workers responding to september 11, 2001 World Trade Center Disaster
Author(s) -
Evans Susan,
Patt Ivy,
Giosan Cezar,
Spielman Lisa,
Difede JoAnn
Publication year - 2009
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.20575
Subject(s) - panic disorder , psychiatry , depression (economics) , psychology , anxiety disorder , clinical psychology , posttraumatic stress , anxiety , occupational stress , generalized anxiety disorder , panic , world trade center , economics , macroeconomics , history , archaeology , terrorism
Empirical evidence suggests that social and occupational disability plays a significant role in posttraumatic stress disorder (PTSD). The purpose of this study was to assess the role of social/occupational disability and to identify predictors of the development of PTSD in a group of disaster relief workers (DRWs) who had been deployed to the World Trade Center (WTC) following September 11, 2001. Eight hundred forty‐two utility workers completed a battery of comprehensive tests measuring PTSD and social occupational functioning. Results indicated a significant association between PTSD symptoms and impaired social/occupational functioning. Symptomatic workers were also more likely to have a history of trauma, panic disorder, and depression. Those with a history of trauma, depression, generalized anxiety disorder or panic reported significantly more disability than those without a psychiatric history. Careful screening of PTSD and social/occupational functioning in DRWs following a disaster is warranted so that early treatment can be undertaken to prevent a chronic and disabling course. © 2009 Wiley Periodicals, Inc. J Clin Psychol 65: 1–11, 2009.