Evidence map›Paper›PMID 26603700›Full record

ArticlePsychological medicine2016

DSM-IV post-traumatic stress disorder among World Trade Center responders 11-13 years after the disaster of 11 September 2001 (9/11).

E J Bromet, M J Hobbs, S A P Clouston, A Gonzalez, R Kotov, B J Luft

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychological medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 6 pooled it
14.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 6 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Brain-Derived Neurotropic FactorBioMed research international · 2017
    Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

E J BrometDepartment of Psychiatry,Putnam Hall-South Campus,Stony Brook University,Stony Brook,NY,USA.
M J HobbsDepartment of Psychiatry,Putnam Hall-South Campus,Stony Brook University,Stony Brook,NY,USA.
S A P CloustonProgram in Public Health and Department of Preventive Medicine,Stony Brook University,Stony Brook,NY,USA.
A GonzalezDepartment of Psychiatry,Putnam Hall-South Campus,Stony Brook University,Stony Brook,NY,USA.
R KotovDepartment of Psychiatry,Putnam Hall-South Campus,Stony Brook University,Stony Brook,NY,USA.
B J LuftDepartment of Medicine,Stony Brook University,Stony Brook,NY,USA.
Stony Brook University · US

Funding

PHS HHS 200-2011-39410
6 · The paper itself

Abstract

backgroundPost-traumatic symptomatology is one of the signature effects of the pernicious exposures endured by responders to the World Trade Center (WTC) disaster of 11 September 2001 (9/11), but the long-term extent of diagnosed Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) post-traumatic stress disorder (PTSD) and its impact on quality of life are unknown. This study examines the extent of DSM-IV PTSD 11-13 years after the disaster in WTC responders, its symptom profiles and trajectories, and associations of active, remitted and partial PTSD with exposures, physical health and psychosocial well-being.

methodMaster's-level psychologists administered sections of the Structured Clinical Interview for DSM-IV and the Range of Impaired Functioning Tool to 3231 responders monitored at the Stony Brook University World Trade Center Health Program. The PTSD Checklist (PCL) and current medical symptoms were obtained at each visit.

resultsIn all, 9.7% had current, 7.9% remitted, and 5.9% partial WTC-PTSD. Among those with active PTSD, avoidance and hyperarousal symptoms were most commonly, and flashbacks least commonly, reported. Trajectories of symptom severity across monitoring visits showed a modestly increasing slope for active and decelerating slope for remitted PTSD. WTC exposures, especially death and human remains, were strongly associated with PTSD. After adjusting for exposure and critical risk factors, including hazardous drinking and co-morbid depression, PTSD was strongly associated with health and well-being, especially dissatisfaction with life.

conclusionsThis is the first study to demonstrate the extent and correlates of long-term DSM-IV PTSD among responders. Although most proved resilient, there remains a sizable subgroup in need of continued treatment in the second decade after 9/11.

Indexed as

AdultAlcoholismDepressionDepressive DisorderDiagnostic and Statistical Manual of Mental DisordersDisease ProgressionEmergency RespondersFemaleFollow-Up StudiesHealth StatusHumansMaleMiddle AgedPersonal SatisfactionSeptember 11 Terrorist AttacksSeverity of Illness Index9/11Disaster respondersexposurepost-traumatic stress disorderpsychosocial well-beingWorld Trade Center

Identifiers

PMID26603700
PMCPMC4754831
OpenAlexW2173545479

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.