Evidence map›Paper›PMID 41232690›Full record

ArticleJournal of affective disorders2026

Adverse childhood experiences, exposure to the World Trade Center attacks, and chronic symptoms of depression, PTSD, and unhealthy drinking.

Angela M Parcesepe, Jenna Sanborn, Julia S Sisti, Janna Metzler

Abstract read
In one paragraph

Article in Journal of affective disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Angela M ParcesepeUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America. Electronic address: angela_parcesepe@unc.edu.
Jenna SanbornInstitute for Implementation Science in Population Health, City University of New York, New York, NY, United States of America.
Julia S SistiNew York City Department of Health and Mental Hygiene, World Trade Center Health Registry, New York, NY, 11101, United States of America.
Janna MetzlerNew York City Department of Health and Mental Hygiene, World Trade Center Health Registry, New York, NY, 11101, United States of America.

Funding

NIOSH CDC HHS U50 OH009739
6 · The paper itself

Abstract

backgroundExposure to potentially traumatic events (PTE) is common and associated with poor mental health. Little is known about factors that influence the relationship between PTE and long-term mental health.

methodsThis sample included 26,178 individuals who were 18 years or older on September 11, 2001, enrolled in the World Trade Center Health Registry, and completed the Wave 5 survey in 2020-21. We investigated the extent to which adverse childhood events (ACE) modified the relationship between WTC-related PTE exposure and the risk of prevalent or persistent symptoms of post-traumatic stress disorder (PTSD), depression, and unhealthy drinking on multiplicative and additive scales. For each outcome, we fit a log-binomial regression model including categorical variables for WTC-related PTE and ACE, their interaction, and covariates. Adjusted risk ratios were estimated for each joint level of PTE and ACE, using the doubly unexposed group (medium/low PTE and no ACEs) as reference.

resultsACE exposure and WTC-related PTE exposure were independently associated with greater risk of prevalent and persistent symptoms of PTSD, depression, and unhealthy drinking. There was evidence of positive additive and negative multiplicative modification by ACE exposure of the relationship between WTC-related PTE exposure and symptoms of persistent PTSD and depression.

conclusionFindings suggest that adverse experiences in childhood increase the risk and persistence of symptoms of PTSD and depression after mass trauma in adulthood. Screening of traumatic events throughout the life course may increase identification of individuals at increased risk of poor mental health outcomes following subsequent PTE exposure.

Indexed as

Adverse Childhood ExperiencesAlcoholismDepressionSeptember 11 Terrorist AttacksStress Disorders, Post-TraumaticAdolescentAdultFemaleHumansMaleMiddle AgedNew York CityPrevalenceRegistriesRisk FactorsYoung AdultAdverse childhood eventsAlcoholDepressionMental healthPTSDTrauma

Identifiers

PMID41232690
PMCPMC13390148

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LicenceCC BY-NC-ND
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Registered trials

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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.