Prim Care Companion J Clin Psychiatry 2009;11(3):131
© Copyright 2014 Physicians Postgraduate Press, Inc.
The long-term psychiatric consequences, pain interference in daily
activities, work loss, and functional impairment associated with 9/11–related loss
among low-income, minority primary care patients in New York City were investigated
by this study.
Method: A sociodemographic questionnaire, the PTSD Checklist, the Primary
Care Evaluation of Mental Disorders Patient Health Questionnaire, and the Medical
Outcomes Study Short Form-12 Health Survey comprised a survey that was completed
by a systematic sample of 929 adult patients.
Results: Approximately one quarter of the sample (a sample sociodemographically
undistinguished from the rest of the cohort) reported knowing someone who
was killed in the attacks of 9/11. Patients who experienced loss were roughly twice
as likely (odds ratio = 1.97, 95% CI = 1.40 to 2.77) to screen positive for at least 1
mental disorder, including major depressive disorder (29.2%), generalized anxiety
disorder (19.4%), and posttraumatic stress disorder (17.1%) compared to those who
had not experienced 9/11–related loss. September 11–related loss was significantly
related to extreme pain interference, work loss, and functional impairment after
pre–9/11 trauma had been controlled for.
Conclusions: Disaster-related mental health care in this clinical population
should concentrate on evidence-based treatments for mood and anxiety disorders on
the basis of these findings.