AI Article Synopsis

  • This study examines the long-term mental health effects and health status of terrorism survivors 18½ years after the incident, revealing higher levels of anxiety and depression compared to nonexposed individuals.
  • Survivors showed signs of ongoing posttraumatic stress disorder, with a notable percentage meeting criteria for probable PTSD, yet they also experienced some posttraumatic growth.
  • The findings indicate a need for enhanced mental health support and healthcare services for survivors to address their ongoing symptoms and encourage positive coping strategies.

Article Abstract

In this study, we explore directly exposed terrorism survivors' mental health and health status, healthcare utilization, alcohol and tobacco use, and posttraumatic growth 18½ years postdisaster. Telephone surveys compared terrorism survivors and nonexposed community control subjects, using Hopkins Symptom Checklist, Breslau's PTSD screen, Posttraumatic Growth Inventory, and Health Status Questionnaire 12. Statistical analyses included multivariable logistic regression and linear modeling. Survivors, more than 80% injured, reported more anxiety and depression symptoms than did control subjects, with survivors' anxiety and depression associated with heavy drinking (≥5 drinks) and worse mental health and social functioning. While survivors had continued posttraumatic stress disorder symptoms (32 [23.2%] met probable posttraumatic stress disorder threshold), they also reported posttraumatic growth. Survivors had more care from physical, speech, respiratory, and occupational therapists. In this unprecedented long-term assessment, survivors' psychiatric symptoms, alcohol use, and ancillary health service utilization suggest unmet mental health and health needs. Extended recovery efforts might benefit from maximizing positive growth and coping.

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http://dx.doi.org/10.1097/NMD.0000000000000456DOI Listing

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