Citation

Uchida M, Feng H, Feder A, Mota N, Schechter CB, Woodworth HD, Kelberman CG, Crane M, Landrigan P, Moline J, Udasin I, Harrison D, Luft BJ, Katz C, Southwick SM, Pietrzak RH. Am. J. Ind. Med. 2018; 61(6): 504-514.

Affiliation

U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder at the VA Connecticut Healthcare System and the Department of Psychiatry, Yale University School of Medicine, Winnipeg, Manitoba, Canada.

Copyright

(Copyright © 2018, John Wiley and Sons)

DOI

10.1002/ajim.22838

PMID

29574927

Abstract

BACKGROUND: We investigated trans-generational associations between Post Traumatic Stress Disorder (PTSD) symptoms in World Trade Center (WTC) responders and behavioral problems in their children.

METHODS: Participants were WTC responders-8034 police and 8352 non-traditional (eg, construction workers)-with one or more children at the time of their first visit to the World Trade Center Health Program (WTC-HP). Self-report questionnaires were administered approximately 4 years after the 9/11 WTC attack.

RESULTS: A total of 31.4% of non-traditional and 20.0% of police responders reported behavioral problems in their children. Non-traditional responder status, female sex, Hispanic ethnicity, more life stressors, more WTC-related PTSD symptoms, and dysphoric arousal symptoms were significant correlates of behavioral problems in responders' children.

CONCLUSIONS: Specific parental sociodemographic, psychosocial and clinical characteristics, as well as PTSD symptom severity, were significant correlates of child behavior problems.

FINDINGS encourage monitoring and early intervention for children of disaster responders, particularly those at highest risk.

© 2018 Wiley Periodicals, Inc.

Language: en

Keywords

children; disaster responders; posttraumatic stress disorder; trans-generational transmission; world trade center