TY  - JOUR
PY  - 2011//
TI  - Perievent panic attack and depression after the World Trade Center disaster: a structural equation model analysis
JO  - International journal of emergency mental health
A1  - Adams, Richard E.
A1  - Boscarino, Joseph A.
SP  - 69
EP  - 79
VL  - 13
IS  - 2
N2  - Research suggests that perievent panic attacks--panic attacks in temporal proximity to traumatic events--are predictive of later mental health status, including the onset of depression. Using a community sample of New York City residents interviewed 1 year and 2 years after the World Trade Center Disaster, we estimated a structural equation model (SEM) using pre-disaster psychological status and post-disaster life events, together with psychosocial resources, to assess the relationship between perievent panic and later onset depression. Bivariate results revealed a significant association between perievent panic and both year-1 and year-2 depression. Results for the SEM, however showed that perievent panic was predictive of year-1 depression, but not year-2 depression, once potential confounders were controlled Year-2 stressors and year-2 psychosocial resources were the best predictors of year-2 depression onset. Pre-disaster psychological problems were directly implicated in year-1 depression, but not year-2 depression. We conclude that a conceptual model that includes pre- and post-disaster variables best explains the complex causal pathways between psychological status, stressor exposure, perievent panic attacks, and depression onset two years after the World Trade Center attacks.<p />  <p>Language: en</p>
LA  - en
SN  - 1522-4821
UR  - http://dx.doi.org/
ID  - ref1
ER  -