title: Predictors of responses to psychotherapy referral of WTC utility disaster workers.
abstract: This study examined male utility disaster workers' responses to referral for trauma-specific psychotherapy. Among 328 workers offered referral for symptoms related to the World Trade Center (WTC) attacks during psychological screening, approximately 48% chose to accept, 28% chose to consider only, and 24% chose to decline. Analyses examined predisposing factors, i.e., age, race/ethnicity, marital status, education, previous mental health treatment, and previous disorder; as well as illness level; i.e., posttraumatic stress disorder (PTSD), depression, and general psychiatric distress; current treatment; and time of referral as predictors of referral response. PTSD (specifically reexperiencing and hyperarousal symptoms), depressive symptoms, and previous mental health treatment were positively associated with workers' accepting referral. Implications and limitations of these findings are discussed.
authors.affiliation: Weill Medical College, New York, NY 10021, USA. nij2001@med.cornell.edu
authors.forename: Nimali
authors.initials: N
authors.lastname: Jayasinghe
authors.forename: Cezar
authors.initials: C
authors.lastname: Giosan
authors.forename: Joann
authors.initials: J
authors.lastname: Difede
authors.forename: Lisa
authors.initials: L
authors.lastname: Spielman
authors.forename: Lisa
authors.initials: L
authors.lastname: Robin
mesh_terms: D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009519:New York City; D016273:Occupational Exposure / Q000009:adverse effects*; D010342:Patient Acceptance of Health Care; D011613:Psychotherapy; D012017:Referral and Consultation; D018635:Rescue Work; D047851:September 11 Terrorist Attacks / Q000523:psychology*; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000534:rehabilitation*