title: Correlates of functional impairment in treatment-seeking survivors of mass terrorism.
abstract: This study sought to identify variables associated with functional impairment in persons exposed to terrorism. A sample of adults who sought treatment for psychological distress related to the 2001 World Trade Center attack completed standardized self-report measures of PTSD symptoms, expectancies of ability to regulate negative moods, interpersonal problems, and social-occupational impairment. A multiple regression analysis found that PTSD numbing symptoms, beliefs about the ability to regulate negative moods, feelings of social discomfort and expectations of being disliked, income level, and relationship status significantly predicted 58% of the variance in social-occupational impairment. The results suggest that treatments targeting PTSD numbing symptoms as well as maladaptive expectations about social interactions and one's ability to manage negative affect may have utility for persons adversely affected by mass violence.
authors.affiliation: Institute for Trauma and Resilience, Department of Child and Adolescent Psychiatry, NYU Child Study Center, 215 Lexington Ave., 16th Floor, New York, NY 10016, USA. marylene.cloitre@nyumc.org
authors.forename: Loretta S
authors.initials: LS
authors.lastname: Malta
authors.forename: Jill T
authors.initials: JT
authors.lastname: Levitt
authors.forename: Allison
authors.initials: A
authors.lastname: Martin
authors.forename: Lori
authors.initials: L
authors.lastname: Davis
authors.forename: Marylene
authors.initials: M
authors.lastname: Cloitre
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000328:Adult; D000339:Affect / Q000502:physiology; D004651:Employment; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D012044:Regression Analysis; D047851:September 11 Terrorist Attacks / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology*; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*