Screening for generalized anxiety disorder symptoms in the wake of terrorist attacks: a study in primary care.
Little is known about the mental health impact of terrorism beyond posttraumatic stress disorder (PTSD) and depression. The associations between exposure to the September 11, 2001 (9/11) attacks in New York City and generalized anxiety disorder (GAD) symptoms were examined in a sample of 929 primary care patients. After controlling for PTSD, depression, panic and substance use disorders, and pre-9/11 trauma, patients who screened positive (vs. negative) for GAD symptoms were roughly twice as likely to report having a loved one at the 9/11 disaster site, twice as likely to know someone who was killed by the attacks, and twice as likely to know someone who was involved with the rescue/recovery efforts after the disaster. Implications for treatment and future research are discussed.
Ghafoori
Bita
B
Department of Advanced Studies in Education and Counseling, California State University, Long Beach, Long Beach, CA, USA.
Neria
Yuval
Y
Gameroff
Marc J
MJ
Olfson
Mark
M
Lantigua
Rafael
R
Shea
Steven
S
Weissman
Myrna M
MM
D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009519:New York City; D011320:Primary Health Care; D047851:September 11 Terrorist Attacks / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis; D055815:Young Adult