Attack-Related Life Disruption and Child Psychopathology in New York City Public Schoolchildren 6-Months Post-9/11

In the aftermath of disasters, understanding relationships between disaster-related life disruption and children's functioning is key to informing future postdisaster intervention efforts. The present study examined attack-related life disruptions and psychopathology in a representative sample (N = 8,236) of New York City public schoolchildren (Grades 4–12) surveyed 6 months after September 11, 2001. One in 5 youth reported a family member lost their job because of the attacks, and 1 in 3 reported their parents restricted their postattack travel. These forms of disruption were, in turn, associated with elevated rates of probable posttraumatic stress disorder and other anxiety disorders (and major depressive disorder in the case of restricted travel). Results indicate that adverse disaster-related experiences extend beyond traumatic exposure and include the prolonged ripple of postdisaster life disruption and economic hardship. Future postdisaster efforts must, in addition to ensuring the availability of mental health services for proximally exposed youth, maintain a focus on youth burdened by disaster-related life disruption.

[1]  H. Canton,et al.  International Federation of Red Cross and Red Crescent Societies , 2009, Permanent Missions to the United Nations, No. 309.

[2]  C. Weems,et al.  Child and Adolescent Mental Health Research in the Context of Hurricane Katrina: An Ecological Needs-Based Perspective and Introduction to the Special Section , 2008, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[3]  L. Hensley,et al.  PTSD Symptoms and Somatic Complaints Following Hurricane Katrina: The Roles of Trait Anxiety and Anxiety Sensitivity , 2008, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[4]  S. Watts,et al.  The psychosocial impact of Hurricane Katrina: contextual differences in psychological symptoms, social support, and discrimination. , 2007, Behaviour research and therapy.

[5]  Philip C. Kendall,et al.  Terrorism: The Psychological Impact on Youth , 2007 .

[6]  A. M. Greca Understanding the psychological impact of terrorism on youth: Moving beyond posttraumatic stress disorder , 2007 .

[7]  R. Bryant,et al.  The psychology of ongoing threat: relative risk appraisal, the September 11 attacks, and terrorism-related fears. , 2007, The American psychologist.

[8]  S. Watts,et al.  Predisaster trait anxiety and negative affect predict posttraumatic stress in youths after hurricane Katrina. , 2007, Journal of consulting and clinical psychology.

[9]  Amar K. Das,et al.  Posttraumatic stress disorder in primary care one year after the 9/11 attacks. , 2006, General hospital psychiatry.

[10]  A. Meltzoff,et al.  Pre-attack symptomatology and temperament as predictors of children's responses to the September 11 terrorist attacks. , 2005, Journal of child psychology and psychiatry, and allied disciplines.

[11]  E. Susser,et al.  Psychopathology among New York city public school children 6 months after September 11. , 2005, Archives of general psychiatry.

[12]  Sandro Galea,et al.  Posttraumatic Stress Disorder in the General Population After Mass Terrorist Incidents: Considerations About the Nature of Exposure , 2005, CNS Spectrums.

[13]  R. Punamaki,et al.  Children's mental health in times of economic recession: replication and extension of the family economic stress model in Finland. , 2004, Developmental psychology.

[14]  S. Assanangkornchai,et al.  The flooding of Hat Yai: predictors of adverse emotional responses to a natural disaster , 2004 .

[15]  J. Bram,et al.  Measuring the Effects of the September 11 Attack on New York City , 2002 .

[16]  G. Makinen The Economic Effects of 9/11: A Retrospective Assessment , 2002 .

[17]  Lisa Thalji,et al.  Psychological reactions to terrorist attacks: findings from the National Study of Americans' Reactions to September 11. , 2002, JAMA.

[18]  Pinchen Yang,et al.  Posttraumatic stress disorder among adolescent earthquake victims in Taiwan. , 2002, Journal of the American Academy of Child and Adolescent Psychiatry.

[19]  S. Galea,et al.  Psychological sequelae of the September 11 terrorist attacks in New York City. , 2002, The New England journal of medicine.

[20]  G. Canino,et al.  The DISC Predictive Scales (DPS): efficiently screening for diagnoses. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[21]  B. Pfefferbaum,et al.  Clinical needs assessment of middle and high school students following the 1995 Oklahoma City bombing. , 1999, The American journal of psychiatry.

[22]  A. La Greca,et al.  Children's predisaster functioning as a predictor of posttraumatic stress following Hurricane Andrew. , 1998, Journal of consulting and clinical psychology.

[23]  P. Costanzo,et al.  Posttraumatic symptomatology in children and adolescents after an industrial fire. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[24]  R. Rapee,et al.  Family process and child anxiety and aggression: An observational analysis , 1996, Journal of abnormal child psychology.

[25]  R. Rapee,et al.  Family enhancement of cognitive style in anxious and aggressive children , 1996, Journal of abnormal child psychology.

[26]  Michel Boivin,et al.  The roles of social withdrawal, peer rejection, and victimization by peers in predicting loneliness and depressed mood in childhood , 1995, Development and Psychopathology.

[27]  Kenneth H. Rubin,et al.  The Waterloo Longitudinal Project: Predicting internalizing and externalizing problems in adolescence , 1995, Development and Psychopathology.

[28]  T. Jayaratne,et al.  Unemployment and work interruption among African American single mothers: effects on parenting and adolescent socioemotional functioning. , 1994, Child development.

[29]  F. Lorenz,et al.  Economic stress, coercive family process, and developmental problems of adolescents. , 1994, Child development.

[30]  Debby E. Doughty,et al.  Media exposure in children one hundred miles from a terrorist bombing. , 2003, Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists.

[31]  M. Weissman,et al.  Family discord, parental depression, and psychopathology in offspring: 20-year follow-up. , 2002, Journal of the American Academy of Child and Adolescent Psychiatry.

[32]  D. Shaffer,et al.  NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[33]  M. Prinstein,et al.  Symptoms of posttraumatic stress in children after Hurricane Andrew: a prospective study. , 1996, Journal of consulting and clinical psychology.

[34]  Red Crescent Societies World disasters report , 1993 .