Television Watching and the Risk of Incident Probable Posttraumatic Stress Disorder: A Prospective Evaluation

The relation between viewing television coverage of a mass disaster and the development of posttraumatic stress disorder (PTSD) is poorly understood. A cohort of New Yorkers without baseline probable PTSD (N = 1787) was assessed 1 year following the September 11, 2001, attacks. The primary outcome was new-onset probable PTSD assessed through a validated scale, and the primary exposure was number of hours of September 11 anniversary news coverage viewed. A total of 99 (5.6%) of participants had developed probable PTSD at the 1-year follow-up. Watching 12 or more hours of September 11 attack anniversary news coverage was associated with a 3.4-fold increased risk of new-onset probable PTSD (p = 0.004). Exposure to television coverage of the September 11 anniversary was associated with new-onset probable PTSD among a cohort of New Yorkers with no probable PTSD at baseline.

[1]  L. Terr,et al.  Children's symptoms in the wake of Challenger: a field study of distant-traumatic effects and an outline of related conditions. , 1999, The American journal of psychiatry.

[2]  H. Resnick,et al.  Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. , 1993, Journal of consulting and clinical psychology.

[3]  Lynda A. King,et al.  Course and predictors of posttraumatic stress disorder among Gulf War veterans: a prospective analysis. , 1999, Journal of consulting and clinical psychology.

[4]  L. R. Huesmann,et al.  Does television violence cause aggression? , 1972, The American psychologist.

[5]  Virginia Gil-Rivas,et al.  Nationwide longitudinal study of psychological responses to September 11. , 2002, JAMA.

[6]  L. R. Huesmann,et al.  Mitigating the imitation of aggressive behaviors by changing children's attitudes about media violence. , 1983, Journal of personality and social psychology.

[7]  R. Acierno,et al.  Assault, PTSD, Family Substance Use, and Depression as Risk Factors for Cigarette Use in Youth: Findings from the National Survey of Adolescents , 2000, Journal of traumatic stress.

[8]  Rishi P. Singh,et al.  Posttraumatic stress. , 2007, Ophthalmology.

[9]  Matt J. Gray,et al.  A longitudinal analysis of PTSD symptom course: delayed-onset PTSD in Somalia peacekeepers. , 2004, Journal of consulting and clinical psychology.

[10]  Sandro Galea,et al.  Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. , 2003, American journal of epidemiology.

[11]  Thomas G. Whiston,et al.  A National Survey , 1992 .

[12]  Elizabeth M. Smith,et al.  Psychiatric disorders among survivors of the Oklahoma City bombing. , 1999, JAMA.

[13]  B. Mcfarland,et al.  A cross-cultural study of reactivation of posttraumatic stress disorder symptoms: American and Cambodian psychophysiological response to viewing traumatic video scenes. , 1998, The Journal of nervous and mental disease.

[14]  S. Galea,et al.  Mental health service and medication use in New York City after the September 11, 2001, terrorist attack. , 2004, Psychiatric services.

[15]  A. Ehlers,et al.  Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. , 1998, Journal of abnormal psychology.

[16]  John P. Robinson,et al.  Measures Of Personality And Social Psychological Attitudes , 1991 .

[17]  K. Chamberlain,et al.  Effect of the Gulf War on reactivation of adverse combat-related memories in Vietnam veterans. , 1994, Journal of clinical psychology.

[18]  B. Pfefferbaum,et al.  Does Television Viewing Satisfy Criteria for Exposure in Posttraumatic Stress Disorder? , 2002, Psychiatry.

[19]  Catherine Hamilton-Giachritsis,et al.  The influence of violent media on children and adolescents: a public-health approach , 2005, The Lancet.

[20]  B. Pfefferbaum,et al.  Posttraumatic Stress Two Years after the Oklahoma City Bombing in Youths Geographically Distant from the Explosion , 2000, Psychiatry.

[21]  L. R. Huesmann,et al.  Television Violence Viewing and Aggression in Females , 1996, Annals of the New York Academy of Sciences.

[22]  Kenneth S. Kendler,et al.  Basic nomenclature issues for DSM-V. , 2002 .

[23]  L. Weisaeth The stressors and the post-traumatic stress syndrome after an industrial disaster. , 1989, Acta psychiatrica Scandinavica. Supplementum.

[24]  G. Vaiva,et al.  Directed forgetting in PTSD: a comparative study versus normal controls. , 2006, Journal of psychiatric research.

[25]  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.

[26]  Sandro Galea,et al.  Utilization of mental health services following the September 11th terrorist attacks in Manhattan, New York City. , 2002, International journal of emergency mental health.

[27]  Philip D. Harvey,et al.  Memory for trauma-related information in Holocaust survivors with PTSD , 2003, Psychiatry Research.

[28]  Sandro Galea,et al.  Television Images and Probable Posttraumatic Stress Disorder After September 11: The Role of Background Characteristics, Event Exposures, and Perievent Panic , 2004, The Journal of nervous and mental disease.

[29]  Debby E. Doughty,et al.  Exposure and peritraumatic response as predictors of posttraumatic stress in children following the 1995 Oklahoma City bombing , 2002, Journal of Urban Health.

[30]  B. Pfefferbaum,et al.  The role of exposure in posttraumatic stress in youths following the 1995 bombing. , 1999, The Journal of the Oklahoma State Medical Association.

[31]  C. Sherbourne,et al.  The MOS social support survey. , 1991, Social science & medicine.

[32]  Elizabeth M. Smith,et al.  One-year follow-up of survivors of a mass shooting. , 1997, The American journal of psychiatry.

[33]  J. Kinzie,et al.  THE EFFECTS OF SEPTEMBER 11 ON TRAUMATIZED REFUGEES: REACTIVATION OF POSTTRAUMATIC STRESS DISORDER , 2002, The Journal of nervous and mental disease.

[34]  Debby E. Doughty,et al.  Television Exposure in Children after a Terrorist Incident , 2001, Psychiatry.

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

[36]  M. Elliott,et al.  A national survey of stress reactions after the September 11, 2001, terrorist attacks. , 2001, The New England journal of medicine.

[37]  Ann Hackmann,et al.  Intrusive re‐experiencing in post‐traumatic stress disorder: Phenomenology, theory, and therapy , 2004, Memory.

[38]  L. R. Huesmann,et al.  Longitudinal relations between children's exposure to TV violence and their aggressive and violent behavior in young adulthood: 1977-1992. , 2003, Developmental psychology.

[39]  Wy Depa,et al.  A NATIONAL SURVEY , 1995 .

[40]  E. Blanchard,et al.  Psychometric properties of the PTSD Checklist (PCL). , 1996, Behaviour research and therapy.

[41]  Lars Weisæth,et al.  The stressors and the post‐traumatic stress syndrome after an industrial disaster , 1989 .

[42]  M. Elliott,et al.  A National Longitudinal Study of the Psychological Consequences of the September 11, 2001 Terrorist Attacks: Reactions, Impairment, and Help-Seeking , 2004, Psychiatry.

[43]  N. Breslau,et al.  Sex differences in posttraumatic stress disorder. , 1997, Archives of general psychiatry.

[44]  S. Galea,et al.  Television Images and Psychological Symptoms after the September 11 Terrorist Attacks , 2002, Psychiatry.

[45]  L. Eron,et al.  How learning conditions in early childhood--including mass media--relate to aggression in late adolescence. , 1976, The American journal of orthopsychiatry.

[46]  L. R. Huesmann,et al.  ADOLESCENT AGGRESSION AND TELEVISION , 1980, Annals of the New York Academy of Sciences.

[47]  J. Briere,et al.  Posttraumatic stress associated with delayed recall of sexual abuse: A general population study , 1995, Journal of traumatic stress.