Abstract
This research examines psychological distress among 955 economically disadvantaged New York City residents surveyed during high school and again after the September 11th terrorist attacks (9/11), when they were young adults. As part of the longitudinal Reach for Health study, young adult surveys were conducted from 6–19 months post-9/11 (average 8 months), providing opportunity to assess types of exposures and psychological distress, including symptoms of post-traumatic stress disorder (PTSD), depression, hopelessness, and anger. Regressions of psychological distress on 9/11 exposure were performed, controlling for high school distress, prior exposure to violence victimization, and socio-demographic characteristics. Exposure to 9/11 was positively associated with anger, hopelessness, and PTSD symptoms and a measure of global distress. The relationship was greater among women for PTSD symptoms. Although those who reported high school distress also reported more distress in young adulthood, prior psychological distress did not moderate the relationship between exposure and psychological outcomes. Greater exposure is related to distress among those who, during high school, reported lower distress, as well as among those who reported prior greater distress.
Similar content being viewed by others
References
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks: Sage.
Beck, A. T., Weismann, A., & Lester, D. (1974). The measurement of pessimism: The hopelessness scale. Journal of Consulting and Clinical Psychology, 74, 861–865.
Bell, C. C. (1997). Stress-related disorders in African-American children. Journal of the National Medical Association, 89, 335–340.
Boscarino, J. A., Galea, S., Adams, R. E., Ahern, J., Resnick, H., & Vlahov, D. (2004). Mental health service and medication use in New York City after the September 11, 2001, terrorist attack. Psychiatric Services: A Journal of the American Psychiatric Association, 55, 274–283.
Breslau, N., Chilcoat, H. D., Kessler, R. C., & Davis, G. C. (1999). Previous exposure to trauma and PTSD effects of subsequent trauma: Results from the Detroit Area Survey of Trauma. American Journal of Psychiatry, 56, 902–907.
Breslau, N., Davis, G. C., & Andreski, P. (1995). Risk factors for PTSD-related traumatic events: A prospective analysis. American Journal of Psychiatry, 152, 529–535.
Breslau, N., Davis, G. C., Andreski, P., & Peterson, E. (1991). Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of General Psychiatry, 48, 216–222.
Breslau, N., Wilcox, H. C., Storr, C. L., Lucia, V. C., & Anthony, J. C. (2004). Trauma exposure and posttraumatic stress disorder: A study of youths in urban America. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 81, 530–544.
Brook, J. S., Balka, E. B., Abernathy, T., & Hamburg, B. A. (1994). Sequence of sexual behavior and its relationship to other problem behaviors in African American and Puerto Rican adolescents. Journal of Genetic Psychology, 155, 107–114.
Cardenas, J., Williams, K., Wilson, J. P., Fanouraki, G., & Singh, A. (2003). PSTD, major depressive symptoms, and substance abuse following September 11, 2001, in a midwestern university population. International Journal of Emergency Mental Health, 5, 15–28.
Chen, H., Chung, H., Chen, T., Fang, L., & Chen, J.-P. (2003). The emotional distress in a community after the terrorist attack on the World Trade Center. Community Mental Health Journal, 39, 157–165.
DeLisi, L. E., Maurizio, A., Yost, M., Papparozzi, C. F., Fulchino, C., Katz, C. L., Altesman, J., Biel, M., Lee, J., & Stevens, P. (2003). A survey of New Yorkers after the Sept. 11, 2001, terrorist attacks. American Journal of Psychiatry, 160, 780–783.
Derogatis, L. R. (1982). The brief symptom inventory (BSI): Administration, scoring, and procedures manual. Minneapolis: National Computer Systems, Inc.
Foa, E. B., & Riggs, D. S. (2001). Brief Recovery Program (BRP) for Trauma Survivors. Philadelphia: University of Pennsylvania. Retrieved July 20, 2005 from http://ptsd.factsforhealth.org/brp.pdf#search=‘ptsd.factsforhealth.org/brp.pdf’.
Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic disorder. Journal of Traumatic Stress, 6, 459–473.
Felton, C. J. (2002). Project Liberty: A public health response to New Yorkers’ mental health needs arising from the World Trade Center terrorist attacks. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 79, 429–433.
Florsheim, P., Sumida, E., McCann, C., Winstanley, M., Fukui, R., Seefeldt, T., & Moore, D. (2003). The transition to parenthood among young African American and Latino couples: relational predictors of risk for parental dysfunction. Journal of Family Psychology, 17, 65–79.
Ford, C. A., Udry, J. R., Gleiter, K., & Chantala, K. (2003). Reactions of young adults to September 11, 2001. Archives of Pediatrics & Adolescent Medicine, 157, 572–578.
Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Bucuvalas, M., Gold, J., & Vlahov, D. (2002a). Psychological sequelae of the September 11 terrorist attacks in New York City. New England Journal of Medicine, 346, 982–987.
Galea, S., Resnick, H., Ahern, J., Gold, J., Bucuvalas, M., Kilpatrick, D., Stuber, J., & Vlahov, D. (2002b). Posttraumatic stress disorder in Manhattan, New York City, after the September 11th terrorist attacks. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 79, 340–353.
Galea, S., Vlahov, D., Resnick, H., Ahern, J., Susser, E., Gold, J., Bucuvalas, M., & Kilpatrick, D. (2003). Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. American Journal of Epidemiology, 158, 514–524.
Hall, M. J., Norwood, A. E., Ursano, R. J., Fullerton, C. S., & Levinson, C. J. (2002). Psychological and behavioral impacts of bioterrorism. PTSD Research Quarterly, 13, 1–3.
Hess, C., Papas, M. A., & Black, M. M. (2002) Resilience among African American adolescent mothers: Predictors of positive parenting in early infancy. Journal of Pediatric Psychology, 27, 619–629.
Hines-Martin, V., Malone, M., Kim, S., Brown-Piper, A. (2003). Barriers to mental health care access in an African American Population. Issues in Mental Health Nursing, 24, 237–256.
Joseph, J. (1996). School factors and delinquency: A study of African American youths. Journal of Black Studies, 26, 340–355.
Kovacs, M. (1985). The Children’s Depression, Inventory (CDI). Psychopharmacology Bulletin, 21, 995–998.
Lovejoy, D. W., Diefenbach, G. J., Licht, D. J., & Tolin, D. F. (2003). Tracking levels of psychiatric distress associated with the terrorist events of September 11, 2001: A review of the literature. Journal of Insurance Medicine, 35, 114–124.
Miller, A. M., & Heldring, M. (2004). Mental health and primary care in a time of terrorism: Psychological impact of terrorist attacks. Families, Systems, & Health, 22, 7–30.
Moses, A. (1999). Exposure to violence, depression, and hostility in a sample of inner city highschool youth. Journal of Adolescence, 11, 21–32.
Newman, R. (2005). APA’s resilience initiative. Professional Psychology: Research and Practice, 36, 227–229.
Nitz, K., Ketterlinus, R. D., & Brandt, L. J. (1995) The role of stress, social support, and family environment in adolescent mothers’ parenting. Journal of Adolescent Research, 10, 358–382.
Norris, F. H. (1992). Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups. Journal of Consulting and Clinical Psychology, 60, 409–418.
Norris, F. H. (2002). Psychosocial consequences of disasters. PTSD Research Quarterly, 13, 1–3.
Norris, F. H., Friedman, M. J., & Watson, P. J. (2002a). 60,000 disaster victims speak: Part II Summary and implications of the disaster mental health research. Psychiatry, 2002 Fall, 65, 240–60.
Norris, F. H., Friedman, M. J., Watson, P. J., Byrne, C. M., Diaz, E., & Kaniasty, K. (2002b). 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry, 2002 Fall, 65, 207–239.
North, C. S., & Pfefferbaum, B. (2002). Research on the mental health effects of terrorism. JAMA: Journal of the American Medical Association, 288, 633–636.
O’Donnell, B. L., O’Donnell, C. R., & Stueve, A. (2001). Early sexual initiation and subsequent sex-related risks among urban minority youth: the reach for health study. Family Planning Perspectives, 33, 268–275.
O’Donnell, L. N., Duran, R. H., San Doval, A., Breslin, M. J., Juhn, G. M., & Stueve, A. (1997). Obtaining written parent permission for school-based health surveys of urban young adolescents. Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 21, 376–383.
Pulcino, T., Galea, S., Ahern, J., Resnick, H., Foley, M., & Vlahov, D. (2003). Posttraumatic stress in women after the September 11 terrorist attacks in New York City. Journal of Women’s Health, 12, 809–820.
Rasinski, K. A, Berktold, J., Smith, T. W., & Albertson, B. L. (2002). America Recovers: A follow-up to a national study of public response to the september 11th terrorist attacks. Chicago: National Organization for Research at the University of Chicago.
Rudenstine, S., Galea, S., Ahern, J., Felton, C., & Vlahov, D. (2003). Awareness and perceptions of a communitywide mental health program in New York City after September 11. Psychiatric Services: A Journal of the American Psychiatric Association, 54, 1404–1406.
Schlenger, W. E., Caddell, J. M., Ebert, L., Jordan, B. K., Rourke, K. M., Wilson, D., Thalji, L., Dennis, J. M., Fairbank, J. A., & Kulka, R. A. (2002). Psychological reactions to terrorist attacks: Findings from the National Study of Americans’ Reactions to September 11. JAMA: Journal of the American Medical Association, 288, 581–588.
Schuster, M. A., Stein, B. D., Jaycox, L. H., Collins, R. L., Marshall, G. N., Elliott, M. N., Zhou, A. J., Kanouse, D. E., Morrison, J. L., & Berry, S. H. (2001). A national survey of stress reactions after the September 11, 2001, terrorist attacks. New England Journal of Medicine, 345, 1507–1512.
Schwab-Stone, M. E., Ayers, T. S., Kasprow, W., Voyce, C., Barone, C., Shriver, T., & Weissberg, R. (1995). No safe haven: A study of violence exposure in an urban community. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1343–1352.
Schwab-Stone, M., Chen, C., Greenberger, E., Silver, D., Lichtman, J., & Voyce, C. (1999). No safe haven II: The effects of violence exposure on urban youth. Journal of the Academy of Child and Adolescent Psychiatry, 38, 359–367.
Sciancalepore, R., & Motta, R. W. (2004). Gender related correlates of posttraumatic stress symptoms in a World Trade Center tragedy sample. International Journal of Emergency Mental Health, 6, 15–24.
Silver, R. C., Holman, E. A., McIntosh, D. N., Poulin, M., & Gil-Rivas, V. (2002). Nationwide longitudinal study of psychological responses to September 11. JAMA: Journal of the American Medical Association, 288, 1235–1244.
Silver, R. C., Poulin, M., Holman, E. A., McIntosh, D. N., Gil-Rivas, V., & Pizzaro, J. (2004). Exploring the myths of coping with a national trauma: A longitudinal study of responses to the September 11th terrorist attacks. Journal of Aggression, Maltreatment & Trauma, 9, 129–141.
Silver, R. C., Poulin, M., Holman, E. A., McIntosh, D. N., Gil-Rivas, V., & Pizzaro, J. (2006). Coping with a National Trauma: A nationwide longitudinal study of responses to the terrorist attacks of September 11th. In Y. Neria, R. Gross, R. Marshall, & E. Susser (Eds.), September 11, 2001: Treatment, research and public mental health in the wake of a terrorist attack (pp. 45–70). NY: Cambridge University Press.
Sims, A. C. P., & Sims, D. (1998). The phenomenology of post-traumatic stress disorder: A symptomatic study of 70 victims of psychological trauma. Psychopathology, 31, 96–112.
Stein, B. D., Elliott, M. N., Jaycox, L. H., Collins, R. L., Berry, S. H., Klein, D. J., & Schuster, M. A. (2004). A national longitudinal study of the psychological consequences of the September 11, 2001 terrorist attacks: reactions, impairment, and help-seeking. Psychiatry, 67, 105–117.
Stein, M. B., Walker, J. R., Hazen, A. L., & Forde, D. R. (1997). Full and partial posttraumatic stress disorder: Findings from a community survey. American Journal of Psychiatry, 154, 1114–1119.
Stephenson, J. (2001). Medical, mental health communities mobilize to cope with terror’s psychological aftermath. JAMA: The Journal of the American Medical Association, 286, 1823–1825.
Stuber, J., Galea, S., Ahern, J., Blaney, S. & Fuller, C. (2003). The association between multiple domains of discrimination and self-assessed health: A multilevel analysis of Latinos and Blacks in four low-income New York City neighborhoods. Health Services Research, 38, 1475–1677.
Vazsonyi, A. T., & Flannery, D. J. (1997). Early adolescent delinquent behaviors: Associations with family and school domains. Journal of Early Adolescence, 17, 271–293.
Woodwards, A. M., Divinell, A. D., & Arons, B. S. (1992). Barriers to mental health care for Hispanic Americans: A literature review and discussion. Journal of Mental Health Administration, 19, 224–235.
Acknowledgements
This study was conducted with grants to Dr. Lydia O’Donnell, principal investigator, from the National Center for Injury and Violence Prevention, Centers for Disease Control and Prevention (R49/CCR118509) and the National Institute of Child Health and Human Development (R01HD35378).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Agronick, G., Stueve, A., Vargo, S. et al. New York City young adults’ psychological reactions to 9/11: findings from the Reach for Health longitudinal study. Am J Community Psychol 39, 79–90 (2007). https://doi.org/10.1007/s10464-007-9093-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10464-007-9093-4