Journal of Traumatic Stress

, Volume 16, Issue 3, pp 301–306 | Cite as

Psychiatric Medication Use Among Manhattan Residents Following the World Trade Center Disaster

  • Joseph A. Boscarino
  • Sandro Galea
  • Jennifer Ahern
  • Heidi Resnick
  • David Vlahov
Article
  • 39 Downloads

Abstract

To assess medication use in New York after the September 11th attacks, a telephone survey was conducted in October 2001 (N = 1,008). The prevalence of psychiatric medication use 30 days before the disaster was 8.9 and 11.6% 30 days after, a small but significant increase. The most important factor predicting postdisaster use was predisaster use—92% of those who used medications postdisaster used them predisaster. In addition, 3.3% used psychiatric medications 30 days postdisaster, but not 30 days before. Those who had panic attacks, posttraumatic stress disorder (PTSD), and insurance coverage, were the most likely medicated (26.5%). However, among those who used postdisaster medications (n = 129), new users tended to be those with panic attacks (44.1%) and those with panic attacks and PTSD (69.2%).

pharmaceuticals posttraumatic stress disorder disasters panic attack service utilization 

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References

  1. American Association for Public Opinion Research. (2000). Standard definitions: Final dispositions of case codes and outcomes rates for surveys. Ann Arbor, MI: Author.Google Scholar
  2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  3. Boscarino, J. A., Galea, S., Ahern, J., Resnick, H., Vlahov, D. (2002). Utilization of mental health services following the September 11th terrorist attacks in Manhattan, New York City. International Journal of Emergency Mental Health, 4, 143-155.Google Scholar
  4. Bromet, E., Sonnega, A., Kessler, R. C., (1998). Risk factors for DSM-III-R posttraumatic stress disorder: Findings from the national comorbidity survey. American Journal of Epidemiology, 147, 353-361.Google Scholar
  5. Bureau of the Census. (2000). Census summary tape, file 3A (STF3A). Washington, DC: United States Department of Commerce.Google Scholar
  6. Burkle, F. M. (1996). Acute-phase mental health consequences of disasters: Implications for triage and emergency medical services. Annals of Emergency Medicine, 28, 119-128.Google Scholar
  7. Carr, V. J., Lewin, T. J., Carter, G. L., Webster, R. A. (1992). Patterns of service utilization following the 1989 Newcastle earthquake: Findings from phase 1 of the quake impact. Australian Journal of Public Health, 16, 360-369.Google Scholar
  8. Davidson, J. R. T. (2000). Pharmacotherapy of posttraumatic stress disorder: Treatment options, long-term follow-up and predictors of outcomes. Journal of Clinical Psychiatry, 61(Suppl. 5), 52-59.Google Scholar
  9. Foa, E. B. (2000). Psychosocial treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61(Suppl. 5), 43-48.Google Scholar
  10. Freedy, J. R., Kilpatrick, D. G., Resnick, H. S., (1993). Natural disasters and mental health: Theory, assessment, and intervention. Journal of Social Behavior and Personality, 8, 49-103.Google Scholar
  11. Friedman, M. J., Davidson, J. R. T., Mellman, T. A., Southwick, S. M. (2000). Pharmacotherapy. In E. B. Foa, T. M. Keane, M. J. Friedman (Eds.), Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies (pp. 84-105). New York: Guilford Press.Google Scholar
  12. Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Bucuvalas, M., Gold, J., et al. (2002). Psychological sequelae of the September 11 terrorist attacks in New York City. The New England Journal of Medicine, 346, 982-987.Google Scholar
  13. Gerrity, E. T., Flynn, B. W. (1997). Mental health consequences of disasters. In E. K. Noji (Ed.), The public health consequences of disasters (pp. 101-132). New York: Oxford University Press.Google Scholar
  14. Gleser, G. C., Green, B. L., Winget, C. (1981). Prolong psychosocial effects of disaster: A study of Buffalo Creek. New York, Academic Press.Google Scholar
  15. Green, B. L. (1991). Evaluating the effects of disasters. Psychological Assessment, 3, 538-546.Google Scholar
  16. Harvey, A. G., Bryant, R. A. (1999). The relationship between acute stress disorder and posttraumatic stress disorder: A 2-year prospective evaluation. Journal of Consulting and Clinical Psychology, 67, 985-988.Google Scholar
  17. Hosmer, D. W., Lemeshow, S. (2000). Applied logistic regression (2nd ed.). New York, Wiley.Google Scholar
  18. Joseph, S., Yule, W., Williams, R., Hodgkinson, P. (1993). Increased substance use in survivors of the Herald of Free Enterprise disaster. British Journal of Medical Psychology, 66, 185-191.Google Scholar
  19. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., Nelson, C. B., (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048-1060.Google Scholar
  20. Kilpatrick, D. G, Resnick, H. S., Freedy, J. R., Pelcovitz, D., Resick, P. A., Roth, S., et al. (1998). The posttraumatic stress disorder field trial: Evaluation of the PTSD construct—criteria A through E. In T. Widiger, A. Frances, H. Pincus, R. Ross, M. First, W. Davis, & M. Kline (Eds.), DSM-IV Sourcebook (Vol. 4, pp. 803-844). Washington, DC: American Psychiatric Association Press.Google Scholar
  21. Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., et al. (1990). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel.Google Scholar
  22. Madakasira, S., O'Brien, K. F. (1987). Acute posttraumatic stress disorder in victims of a natural disaster. Journal of Nervous Mental Disease, 175, 286-290.Google Scholar
  23. Magidson, J. (1982). Some common pitfalls in causal analysis of categorical data. Journal of Marketing Research 19, 461-471.Google Scholar
  24. 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.Google Scholar
  25. North, C. S., Nixon, S. J., Shariat, S., Mallonee, S., McMillen, J. C., Spitznagel, E. L., et al. (1999). Psychiatric disorders among survivors of the Oklahoma City bombing. Journal of the American Medical Association, 282, 755-762.Google Scholar
  26. Robins, L. N., Marcus, L., Reich, W., Cunningham, R., Gallagher, T. (1996). NIMH Diagnostic Interview Schedule (Version IV). St Louis, MO: Department of Psychiatry, Washington School of Medicine.Google Scholar
  27. Rubonis, A. V., Bickman, L. (1991). Psychological impairment in the wake of disaster: The disaster—psychopathology relationship. Psychology Bulletin, 109, 384-399.Google Scholar
  28. Sheskin, D. J. (2000). Handbook of parametric and nonparametric statistical procedures (2nd ed.). New York: Chapman Hall.Google Scholar
  29. Smith, D. W., Christiansen, E. H., Vincent, R., Hann, N. E. (1999). Population effects of the bombing of Oklahoma City. Journal of the Oklahoma State Medical Association, 92, 193-198.Google Scholar
  30. Smith, E. M., North, C. S., McCool, R. E., Shea, J. M. (1990). Acute postdisaster psychiatric disorders: Identification of persons at risk. American Journal of Psychiatry, 147, 202-206.Google Scholar
  31. Spitzer, R. L., Williams, J. B., Gibbon, M. (1987). Structured clinical interview for DSM-III-R—Non-patient version. New York: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
  32. Stata Corporation. (2001). Stata (Version 7.0). [Computer software]. College Station, TX: Stata Corporation.Google Scholar
  33. Zhang, H., Singer B. (1999). Recursive partitioning in the health sciences. New York: Springer.Google Scholar

Copyright information

© International Society for Traumatic Stress Studies 2003

Authors and Affiliations

  • Joseph A. Boscarino
    • 1
    • 2
  • Sandro Galea
    • 3
    • 4
  • Jennifer Ahern
    • 3
  • Heidi Resnick
    • 5
  • David Vlahov
    • 3
    • 6
  1. 1.Division of Health and Science PolicyNew York Academy of MedicineNew York
  2. 2.Department of Veterans Affairs, New Jersey Health Care SystemResearch ServiceEast Orange
  3. 3.New York Academy of MedicineCenter for Urban Epidemiologic StudiesNew York
  4. 4.Department of EpidemiologyColumbia University, Mailman School of Public HealthNew York
  5. 5.National Crime Victims' Research and Treatment CenterMedical University of South CarolinaCharleston
  6. 6.Bloomberg School of Public HealthJohns Hopkins UniversityBaltimore

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