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Negative Symptoms, Anger, and Social Support: Response of an Inpatient Sample to News Coverage of the September 11 Terrorist Attacks

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Abstract

We examined the reactions of 17 male inpatients on a secure psychiatric unit to television news coverage of the September 11 attacks. All had psychotic diagnoses. We hypothesized that self-exposure and affective response to the news coverage and use of social support would be influenced by predominance of negative symptoms. Additionally, we examined for the emergence of common stress symptoms and exacerbations of psychosis. Results showed a dose-response relationship between amount of viewing and magnitude of response to the coverage. Anger was the emotion most clearly tied to coverage exposure and the other response variables. A wide range of stress symptoms was reported. Hypotheses concerning the influence of negative symptoms were partially supported. A significant minority of the patients disclosed exacerbation of psychotic symptoms in response to the attacks. Patients who reported a negative emotional reaction were more likely to talk to others about the attacks, but social contact did not predictably lead to affective relief.

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REFERENCES

  1. Enormous TV audience peaked with Bush talk. New York Times, p. 24, September 13, 2001.

  2. Schuster MA, Stein BD, Jaycox, LH, et al: A national survey of stress reactions after the September 11, 2001, terrorist attacks. New England Journal of Medicine 345:1507-1512, 2001.

    Google Scholar 

  3. Anderson DR, Collins PA: Stressful life events and television viewing. Communication Research 23:243-260, 1996.

    Google Scholar 

  4. Bates B: Be alert for postterrorism trauma in psychiatric patients. Clinical Psychiatry News, p. 9, October, 2001.

  5. Reeves RR, Liberto V: Reactions of Veterans Administration psychiatric patients to the September 11 terrorist attacks. Southern Medical Journal 94:1139, 2001.

    Google Scholar 

  6. Neugebauer R: Reliability of life-event interviews with outpatient schizophrenics, in Stressful Life Events. Edited by Miller TW. Madison, International Universities Press, 1989.

    Google Scholar 

  7. Bulnes NJ, Valdes AJ, Aragon MLV, et al: Psychopathological verbal expression of self-perceived stress in three groups of psychotic patients. Psychopathology 30:39-48, 1997.

    Google Scholar 

  8. Corin EE: Facts and meaning in psychiatry. An anthropological approach to the lifeworld of schizophrenics. Culture, Medicine and Psychiatry 14:153-188, 1990.

    Google Scholar 

  9. Lee PWH, Lieh-Mak F, Yu KK, et al: Coping strategies of schizophrenic patients and their relationship to outcome. British Journal of Psychiatry 163:177-182, 1993.

    Google Scholar 

  10. Neeleman J, Power MJ: Social support and depression in three groups of psychiatric patients and a group of medical controls. Social Psychiatry and Psychiatric Epidemiology 29:46-51, 1994.

    Google Scholar 

  11. Buchanan J: Social support and schizophrenia: A review of the literature. Archives of Psychiatric Nursing 9:68-76, 1995.

    Google Scholar 

  12. Cresswell CM, Kuipers L, Power MJ: Social networks and support in long-term psychiatric patients. Psychological Medicine 22:1019-1026, 1992.

    Google Scholar 

  13. Semple SJ, Patterson TL, Shaw WS, et al: Self-perceived interpersonal competence in older schizophrenia patients: The role of patient characteristics and psychosocial factors. Acta Psychiatrica Scandinavica 100:126-135, 1999.

    Google Scholar 

  14. Brugha TS, Wing JK, Brewin CR, et al: The relationship of social network deficits with deficits in social functioning in long-term psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology 28:218-224, 1993.

    Google Scholar 

  15. Hamilton NG, Ponzoha CA, Cutler DL, et al: Social networks and negative versus positive symptoms of schizophrenia. Schizophrenia Bulletin 15:625-633, 1989.

    Google Scholar 

  16. Marengo J, Harrow M, Herbener ES, et al: A prospective longitudinal 10-year study of schizophrenia's three major factors and depression. Psychiatry Research 97:61-77, 2000.

    Google Scholar 

  17. Andreasen NC: Negative symptoms in schizophrenia. Archives of General Psychiatry 39:784-788, 1982.

    Google Scholar 

  18. Andreasen NC, Olsen S: Negative tv positive schizophrenia. Archives of General Psychiatry 39:789-794, 1982.

    Google Scholar 

  19. Lukoff D, Nuechterlein KH, Ventura J: Appendix A. Manual for Expanded Brief Psychiatric Rating Scale. Schizophrenia Bulletin 12:594-602, 1986.

    Google Scholar 

  20. Ventura J, Green MF, Shaner A, et al: Training and quality assurance with the Brief Psychiatric Rating Scale: 'The Drift Busters.' International Journal of Methods in Psychiatric Research 3:221-244, 1993.

    Google Scholar 

  21. Ventura J, Nuechterlein KH, Subotnik KL, et al: Symptom dimensions in recent-onset schizophrenia and mania: A principal components analysis of the 24-item Brief Psychiatric Rating Scale. Psychiatry Research 97:129-135, 2000.

    Google Scholar 

  22. Carlson CR, Collins FL, Stewart JF, et al: The assessment of emotional reactivity: A scale development and validation study. Journal of Psychopathology and Behavioral Assessment 11:313-325, 1989.

    Google Scholar 

  23. Bartone PT, Ursano RJ, Wright KM, et al: The impact of a military air disaster on the health of assistance workers: A prospective study. Journal of Nervous and Mental Disease 177:317-328, 1989.

    Google Scholar 

  24. Jeffers DW, Ostman RE, Skelton WR: A study of when patients watch television in a mental hospital. Hospital and Community Psychiatry 31:416-417, 1980.

    Google Scholar 

  25. Amador XF, Kirkpatrick B, Buchanan RW, et al: Stability of the diagnosis of deficit syndrome in schizophrenia. American Journal of Psychiatry 156:637-639, 1999.

    Google Scholar 

  26. Cuesta MJ, Peralta V: Psychopathological dimensions in schizophrenia. Schizophrenia Bulletin 21:473-482, 1995.

    Google Scholar 

  27. Lecrubier Y: The concept of negative symptoms. Journal of Clinical Psychiatry Monograph Series 16(1):9-11, 1998.

    Google Scholar 

  28. Kirkpatrick B, Buchanan RW, Ross DE, et al. A separate disease within the syndrome of schizophrenia. Archives of General Psychiatry 58:165-171, 2001.

    Google Scholar 

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Correspondence to Rokeya S. Farooque.

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Stout, R.G., Farooque, R.S. Negative Symptoms, Anger, and Social Support: Response of an Inpatient Sample to News Coverage of the September 11 Terrorist Attacks. Psychiatr Q 74, 237–250 (2003). https://doi.org/10.1023/A:1024162420449

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  • DOI: https://doi.org/10.1023/A:1024162420449

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