Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Department of Psychiatry, The Icahn School of Medicine at Mount Sinai, New York, New York.
Am J Ind Med. 2018 Jun;61(6):504-514. doi: 10.1002/ajim.22838. Epub 2018 Mar 25.
BACKGROUND: We investigated trans-generational associations between Post Traumatic Stress Disorder (PTSD) symptoms in World Trade Center (WTC) responders and behavioral problems in their children. METHODS: Participants were WTC responders-8034 police and 8352 non-traditional (eg, construction workers)-with one or more children at the time of their first visit to the World Trade Center Health Program (WTC-HP). Self-report questionnaires were administered approximately 4 years after the 9/11 WTC attack. RESULTS: A total of 31.4% of non-traditional and 20.0% of police responders reported behavioral problems in their children. Non-traditional responder status, female sex, Hispanic ethnicity, more life stressors, more WTC-related PTSD symptoms, and dysphoric arousal symptoms were significant correlates of behavioral problems in responders' children. CONCLUSIONS: Specific parental sociodemographic, psychosocial and clinical characteristics, as well as PTSD symptom severity, were significant correlates of child behavior problems. Findings encourage monitoring and early intervention for children of disaster responders, particularly those at highest risk.
背景：我们调查了创伤后应激障碍（PTSD）症状在世界贸易中心（WTC）救援人员及其子女中的跨代关联。
方法：参与者是 WTC 救援人员-8034 名警察和 8352 名非传统（如建筑工人）-在他们第一次访问世界贸易中心健康计划（WTC-HP）时，有一个或多个孩子。自我报告问卷大约在 9/11 WTC 袭击事件发生 4 年后进行。
结果：共有 31.4%的非传统救援人员和 20.0%的警察救援人员报告其子女存在行为问题。非传统救援人员身份、女性、西班牙裔、更多的生活压力源、更多的与 WTC 相关的 PTSD 症状和烦躁觉醒症状是非传统救援人员子女行为问题的显著相关因素。
结论：特定的父母社会人口统计学、心理社会和临床特征，以及 PTSD 症状严重程度，是儿童行为问题的显著相关因素。这些发现鼓励对灾难救援人员的子女进行监测和早期干预，特别是对那些风险最高的子女。
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