World Trade Center Registry, New York Department of Health and Mental Hygiene, New York, NY 10013, USA.
Department of Psychology, University of Minnesota, Minneapolis, MN 55455, USA.
Int J Environ Res Public Health. 2019 Mar 23;16(6):1054. doi: 10.3390/ijerph16061054.
Fifteen years after the disaster, the World Trade Center Health Registry (Registry) conducted The Health and Quality of Life Survey (HQoL) assessing physical and mental health status among those who reported sustaining an injury on 11 September 2001 compared with non-injured persons. Summary scores derived from the Short Form-12 served as study outcomes. United States (US) population estimates on the Physical Component Score (PCS-12) and Mental Component Score (MCS-12) were compared with scores from the HQoL and were stratified by Post-traumatic Stress Disorder (PTSD) and injury status. Linear regression models were used to estimate the association between both injury severity and PTSD and PCS-12 and MCS-12 scores. Level of injury severity and PTSD history significantly predicted poorer physical health (mean PCS-12). There was no significant difference between injury severity level and mental health (mean MCS-12). Controlling for other factors, having PTSD symptoms after 9/11 predicted a nearly 10-point difference in mean MCS-12 compared with never having PTSD. Injury severity and PTSD showed additive effects on physical and mental health status. Injury on 9/11 and a PTSD history were each associated with long-term decrements in physical health status. Injury did not predict long-term decrements in one's mental health status. Although it is unknown whether physical wounds of the injury healed, our results suggest that traumatic injuries appear to have a lasting negative effect on perceived physical functioning.
十五年后，世界贸易中心健康登记处（登记处）进行了健康和生活质量调查（HQoL），评估了那些报告在 2001 年 9 月 11 日遭受伤害的人与未受伤者的身心健康状况。短格式 12 得出的综合评分作为研究结果。与 HQoL 的分数相比，还比较了来自美国（美国）人口估计的物理成分评分（PCS-12）和心理成分评分（MCS-12），并按创伤后应激障碍（PTSD）和受伤状况进行分层。线性回归模型用于估计两种受伤严重程度和 PTSD 与 PCS-12 和 MCS-12 评分之间的关联。受伤严重程度和 PTSD 病史显着预测了较差的身体健康（平均 PCS-12）。受伤严重程度与心理健康（平均 MCS-12）之间没有显着差异。在控制其他因素后，9/11 后出现 PTSD 症状与平均 MCS-12 相比，差异近 10 分，从未出现 PTSD。受伤严重程度和 PTSD 对身心健康状况均有累加效应。9/11 受伤和 PTSD 病史均与长期身体健康状况下降有关。受伤并没有预测一个人心理健康状况的长期下降。尽管不知道受伤的身体伤口是否愈合，但我们的结果表明，创伤性伤害似乎对感知的身体功能产生持久的负面影响。
