Department of Psychiatry and Behavioral Sciences, College of Medicine, The University of Oklahoma Health Sciences Center, Oklahoma City, OK.
Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX.
Disaster Med Public Health Prep. 2022 Feb;16(1):163-169. doi: 10.1017/dmp.2020.227. Epub 2020 Sep 8.
The objective of this study was to examine associations between media contact and posttraumatic stress in a sample with a large number of individuals who were directly exposed to the September 11, 2001 (9/11) attacks and to compare outcomes in exposed and unexposed participants.
Structured interviews and questionnaires were administered to a volunteer sample of 254 employees of New York City businesses 35 months after the attacks to document disaster trauma exposures, posttraumatic stress outcomes, and media contact and reactions.
Media variables were not associated with psychopathological outcomes in exposed participants, but media contact in the first week after the attacks and feeling moderately/extremely bothered by graphic 9/11 media images were associated with re-experiencing symptoms in both the exposed and unexposed participants. Feeling moderately/extremely bothered by graphic media images was associated with hyperarousal symptoms in exposed participants.
The findings suggest that media contact did not lead to psychopathology in exposed individuals, although it was associated with normative distress in both exposure groups. Because of the potential for adverse effects associated with media contact, clinicians and public health professionals are encouraged to discuss concerns about mass trauma media contact with their patients and the public at large.
本研究旨在调查媒体接触与创伤后应激之间的关联,研究对象为大量直接接触 2001 年 9 月 11 日(9/11)袭击事件的个体,并比较暴露组和未暴露组参与者的结果。
在袭击发生 35 个月后,对纽约市企业的 254 名员工进行了问卷调查和访谈,以记录灾难创伤暴露、创伤后应激结果以及媒体接触和反应。
媒体变量与暴露组参与者的心理病理结果无关,但在袭击发生后的第一周接触媒体以及对 9/11 媒体图像感到中度/极度困扰与暴露组和未暴露组参与者的再体验症状有关。对媒体图像感到中度/极度困扰与暴露组的警觉症状有关。
研究结果表明,媒体接触并未导致暴露个体出现精神病理学,但与两组的正常性困扰有关。由于与媒体接触相关的潜在不利影响,鼓励临床医生和公共卫生专业人员与患者和公众讨论对大众创伤性媒体接触的担忧。