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与儿童时期遭遇 9·11 创伤相关的长期躯体-精神共病问题。

The Long-Term Physical-Psychiatric Comorbidities Related to Childhood Exposure to 9/11 Trauma.

机构信息

New York State Psychiatric Institute, New York, NY 10032, USA.

Department of Psychiatry, Columbia University, New York, NY 10032, USA.

出版信息

Int J Environ Res Public Health. 2024 Jul 28;21(8):988. doi: 10.3390/ijerph21080988.

Abstract

Extensive research has explored the enduring effects of childhood trauma on health, revealing its potential to produce chronic health problems. Despite findings that adults exposed to 9/11 suffer from enduring concurrent psychiatric and physical illnesses, investigations into the long-term physical-psychiatric comorbidities experienced by children and adolescents affected by the 9/11 trauma remain limited. In our study, we examined individuals directly exposed to 9/11 as children (N = 844 high exposure and N = 104 low exposed) and compared them to a matched unexposed, control group (N = 491). Fourteen years after their 9/11 exposure, we evaluated their physical and mental health conditions using parent- or youth self-reported health questionnaires, including psychiatric assessments. Those individuals with high 9/11 exposure were significantly more likely to have experienced a psychiatric disorder in the past year and a lifetime physical health condition compared to unexposed individuals. Moreover, the prevalence of physical-psychiatric comorbidities was higher among the 9/11-exposed group, with a 3.5-fold increased prevalence compared to the unexposed group. This underscores how exposure to traumatic events during childhood heightens the risk of long-term concurrent mental and physical health issues. Our findings also highlight the importance of early and ongoing interventions to prevent future comorbidities and promote better quality of life throughout the lifespan.

摘要

大量研究探讨了儿童期创伤对健康的持久影响,揭示了其产生慢性健康问题的潜力。尽管有研究发现,暴露于 9/11 事件的成年人患有持续的并发精神和身体疾病,但对受 9/11 创伤影响的儿童和青少年所经历的长期身心共病的调查仍然有限。在我们的研究中,我们调查了直接作为儿童暴露于 9/11 的个体(N=844 名高暴露组和 N=104 名低暴露组),并将他们与匹配的未暴露对照组(N=491)进行了比较。在他们 9/11 暴露后 14 年,我们使用家长或青少年自我报告的健康问卷(包括精神科评估)评估了他们的身心健康状况。与未暴露的个体相比,高暴露组的个体在过去一年和一生中更有可能经历精神障碍和身体健康状况。此外,暴露组的身心共病患病率较高,与未暴露组相比,患病率增加了 3.5 倍。这突显了儿童期暴露于创伤性事件会增加长期并发精神和身体健康问题的风险。我们的研究结果还强调了早期和持续干预的重要性,以预防未来的共病,并在整个生命周期中促进更好的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d344/11353808/b21a3cda1533/ijerph-21-00988-g001.jpg

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