Abstract:
OBJECTIVES:Research on the health of workers involved in the cleanup after the attack on the World Trade Center (WTC) on September 11, 2001, has documented high rates of psychological distress and upper gastrointestinal (GI) symptoms. The current article examines the concurrent and longitudinal associations of psychological distress with development of new-onset upper GI symptoms in a large sample of WTC responders. METHODS:A cohort of 10,953 WTC responders monitored by the WTC Health Program participated in the study. Two occupational groups were examined, police and nontraditional responders. The cohort was free of upper GI symptoms or diagnoses at their first visit (3 years after September 11, 2001). Logistic regression was used to analyze the relationships between concurrent and preceding psychological distress symptoms of depression, generalized anxiety, panic, and probable posttraumatic stress disorder with the development of new-onset upper GI symptoms at 3-year follow-up (6 years after September 11, 2001). RESULTS:Across both occupation groups, psychological distress symptoms at Visit 1 were significantly related to the development of GI symptoms by Visit 2 (odd ratios ranging from 1.9 to 5.4). The results for the concurrent relationships were similar. In addition, there were significant dose-response relationships between the number of co-occurring psychological distress symptoms at Visits 1 and 2, and increased new-onset upper GI symptoms at Visit 2. CONCLUSIONS:In this large sample of WTC responders, psychological distress symptoms assessed at 3 years after 9/11 are related to reporting upper GI symptoms 6 years after 9/11.
journal_name
Psychosom Medjournal_title
Psychosomatic medicineauthors
Litcher-Kelly L,Lam Y,Broihier JA,Brand DL,Banker SV,Kotov R,Bromet E,Bucobo JC,Shaw RD,Luft BJdoi
10.1097/PSY.0000000000000116subject
Has Abstractpub_date
2014-11-01 00:00:00pages
686-93issue
9eissn
0033-3174issn
1534-7796journal_volume
76pub_type
杂志文章abstract::Depression is a well-known reaction to separation in all species of macaques studied except the bonnet (M. radiata), in whom this reaction has never before been observed. We have produced the depressive response of postural collapse and social withdrawal in a bonnet infant by altering the social structure of the group...
journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-197802000-00008
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-200111000-00010
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journal_title:Psychosomatic medicine
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journal_title:Psychosomatic medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00006842-199707000-00010
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journal_title:Psychosomatic medicine
pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
doi:10.1097/PSY.0b013e31816fd7d0
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-199409000-00005
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-198112000-00008
更新日期:1981-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/PSY.0b013e318235ed55
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doi:10.1097/PSY.0b013e31825ff1de
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/01.psy.0000221252.84351.e2
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-200003000-00022
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
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journal_title:Psychosomatic medicine
pub_type: 杂志文章,评审
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更新日期:2004-03-01 00:00:00
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doi:10.1097/00006842-198607000-00005
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-199311000-00005
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doi:10.1097/00006842-198609000-00006
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doi:10.1097/PSY.0b013e31828d3cb6
更新日期:2013-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/00006842-199803000-00016
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pub_type: 杂志文章
doi:10.1097/PSY.0b013e3181e3333d
更新日期:2010-09-01 00:00:00
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doi:10.1097/00006842-200011000-00010
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pub_type: 杂志文章
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-199201000-00006
更新日期:1992-01-01 00:00:00