Parental posttraumatic stress and child behavioral problems in world trade center responders

Mai Uchida; Huifen Feng; Adriana Feder; Natalie Mota; Clyde B. Schechter; Hilary D. Woodworth; Caroline G. Kelberman; Michael Crane; Philip Landrigan; Jacqueline Moline; Iris Udasin; Denise Harrison; Benjamin J. Luft; Craig Katz; Steven M. Southwick; Robert H. Pietrzak

doi:10.1002/ajim.22838

Parental posttraumatic stress and child behavioral problems in world trade center responders

Mai Uchida, Huifen Feng, Adriana Feder, Natalie Mota, Clyde B. Schechter, Hilary D. Woodworth, Caroline G. Kelberman, Michael Crane, Philip Landrigan, Jacqueline Moline, Iris Udasin, Denise Harrison, Benjamin J. Luft, Craig Katz, Steven M. Southwick, Robert H. Pietrzak

Family and Social Medicine

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	504-514
Number of pages	11
Journal	American Journal of Industrial Medicine
Volume	61
Issue number	6
DOIs	https://doi.org/10.1002/ajim.22838
State	Published - Jun 2018

Keywords

children
disaster responders
posttraumatic stress disorder
trans-generational transmission
world trade center

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/ajim.22838

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Uchida, M., Feng, H., Feder, A., Mota, N., Schechter, C. B., Woodworth, H. D., Kelberman, C. G., Crane, M., Landrigan, P., Moline, J., Udasin, I., Harrison, D., Luft, B. J., Katz, C., Southwick, S. M., & Pietrzak, R. H. (2018). Parental posttraumatic stress and child behavioral problems in world trade center responders. American Journal of Industrial Medicine, 61(6), 504-514. https://doi.org/10.1002/ajim.22838

Uchida, M, Feng, H, Feder, A, Mota, N, Schechter, CB, Woodworth, HD, Kelberman, CG, Crane, M, Landrigan, P, Moline, J, Udasin, I, Harrison, D, Luft, BJ, Katz, C, Southwick, SM & Pietrzak, RH 2018, 'Parental posttraumatic stress and child behavioral problems in world trade center responders', American Journal of Industrial Medicine, vol. 61, no. 6, pp. 504-514. https://doi.org/10.1002/ajim.22838

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abstract = "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{\textquoteright} 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.",

keywords = "children, disaster responders, posttraumatic stress disorder, trans-generational transmission, world trade center",

author = "Mai Uchida and Huifen Feng and Adriana Feder and Natalie Mota and Schechter, {Clyde B.} and Woodworth, {Hilary D.} and Kelberman, {Caroline G.} and Michael Crane and Philip Landrigan and Jacqueline Moline and Iris Udasin and Denise Harrison and Luft, {Benjamin J.} and Craig Katz and Southwick, {Steven M.} and Pietrzak, {Robert H.}",

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year = "2018",

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doi = "10.1002/ajim.22838",

language = "English (US)",

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AU - Uchida, Mai

AU - Feng, Huifen

AU - Feder, Adriana

AU - Mota, Natalie

AU - Schechter, Clyde B.

AU - Woodworth, Hilary D.

AU - Kelberman, Caroline G.

AU - Crane, Michael

AU - Landrigan, Philip

AU - Moline, Jacqueline

AU - Udasin, Iris

AU - Harrison, Denise

AU - Luft, Benjamin J.

AU - Katz, Craig

AU - Southwick, Steven M.

AU - Pietrzak, Robert H.

PY - 2018/6

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N2 - 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.

AB - 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.

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KW - trans-generational transmission

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Parental posttraumatic stress and child behavioral problems in world trade center responders

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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