@article{cb5bddafd0c7431a8fbd879ea6103efb,
title = "Parental posttraumatic stress and child behavioral problems in world trade center responders",
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.}",
note = "Funding Information: The CDC/National Institute for Occupational Safety and Health (NIOSH) funded this work (A.F., R.H.P. and S.M.S., research contract # 200-2011-41919). The authors acknowledge the efforts of the U.S. Department of Health and Human Services, specifically the Centers for Disease Control and Prevention and the National Institute for Occupational Safety and Health, for their support, and funding of this research. The CDC/National Institute for Occupational Safety and Health (NIOSH) funded this work (A.F., R.H.P. and S.M.S., research contract # 200-2011-41919). This study was reviewed and approved by the Institutional Review Boards of the Yale University School of Medicine, Icahn School of Medicine at Mount Sinai, New York University School of Medicine, State University of New York Stony Brook, and Rutgers University's Robert Wood Johnson Medical School. Dr. Schechter has served as a paid consultant to Accolade, Inc., analyzing claims data in evaluation of their services and for providing technical support to their statistical staff. Dr. Southwick has authored two books published by Cambridge University Press (Resilience: The Science of Mastering Life's Greatest Challenges and Resilience and Mental Health: Challenges Across the Lifespan) from which he has received royalties. Dr. Pietrzak has served as a scientific consultant to CogState Ltd. Dr. Crane received funding from the CDC/NIOSH WTC Health Program contract #200-2011-39356. Drs. Uchida, Feng, Feder, Mota, Landrigan, Moline, Udasin, Harrison, Luft, and Katz, as well as Ms. Woodworth and Ms. Kelberman, report no biomedical financial interests or other competing interests. Steven B. Markowitz declares that he has no competing or conflicts of interest in the review and publication decision regarding this article. Funding Information: Dr. Schechter has served as a paid consultant to Accolade, Inc., analyzing claims data in evaluation of their services and for providing technical support to their statistical staff. Dr. Southwick has authored two books published by Cambridge University Press (Resilience: The Science of Mastering Life's Greatest Challenges and Resilience and Mental Health: Challenges Across the Lifespan) from which he has received royalties. Dr. Pietrzak has served as a scientific consultant to CogState Ltd. Dr. Crane received funding from the CDC/NIOSH WTC Health Program contract #200-2011-39356. Drs. Uchida, Feng, Feder, Mota, Landrigan, Moline, Udasin, Harrison, Luft, and Katz, as well as Ms. Woodworth and Ms. Kelberman, report no biomedical financial interests or other competing interests. Funding Information: The CDC/National Institute for Occupational Safety and Health (NIOSH) funded this work (A.F., R.H.P. and S.M.S., research contract # 200-2011-41919). Funding Information: The authors acknowledge the efforts of the U.S. Department of Health and Human Services, specifically the Centers for Disease Control and Prevention and the National Institute for Occupational Safety and Health, for their support, and funding of this research. Publisher Copyright: {\textcopyright} 2018 Wiley Periodicals, Inc.",
year = "2018",
month = jun,
doi = "10.1002/ajim.22838",
language = "English (US)",
volume = "61",
pages = "504--514",
journal = "American Journal of Industrial Medicine",
issn = "0271-3586",
publisher = "Wiley-Liss Inc.",
number = "6",
}
