An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001
Fifteen years after the disaster, the World Trade Center Health Registry (Registry) conducted The Health and Quality of Life Survey (HQoL) assessing physical and mental health status among those who reported sustaining an injury on 11 September 2001 compared with non-injured persons. Summary scores...
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| Veröffentlicht in: | International journal of environmental research and public health 2019-03, Vol.16 (6), p.1054 |
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| creator | Brackbill, Robert M Alper, Howard E Frazier, Patricia Gargano, Lisa M Jacobson, Melanie H Solomon, Adrienne |
| description | Fifteen years after the disaster, the World Trade Center Health Registry (Registry) conducted The Health and Quality of Life Survey (HQoL) assessing physical and mental health status among those who reported sustaining an injury on 11 September 2001 compared with non-injured persons. Summary scores derived from the Short Form-12 served as study outcomes. United States (US) population estimates on the Physical Component Score (PCS-12) and Mental Component Score (MCS-12) were compared with scores from the HQoL and were stratified by Post-traumatic Stress Disorder (PTSD) and injury status. Linear regression models were used to estimate the association between both injury severity and PTSD and PCS-12 and MCS-12 scores. Level of injury severity and PTSD history significantly predicted poorer physical health (mean PCS-12). There was no significant difference between injury severity level and mental health (mean MCS-12). Controlling for other factors, having PTSD symptoms after 9/11 predicted a nearly 10-point difference in mean MCS-12 compared with never having PTSD. Injury severity and PTSD showed additive effects on physical and mental health status. Injury on 9/11 and a PTSD history were each associated with long-term decrements in physical health status. Injury did not predict long-term decrements in one's mental health status. Although it is unknown whether physical wounds of the injury healed, our results suggest that traumatic injuries appear to have a lasting negative effect on perceived physical functioning. |
| doi_str_mv | 10.3390/ijerph16061054 |
| format | Article |
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Summary scores derived from the Short Form-12 served as study outcomes. United States (US) population estimates on the Physical Component Score (PCS-12) and Mental Component Score (MCS-12) were compared with scores from the HQoL and were stratified by Post-traumatic Stress Disorder (PTSD) and injury status. Linear regression models were used to estimate the association between both injury severity and PTSD and PCS-12 and MCS-12 scores. Level of injury severity and PTSD history significantly predicted poorer physical health (mean PCS-12). There was no significant difference between injury severity level and mental health (mean MCS-12). Controlling for other factors, having PTSD symptoms after 9/11 predicted a nearly 10-point difference in mean MCS-12 compared with never having PTSD. Injury severity and PTSD showed additive effects on physical and mental health status. Injury on 9/11 and a PTSD history were each associated with long-term decrements in physical health status. Injury did not predict long-term decrements in one's mental health status. Although it is unknown whether physical wounds of the injury healed, our results suggest that traumatic injuries appear to have a lasting negative effect on perceived physical functioning.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph16061054</identifier><identifier>PMID: 30909548</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Angina ; Bronchitis ; Coronary artery disease ; Disasters ; Emotions ; Emphysema ; Female ; Head injuries ; Health Status ; Heart diseases ; Humans ; Injuries ; Male ; Mental disorders ; Mental health ; Mental Health - statistics & numerical data ; Middle Aged ; Myocardial infarction ; New York City - epidemiology ; Physical therapy ; Polls & surveys ; Post traumatic stress disorder ; Prospective Studies ; Quality of life ; Quality of Life - psychology ; Respiratory diseases ; September 11 Terrorist Attacks - psychology ; September 11 Terrorist Attacks - statistics & numerical data ; Social interactions ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; Surveys and Questionnaires ; Trauma ; Young Adult</subject><ispartof>International journal of environmental research and public health, 2019-03, Vol.16 (6), p.1054</ispartof><rights>2019. 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Summary scores derived from the Short Form-12 served as study outcomes. United States (US) population estimates on the Physical Component Score (PCS-12) and Mental Component Score (MCS-12) were compared with scores from the HQoL and were stratified by Post-traumatic Stress Disorder (PTSD) and injury status. Linear regression models were used to estimate the association between both injury severity and PTSD and PCS-12 and MCS-12 scores. Level of injury severity and PTSD history significantly predicted poorer physical health (mean PCS-12). There was no significant difference between injury severity level and mental health (mean MCS-12). Controlling for other factors, having PTSD symptoms after 9/11 predicted a nearly 10-point difference in mean MCS-12 compared with never having PTSD. Injury severity and PTSD showed additive effects on physical and mental health status. Injury on 9/11 and a PTSD history were each associated with long-term decrements in physical health status. Injury did not predict long-term decrements in one's mental health status. 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Summary scores derived from the Short Form-12 served as study outcomes. United States (US) population estimates on the Physical Component Score (PCS-12) and Mental Component Score (MCS-12) were compared with scores from the HQoL and were stratified by Post-traumatic Stress Disorder (PTSD) and injury status. Linear regression models were used to estimate the association between both injury severity and PTSD and PCS-12 and MCS-12 scores. Level of injury severity and PTSD history significantly predicted poorer physical health (mean PCS-12). There was no significant difference between injury severity level and mental health (mean MCS-12). Controlling for other factors, having PTSD symptoms after 9/11 predicted a nearly 10-point difference in mean MCS-12 compared with never having PTSD. Injury severity and PTSD showed additive effects on physical and mental health status. Injury on 9/11 and a PTSD history were each associated with long-term decrements in physical health status. 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| subjects | Adult Aged Aged, 80 and over Angina Bronchitis Coronary artery disease Disasters Emotions Emphysema Female Head injuries Health Status Heart diseases Humans Injuries Male Mental disorders Mental health Mental Health - statistics & numerical data Middle Aged Myocardial infarction New York City - epidemiology Physical therapy Polls & surveys Post traumatic stress disorder Prospective Studies Quality of life Quality of Life - psychology Respiratory diseases September 11 Terrorist Attacks - psychology September 11 Terrorist Attacks - statistics & numerical data Social interactions Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - psychology Surveys and Questionnaires Trauma Young Adult |
| title | An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001 |
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