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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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Autores principales: Brackbill, Robert M., Alper, Howard E., Frazier, Patricia, Gargano, Lisa M., Jacobson, Melanie H., Solomon, Adrienne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466210/
https://www.ncbi.nlm.nih.gov/pubmed/30909548
http://dx.doi.org/10.3390/ijerph16061054
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author Brackbill, Robert M.
Alper, Howard E.
Frazier, Patricia
Gargano, Lisa M.
Jacobson, Melanie H.
Solomon, Adrienne
author_facet Brackbill, Robert M.
Alper, Howard E.
Frazier, Patricia
Gargano, Lisa M.
Jacobson, Melanie H.
Solomon, Adrienne
author_sort Brackbill, Robert M.
collection PubMed
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.
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spelling pubmed-64662102019-04-22 An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001 Brackbill, Robert M. Alper, Howard E. Frazier, Patricia Gargano, Lisa M. Jacobson, Melanie H. Solomon, Adrienne Int J Environ Res Public Health Article 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. MDPI 2019-03-23 2019-03 /pmc/articles/PMC6466210/ /pubmed/30909548 http://dx.doi.org/10.3390/ijerph16061054 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Brackbill, Robert M.
Alper, Howard E.
Frazier, Patricia
Gargano, Lisa M.
Jacobson, Melanie H.
Solomon, Adrienne
An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001
title An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001
title_full An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001
title_fullStr An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001
title_full_unstemmed An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001
title_short An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001
title_sort assessment of long-term physical and emotional quality of life of persons injured on 9/11/2001
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466210/
https://www.ncbi.nlm.nih.gov/pubmed/30909548
http://dx.doi.org/10.3390/ijerph16061054
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