Mental And Physical Health Consequences Of The September 11, 2001 (9/11) Attacks In Primary Care: A Longitudinal Study: 9/11 Health Consequences In Primary Care

Neria, Yuval; Wickramaratne, Priya; Olfson, Mark; Gameroff, Marc J.; Pilowsky, Daniel J.; Lantigua, Rafael; Shea, Steven; Weissman, Myrna M.

The magnitude of the September 11, 2001 (9/11) attacks was without precedent in the United States, but long-term longitudinal research on its health consequences for primary care patients is limited. We assessed the prevalence and exposure-related determinants of mental disorders, functioning, general medical conditions, and service utilization, 1 and 4 years after the 9/11 attacks, in an urban primary care cohort (N = 444) in Manhattan. Although the prevalence of posttraumatic stress disorder (PTSD) and levels of functional impairment declined over time, a substantial increase in suicidal ideation and missed work was observed. Most medical outcomes and service utilization indicators demonstrated a short-term increase after the 9/11 attacks (mean change of +20.3%), followed by a minor decrease in the subsequent year (mean change of −3.2%). Loss of a close person was associated with the highest risk for poor mental health and functional status over time. These findings highlight the importance of longitudinal assessments of mental, functional, and medical outcomes in urban populations exposed to mass trauma and terrorism.


  • thumnail for Neria et al. - 2013 - Mental and Physical Health Consequences of the Sep.pdf Neria et al. - 2013 - Mental and Physical Health Consequences of the Sep.pdf application/pdf 106 KB Download File

Also Published In

Journal of Traumatic Stress

More About This Work

Academic Units
Published Here
February 1, 2022