No study to date has examined the long-term impact of large scale terrorist events, such as the 9/1 1 attacks, in particularly vulnerable communities for whom long-time effects are more likely- such as the poor, minority, less acculturated, urban recent immigrants. The primary goals of this application are to identify risk and protective factors for the development and persistence of post-disaster psychopathology in a low-income, urban, primary care population; to determine the role of ethnicity and acculturation in the expression of physical and mental symptoms and in seeking post-disaster mental health treatment; and to explore the role of post disaster factors such as social support, and secondary stressors, in mediating the disaster effects over time. We have a unique opportunity to carry out such a study in a well established cohort consisting of a probability sample of 720 primary care, mostly Hispanic patients, who are residents of NYC and who have reported significant exposure to the 9/11 attacks, when they have been interviewed by our.research team 7-16 months after the 9/11attacks. These goals will be achieved through a follow up survey 4.5 years after 9/11 attacks. The proposed study will assist in planning for future disasters by providing longitudinal data collected from a systematic sample of NYC primary care patients, using state of the art measures that enable us to test theoretically guided hypotheses and to explore the relations between traumatic event experiences, sociodemographic characteristics, contextual variables, and mental health outcomes and service utilization.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH072833-02
Application #
7025757
Study Section
Special Emphasis Panel (ZMH1-CRB-I (04))
Program Officer
Tuma, Farris K
Project Start
2005-03-02
Project End
2008-02-29
Budget Start
2006-03-01
Budget End
2007-02-28
Support Year
2
Fiscal Year
2006
Total Cost
$539,595
Indirect Cost
Name
New York State Psychiatric Institute
Department
Type
DUNS #
167204994
City
New York
State
NY
Country
United States
Zip Code
10032
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Shvil, Erel; Sullivan, Gregory M; Schafer, Scott et al. (2014) Sex differences in extinction recall in posttraumatic stress disorder: a pilot fMRI study. Neurobiol Learn Mem 113:101-8

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