Stress symptoms one year after 9/11/01: a follow-up

This study investigated whether stress symptoms related to attention deficit previously found for a sample (n= 149) of Chicago-area college students 1 to 5 weeks after the September 11th attacks were present in a comparable sample (n = 129) 12 to 14 months later. As hypothesized, the later participants had a significantly lower mean score on the scale, Attention Deficit of the Smith Stress Symptoms Inventory, than a different group of participants tested immediately after the attacks. Mean Attention Deficit scores for groups after one year and immediately before September 11th (n=320) did not differ statistically. Findings are consistent with the interpretation that elevations in scores on Attention Deficit immediately after September 11th were indeed associated with the catastrophic attacks and not artifacts of time of examination. Consistent with previous research with this inventory, disaster-related traumatic stress scores are lower over time, although here no control group was included.     

Group Identification under Conditions of Threat: College Students' Attachment to Country, Family, Ethnicity, Religion, and University Before and After September 11, 2001

Three classes of introductory psychology students at the University of Pennsylvania completed a survey including several measures of group identification on 20 March 2001, 15 September 2001, and 24 March 2003. Importance of country and university were rated higher four days after the 9/11 terrorist attacks than six months before or 18 months after. Scores on a 9-item scale of identification with country were higher immediately after 9/11 than at the other two assessments. Four theories (group dynamics, CORFing, TMT, SIT) are considered; none predicts the whole pattern of results observed. Discussion highlights group dynamics theory for understanding the increase in identification with country and introduces the possibility that the increase in identification with university might have been a response to experiencing 9/11 as loss of control. Discussion also highlights the value of assessing level of identification with multiple identity groups in order to see the complexity of identity dynamics.     

Is television traumatic? Dreams, stress, and media exposure in the aftermath of September 11, 2001

The terrorist attacks of September 11, 2001, were traumatic for people living throughout the United States. It has been suggested that people living far from the attacks experienced increased stress because of their exposure to the terrorist events via the media, particularly via television. Following a traumatic or stressful event, individuals may have dreams that reflect that experience. As part of a course on dreaming, individuals recorded their dreams both prior to and following the terrorist attacks of September 11, 2001. On September 12, these same individuals reported their activities and media exposure the previous day. Results revealed (a) changes in dream features following the attacks and (b) a strong relation between exposure to the events on television and changes in dream features after the attacks. Because of the study's within-subjects design, the results provide evidence for a direct association between television viewing and subsequent increases in stress and trauma.     

Avoiding the death risk of avoiding a dread risk: the aftermath of March 11 in Spain

Abstract-After the airplane attacks of September 11, 2001, in the United States, many Americans drove instead of flying, to avoid the risk of terrorism. As a result, there were extra car accidents in which many people died. This study tested whether a similar effect occurred in Spain after the train bombings of March 11, 2004, in Madrid. Data on train travel, highway traffic, and fatal highway accidents were analyzed for the months immediately following March 11. Results show that, like Americans, Spaniards avoided the dread risk of terror attacks, but unlike Americans, they did not confront the death risk of fatal accidents instead. A sociopolitical interpretation for these findings is offered.     

It could have been me: vicarious victims and disaster-focused distress

College students who had experienced no personal bereavement in the September 11 terrorist attacks completed questionnaires between 3 and 5 weeks after the attacks and 5 months later. Cross-sectional and longitudinal structural equation model (SEM) analyses revealed that general distress and disaster-focused distress are discernable reactions following a collective loss. Both types of distress were higher among women and by those reporting social strain. General distress was associated with previous stressful events and mental health issues. Perceived similarity to the victims predicted disaster-focused distress and mediated the relationship between attending to media accounts of victims and disaster-focused distress. Only the disaster-focused distress reactions of survivor guilt and grief were associated with collective helping behaviors after the attacks and, for women, these behaviors were associated with greater reductions in these distress reactions over time. Discussion focuses on the importance of examining disaster-focused distress reactions following collective loss.     

Adolescents React to the Events of September 11, 2001: Focused Versus Ambient Impact

This study examined the perceived impact of the events of September 11, 2001, on adolescents distant from the disaster sites and compared these perceptions with changes in everyday moods. A survey of reactions to September 11 was completed 2-5 months after the events by 171 adolescents participating in a longitudinal study of stress and health. Electronic diary ratings of contemporaneous moods before and after the attacks were also compared. Many adolescents distant from the disaster sites reported changes in everyday activities and signs of distress along with some positive outcomes. Elevated levels of negative affect emerged when adolescents were asked directly about the event (focused impact), but no changes were detected in their ongoing, momentary mood reports before and after September 11 (ambient impact). Trait and electronic diary measures of anxiety independently predicted posttraumatic distress. Refined assessments are needed to evaluate the degree to which self-reported traumatic symptoms reflect significant clinical distress versus an attentional focus generated by the question-asking process.     

Finding character strengths through loss: An extension of Peterson and Seligman (2003)

People can experience positive changes even in the midst of adversity and loss. We investigated character strengths following three recent shooting tragedies. Using an Internet database of respondents to the Values in Action Inventory of Strengths (VIA-IS), we compared responses from three groups of participants (N?=?31,429) within close proximity of each event: those who completed it eight months prior to the event, and one month and two months after. Results suggested that for one of the events, participants who completed the VIA-IS after the event showed slightly different levels of self-reported character strengths compared to participants who completed the VIA-IS before the event, with some mean levels higher and others lower. The observed differences in character strengths were inconsistent across follow-up periods, and effect sizes were small (d values from –0.13 to 0.15). These findings raise questions about whether and how tragedies might catalyze differences in character strengths.     

Attachment and psychological adaptation in high exposure survivors of the September 11th attack on the World Trade Center

This study examined the relationship between individual differences in adult attachment and psychological adaptation in a sample of high-exposure survivors of the terrorist attacks on the World Trade Center on September 11, 2001. Symptoms of posttraumatic stress disorder (PTSD) and depression were assessed via self-report 7 and 18 months after the attacks. In addition, friends and relatives were asked to provide evaluations of participants' adjustment before and after the attacks. Findings indicate that securely attached individuals exhibited fewer symptoms of PTSD and depression than insecurely attached individuals and were viewed by friends and relatives as showing an increase in adjustment following the attacks. Highly dismissing adults were viewed by their friends and family as showing neither increments nor decrements in adjustment, despite the fact that highly dismissing people self-reported relatively high levels of PTSD and depression.     

Effects of September 11 on patients with obsessive compulsive disorder

Effects of the September 11, 2001 terrorist attacks in the USA were investigated in 25 patients with obsessive compulsive disorder and 27 normal controls 4–6 months after the attacks. Participants completed a 15‐item questionnaire to retrospectively assess changes in mood, cognition, behavior and somatic complaints since September 11, 2001. Overall, both patients with obsessive compulsive disorder and normal controls reported minor changes in mood, behavior and somatic complaints. However, normal controls reported severe to extreme initial impact, slightly more cognitive symptoms (uncertainty about the future, intrusive recollections and greater desire to be with loved ones) and a slightly greater degree of overall impact on emotion and behavior at 1, 2 and 3 months after September 11 than did patients with obsessive compulsive disorder. Results support previous research that has found a relatively minor lasting impact of September 11 on both clinical and normal populations. Differences in cognition and coping mechanisms between normal controls and patients with obsessive compulsive disorder are proposed.     

Effects of September 11 on patients with obsessive compulsive disorder

Effects of the September 11, 2001 terrorist attacks in the USA were investigated in 25 patients with obsessive compulsive disorder and 27 normal controls 4-6 months after the attacks. Participants completed a 15-item questionnaire to retrospectively assess changes in mood, cognition, behavior and somatic complaints since September 11, 2001. Overall, both patients with obsessive compulsive disorder and normal controls reported minor changes in mood, behavior and somatic complaints. However, normal controls reported severe to extreme initial impact, slightly more cognitive symptoms (uncertainty about the future, intrusive recollections and greater desire to be with loved ones) and a slightly greater degree of overall impact on emotion and behavior at 1, 2 and 3 months after September 11 than did patients with obsessive compulsive disorder. Results support previous research that has found a relatively minor lasting impact of September 11 on both clinical and normal populations. Differences in cognition and coping mechanisms between normal controls and patients with obsessive compulsive disorder are proposed.     

A prospective investigation of the relationship between just-world beliefs and the desire for revenge after September 11, 2001

We prospectively examined the relationship between individuals' belief in a just world and their desire for revenge against the perpetrators of the September 11 terrorist attacks against the United States. Eighty-three undergraduate students who had completed a measure of just-world beliefs prior to the terrorist attacks were assessed approximately 2 months following the attacks. The more strongly they had endorsed just-world beliefs prior to the attacks, the more distressed they felt about the attacks and the more they desired revenge. Furthermore, the relationship between belief in a just world and the desire for revenge was mediated by feelings of distress in response to the terrorist attacks. The results point to the importance of justice beliefs in understanding responses to the terrorist attacks.     

Changes in attitudes towards war and violence after September 11, 2001

Two inter-related studies examined the effect of the September 11, 2001, terrorist attacks on attitudes towards war and violence. A three-wave between-subjects analysis revealed that attitudes towards war became more positive after September 11, 2001 and remained high over a year afterwards. Self-reported trait physical aggression also rose after September 11. Attitudes towards penal code violence (PCV) became more positive immediately after September 11, but were somewhat reduced a year afterward. A two-wave within subjects study revealed that war attitudes became even more positive at 2 months post-September 11. Attitudes towards PCV became less positive during this time period, but only for women. Other aggression-related attitudes were not affected in either study. These studies demonstrate that a large-scale event can change attitudes, but those attitudes must be directly relevant to the event.     

Linguistic markers of psychological change surrounding September 11, 2001

The diaries of 1,084 U.S. users of an on-line journaling service were downloaded for a period of 4 months spanning the 2 months prior to and after the September 11 attacks. Linguistic analyses of the journal entries revealed pronounced psychological changes in response to the attacks. In the short term, participants expressed more negative emotions, were more cognitively and socially engaged, and wrote with greater psychological distance. After 2 weeks, their moods and social referencing returned to baseline, and their use of cognitive-analytic words dropped below baseline. Over the next 6 weeks, social referencing decreased, and psychological distancing remained elevated relative to baseline. Although the effects were generally stronger for individuals highly preoccupied with September 11, even participants who hardly wrote about the events showed comparable language changes. This study bypasses many of the methodological obstacles of trauma research and provides a fine-grained analysis of the time line of human coping with upheaval.     

The impact of pretrauma analogue GAD and posttraumatic emotional reactivity following exposure to the September 11 terrorist attacks: a longitudinal study

The relation between analogue generalized anxiety disorder (GAD) assessed the day before the events of September 11, 2001 (9/11) and long-term outcome was examined in 44 young adults who were directly exposed the following day to the terrorist attacks in New York City. After controlling for high exposure to the attacks, preattack analogue GAD was associated with greater social and work disability, loss of psychosocial resources, anxiety and mood symptoms, and worry, but not symptoms of posttraumatic stress, assessed 12 months after 9/11. Fear and avoidance of emotions assessed 4 months after 9/11 statistically mediated the relation between preattack analogue GAD and social and work disability, loss of psychosocial support, mood and anxiety symptoms, and worry at 12-month follow-up. Avoidance of emotions 4 months after 9/11 also mediated the relation between preattack analogue GAD and posttraumatic stress symptoms 12 months after 9/11.     

The effect of the September 11 terrorist attacks on suicide and deliberate self-harm: a time trend study

Suicide rates may be affected by world news. Our objective was to investigate the possible impact of the terrorist attacks of September 11, 2001, on suicidal behavior in the Netherlands. There was evidence of an increase in rates of suicide and deliberate self-harm in the weeks immediately following the attacks. These findings contrast with Durkheim's (1897) original suggestion that suicide rates decline in times of war and outside threat but are in line with findings of increases in suicidal behavior after media coverage of lethal violence.     

At the forefront of thought: The effect of media exposure on airplane typicality

The terrorist attacks of September 11, 2001 provided a unique opportunity to investigate the causal status of frequency on typicality for one exemplar of a common conceptual category-namely, the typicality ofairplane as a member of the category ofvehicles. The extensive media coverage following the attacks included numerous references to the hijacked airplanes and to the consequences of suspending air travel to and from the United States for several days. The present study, involving 152 undergraduates, assessed airplane typicality at three time points ranging from 5 h to 1 month after the attacks and then again at 4.5 months after the attacks. Airplane was judged to be a more typical vehicle for 1 month following the attacks, relative to a baseline calculated from data collected yearly for 5 years preceding the attacks. By 4.5 months, however, typicality was back to baseline.     

Cognitive behavior therapy for fear of flying: sustainability of treatment gains after September 11

This study examines the long-term efficacy of cognitive-behavioral therapy (CBT) for fear of flying (FOF) after a catastrophic fear-relevant event, the September 11, 2001, terrorist attacks. Participants (N = 115) were randomly assigned to and completed treatment for FOF using 8 sessions of either virtual reality exposure therapy (VRE) or standard exposure therapy (SE) prior to September 11, 2001. Individuals were reassessed in June, 2002, an average of 2.3 years after treatment, with a response rate of 48% (n = 55). Analyses were run on the original data and, using multiple imputation procedures, on imputed data for the full sample. Individuals maintained or improved upon gains made in treatment as measured by standardized FOF questionnaires and by number of flights taken. There were no differences between VRE and SE. Thus, results suggest that individuals previously treated for FOF with cognitive-behavioral therapy can maintain treatment gains in the face of a catastrophic fear-relevant event, even years after treatment is completed.     

A Defining Presidential Moment: 9/11 and the Rally Effect

Public approval ratings of George W. Bush surged after the 11 September 2001 terrorist attacks. This study used a quasi–experimental, within–respondents design to investigate the relative contribution of five factors to this classic rally effect: the stimulus event itself, Bush's speech that evening, media exposure, partisan support, and gender effects. Respondents were pretested on the morning of the attacks; one group was posttested immediately after the speech, another group 41 hours later. Stability of effects was examined through an additional study of Bush's 20 September 2001 speech to a joint session of Congress. The findings indicate that Bush's 11 September speech was the critical factor in this rally effect; none of the other factors contributed significantly.     

Life Satisfaction and Character Strengths in Spanish Early Adolescents

This study of Spanish early adolescents aimed to extend knowledge about the relationship between character strengths and life satisfaction (LS) and to explore gender differences in the prediction of LS. A sample of 457 adolescents aged 11–14 years completed questionnaires to assess LS and 24 character strengths. Results from simple correlation analysis showed that 18 strengths were positively and significantly correlated with LS, the highest coefficients being those for love, hope, authenticity and persistence. However, since strengths are inter-correlated, regression modelling was performed in order to determine which of these strengths are the best predictors of LS, and to identify any gender differences in this association. The results showed that love and hope were the most relevant strengths for predicting LS, with a positive relationship being observed for both girls and boys. This finding highlights the importance of positive thinking and of maintaining positive relationships during early adolescence. Gender differences were observed, however, for authenticity as a predictor of LS. Specifically, this variable made a significant contribution to the model in girls, for whom higher scores on authenticity were associated with greater LS. This result is interpreted in terms of gender differences in the timing of maturation. The findings help to further our understanding of the association between subjective well-being and character strengths in early adolescence, a critical stage of human development. In addition, the results suggest that intervention programmes based on character strengths in this developmental stage should mainly target the so-called ‘strengths of the heart’.