New York City young adults’ psychological reactions to 9/11: findings from the Reach for Health longitudinal study

This research examines psychological distress among 955 economically disadvantaged New York City residents surveyed during high school and again after the September 11th terrorist attacks (9/11), when they were young adults. As part of the longitudinal Reach for Health study, young adult surveys were conducted from 6–19 months post-9/11 (average 8 months), providing opportunity to assess types of exposures and psychological distress, including symptoms of post-traumatic stress disorder (PTSD), depression, hopelessness, and anger. Regressions of psychological distress on 9/11 exposure were performed, controlling for high school distress, prior exposure to violence victimization, and socio-demographic characteristics. Exposure to 9/11 was positively associated with anger, hopelessness, and PTSD symptoms and a measure of global distress. The relationship was greater among women for PTSD symptoms. Although those who reported high school distress also reported more distress in young adulthood, prior psychological distress did not moderate the relationship between exposure and psychological outcomes. Greater exposure is related to distress among those who, during high school, reported lower distress, as well as among those who reported prior greater distress.     

Posttraumatic stress disorder following the September 11, 2001, terrorist attacks: a review of the literature among highly exposed populations

The September 11, 2001 (9/11), terrorist attacks were unprecedented in their magnitude and aftermath. In the wake of the attacks, researchers reported a wide range of mental and physical health outcomes, with posttraumatic stress disorder (PTSD) the one most commonly studied. In this review, we aim to assess the evidence about PTSD among highly exposed populations in the first 10 years after the 9/11 attacks. We performed a systematic review. Eligible studies included original reports based on the full Diagnostic and Statistical Manual of Mental Disorders (4th ed., rev.; American Psychiatric Association, 2000) criteria of PTSD among highly exposed populations such as those living or working within close proximity to the World Trade Center (WTC) and the Pentagon in New York City and Washington, DC, respectively, and first responders, including rescue, cleaning, and recovery workers. The large body of research conducted after the 9/11 attacks in the past decade suggests that the burden of PTSD among persons with high exposure to 9/11 was substantial. PTSD that was 9/11-related was associated with a wide range of correlates, including sociodemographic and background factors, event exposure characteristics, loss of life of significant others, and social support factors. Few studies used longitudinal study design or clinical assessments, and no studies reported findings beyond six years post-9/11, thus hindering documentation of the long-term course of confirmed PTSD. Future directions for research are discussed.     

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.     

Unanswered questions: A preliminary investigation of personality and individual difference predictors of 9/11 conspiracist beliefs

Given the widespread appeal of conspiratorial beliefs, it is surprising that very little empirical research has examined the psychological variables associated with such beliefs. In the present study, we examined individual and demographic predictors of beliefs in conspiracy theories concerning the September 11, 2001 (9/11) attacks on the World Trade Centre and Pentagon among a representative British sample of 254 women and men. Results of structural equation modelling showed that 9/11 conspiracist beliefs were positively associated with belief in other conspiracy theories, exposure to 9/11 conspiracist ideas, political cynicism, defiance of authority and the Big Five personality factor of Agreeableness. In total, a model including demographics, personality and individual difference variables explained over 50% of the variance in 9/11 conspiracist ideas. The implications of these findings for the literature on conspiracy theories are discussed. Copyright © 2009 John Wiley & Sons, Ltd.     

The Influence of Service Era: Comparing Personality Assessment Inventory (PAI) Scale Scores Within a Posttraumatic Stress Disorder Treatment Clinic (PCT)

Research is mixed on the role of service era in symptom endorsement among Veterans, with differences emerging depending on the instrument evaluated. This study compares Personality Assessment Inventory (PAI) scale scores of VA test-takers who served during the Vietnam, Desert Storm, or Post-9/11 service eras. The sample was collected at a VA Posttraumatic Stress Disorder Clinical Team. Associations between gender and combat exposure were also examined as covariates. Results suggest that Veterans’ self-report on the PAI is influenced by service era, even after accounting for gender and combat exposure during deployment. The largest differences were between Vietnam or Post-9/11 Veterans and those from the Gulf War era. Symptom differences typically varied across scales commonly associated with symptoms of trauma exposure/posttraumatic stress disorder. Implications for the clinical use of, and research with, the PAI and other broadband personality assessments within the VA healthcare system and trauma treatment settings are discussed.

     

Deliver us from evil: the effects of mortality salience and reminders of 9/11 on support for President George W. Bush

According to terror management theory, heightened concerns about mortality should intensify the appeal of charismatic leaders. To assess this idea, we investigated how thoughts about death and the 9/11 terrorist attacks influence Americans' attitudes toward current U.S. President George W. Bush. Study 1 found that reminding people of their own mortality (mortality salience) increased support for Bush and his counterterrorism policies. Study 2 demonstrated that subliminal exposure to 9/11-related stimuli brought death-related thoughts closer to consciousness. Study 3 showed that reminders of both mortality and 9/11 increased support for Bush. In Study 4, mortality salience led participants to become more favorable toward Bush and voting for him in the upcoming election but less favorable toward Presidential candidate John Kerry and voting for him. Discussion focused on the role of terror management processes in allegiance to charismatic leaders and political decision making.     

Familiarity and attraction to stimuli: Developmental change or methodological artifact?

One hundred thirteen 7-, 9-, and 11-year-old children viewed a series of stimuli consisting of Chinese characters exposed a different number of times. Following exposure to the stimuli, children ranked the stimuli according to liking. Seven- and 9-year-olds preferred the more familiar characters to those seen less frequently, but the oldest children preferred novel stimuli. In rankings taken 3 weeks after original exposure, a subsample of 11-year-olds preferred the more familiar characters. These results suggest that discrepancies obtained in previous research on the affective consequences of mere exposure are of methodological rather than developmental origin. Possible critical differences in procedure are discussed.     

Searching for and finding meaning in collective trauma: results from a national longitudinal study of the 9/11 terrorist attacks

The ability to make sense of events in one's life has held a central role in theories of adaptation to adversity. However, there are few rigorous studies on the role of meaning in adjustment, and those that have been conducted have focused predominantly on direct personal trauma. The authors examined the predictors and long-term consequences of Americans' searching for and finding meaning in a widespread cultural upheaval--the terrorist attacks of September 11, 2001--among a national probability sample of U.S. adults (N=931). Searching for meaning at 2 months post-9/11 was predicted by demographics and high acute stress response. In contrast, finding meaning was predicted primarily by demographics and specific early coping strategies. Whereas searching for meaning predicted greater posttraumatic stress (PTS) symptoms across the following 2 years, finding meaning predicted lower PTS symptoms, even after controlling for pre-9/11 mental health, exposure to 9/11, and acute stress response. Mediation analyses suggest that finding meaning supported adjustment by reducing fears of future terrorism. Results highlight the role of meaning in adjustment following collective traumas that shatter people's fundamental assumptions about security and invulnerability.     

The impact of September 11 on dreaming

This study focuses on a set of dreams related to the September 11, 2001 terrorist attacks and their aftermath, using content analysis and cognitive psychology to explore the interweaving of external public catastrophe and internal psychological processes. The study tests several recent claims in contemporary dream research, including the central image theory of Hartmann [Hartmann, E., & Basile, R. (2003). Dream imagery becomes more intense after 9/11/01. Dreaming, 13(2), 61-66; Hartmann, E., & Brezler, T. (2008). A systematic change in dreams after 9/11/01. Sleep, 31(2), 213-218], the media exposure factor postulated by Propper [Propper, R. E., Stickgold, R., Keeley, R., & Christman, S. D. (2007). Is television traumatic? Dreams, stress, and media exposure in the aftermath of September 11, 2001. Psychological Science, 18(4), 334-340], the continuity hypothesis of Domhoff [Domhoff, W. G. (1996). Finding meaning in dreams: A quantitative approach. New York: Plenum], the cognitive and metacognitive approach of Kahan [Kahan, T. L. (2001). Consciousness in dreaming: A metacognitive approach. In K. Bulkeley (Ed.), Dreams: A reader on the religious, cultural, and psychological dimensions of dreaming (pp. 333-360). New York: Palgrave], and the threat simulation theory of Revonsuo [Revonsuo, A. (2000). The reinterpretation of dreams: An evolutionary hypothesis of the function of dreaming. Behavioral and Brain Sciences, 23(6), 877-901]. Our findings suggest the terrorist attacks had a tangible impact on the content of many people's dreams, but did not fundamentally alter the cognitive processing features of their dreaming. The 9/11 attacks affected what they dreamed about, but not the way they dreamed.     

Sentencing Disparity: Perforce or Perchance?1

Important sources of variability in sentencing judgments are identified by decomposing these judgments in a Crime × Judge analysis of variance into a Crime main effect (representing consensus) and several forms of disparity. Two systematic forms of disparity are (1) the Judge main effect, reflecting differences in overall harshness or leniency of different judges; and (2) the Crime × Judge interaction, reflecting idiosyncracies—perhaps principled—in the way particular judges view particular crimes. A third unsystematic form of disparity is reflected in variations in how the same judge views the same crime/offender on different occasions, that is, unreliability. Data from an experiment in which state district judges made sentencing decisions about the same crime/offenders on two occasions are presented to illustrate application of the model and obtain disparity estimates for 13 crimes. Results reveal that for most of the crimes disparity can be attributed primarily to simple unreliability over occasions rather than principled disagreements among judges. Implications of these results and the importance of distinguishing different types of disparity are discussed.     

Individual aggression and a violent society

The first was [a woman], 32, waiting for a bus on San Francisco's Geary Boulevard at 7:57 one evening last week. A man stepped up to her, shot her twice fatally in the chest, and ran back to a waiting dark-colored Cadillac. Ten minutes later and eight blocks away ? a retired Coast Guardsman who had turned 69 that day was struck down by three bullets in the back and belly. At 9:15, near Market Street, octogenarian ? died instantly from two bullets in his back. Three miles south, at 9:50, [a woman], 45, was cut down as she stood in the doorway of a laundromat. And ten blocks away, at 10:10, [another woman], 23, the mother of a four-month-old boy, was climbing the stairs to her new house when a man walked up and said amiably, “Hi, howya doin'?” [She] turned to reply, and a bullet burrowed through her body to her spine, possibly paralyzing her for life. (“Crime: Nothing Personal,'Newsweek February 11, 1974.)     

Ontogeny of the adrenal response to (+)-methamphetamine in neonatal rats: the effect of prior drug exposure

We examined the ontogeny of the corticosterone response to (+)-methamphetamine in neonatal rats. In experiment-1, animals were injected with 10 mg/kg of (+)-methamphetamine or saline and plasma corticosterone levels were examined in separate groups 30 or 105 min later on postnatal day (P) 1, 3, 5, 7, 9, 11, 13, 15, 17, or 19. The adrenal response to methamphetamine was best described by a U-shaped function with the nadir of corticosterone release occurring between P7 and P13. Experiment-2 was similar except that the effect of four consecutive days of exposure to (+)-methamphetamine (four times daily at 2 h intervals with 10 mg/kg) was assessed with a single final dose early on the fifth day (i.e. P1-5, 3-7, 5-9, 7-11, 9-13, 11-15, 13-17, 15-19). The 30 min corticosterone response after multiple methamphetamine doses was augmented compared to single exposures, with the exception of the two earliest dosing intervals ending on P5 and P7, where the responses were lower. In addition, at 105 min, the levels of corticosterone were attenuated relative to a single drug administration. With the exception of animals receiving methamphetamine from P15 to P19, thymus weights were unaffected. The data demonstrate that (+)-methamphetamine is a robust activator of corticosterone release in developing animals and this release is extensively modified by age and previous drug exposure.     

Applying the Lifestyle Routine Activities Theory to Understand Physical and Nonphysical Peer Victimization

Peer victimization is a serious problem, and understanding where, with whom, and how long victims spend their time is important. Applying the lifestyle routine activities theory (LRAT), this study examines the association between 4 components of LRAT and physical and nonphysical peer victimization. Using the 2007 National Crime Victimization Survey, we examined Poisson and negative binomial regression models to explain whether physical and nonphysical peer victimization was affected by measures of routine activities. Our findings indicate that students’ exposure and proximity to motivated offenders, school environment, capable guardianship, and target attractiveness were associated with risk of peer victimization. Findings also reveal that risk factors varied depending on the type of victimization.     

Specifying the Interrelationship Between Exposure to Violence and Parental Monitoring for Younger Versus Older Adolescents: A Five Year Longitudinal Test

Five waves of longitudinal data collected from 349 African American youth living in extreme poverty were used to examine the interrelationship between exposure to violence and parenting during adolescence. Semi-parametric group based modeling was used to identify trajectories of parental monitoring and exposure to violence from T1 to T5. Results from these analyses revealed: (1) a trajectory of declining parental monitoring for 48% of youth; and (2) four distinct trajectories of exposure to violence. Multivariate findings were largely consistent with the ecological-transactional model of community violence. Youth with stable and/or increasing trajectories of exposure to violence were more likely than youth with stable-low exposure to violence to have declining parental monitoring, but additional analyses revealed a similar pattern of findings for younger adolescents (age 9–11 T1), but no evidence of linkages between trajectories of exposure to violence and parental monitoring for older adolescents (age 12–16 T1). The theoretical and policy implications of these findings as well as areas for future research are also discussed.     

Contemporary Fears of Children and Adolescents: Coping and Resiliency in the 21st Century

This study was prompted by the continual exposure of youth to disasters (e.g., 9/11, Iraq War, Hurricane Katrina, school violence) and the call for revisions in fear assessments to reflect contemporary fears. Fears of 1,033 students in Grades 2–12 were examined using the American Fear Survey Schedule for Children (J. J. Burnham, 2005). Results indicated that new fears have emerged in the 21st century, alerting counselors to consider preventative and intervention activities to address contemporary fears.     

Relationships of ordinal position and family size to psychosocial measures of delinquents

First-born, middle-born, and last-born white male delinquents in small and large families (N=72) were compared on 21 variables. Seven of the 21 variables showed some effect of either ordinal position, family size, or their interaction: reading achievement, Quay's unsocialized-psychopathic behavior classification, staff predictions of institutional adjustment, family intactness, Gough's socialization scale, future-events test never responses, and Rosenberg's self esteem scale. The pattern of results suggested that firstborns and delinquents from smaller families were better socialized or had better socialization resources than lastborns and those from larger families.This study was part of a larger research project performed under personal-service contracts CT 24867 and CT 46381 with the Department of Child Welfare, Commonwealth of Kentucky, through Grant No. 73A804 from the Kentucky State Crime Commission with funds made available by the State of Kentucky and the Law Enforcement Assistance Administration, U.S. Department of Justice, under the authority of the Omnibus Crime Control and Safe Streets Act of 1968, as amended. Points of view or opinions stated in this document are those of the author and do not necessarily represent the official position or policies of the U.S. Department of Justice or the Kentucky State Crime Commission. Appreciation is extended to Lewis Davidson and Michael McColloch for their data collection efforts.     

Flashbulb memories of personal events of 9/11 and the day after for a sample of New York City residents

The present study assessed consistency of recollections of personal circumstances of the 9/11 World Trade Center attack and events of the day before (9/10), and the day after (9/12), in a sample of 100 New York City college students. The day before 9/11 represented an ordinary event. A questionnaire was administered twice, 1 wk. and 1 yr. after the 9/11 attack. Students were asked to describe their personal circumstances when hearing about the news of the World Trade Center attack and for the same time of day for 9/10 and 9/12. 18 students returned the follow-up questionnaire. Consistency of initial and follow-up responses for the central categories for both 9/11 and 9/12 of where, who, and activity was very high (9/11: "Where"--100%, "Who"--100%, "What"--94%; 9/12: "Where"--100%, "Who"--100%, "What"--80%). Recollections of 9/10 were significantly less consistent ("Where"--79%, "Who"--71%, "What"--71%). Analysis indicated that students formed vivid, consistent recollections during the events of both 9/11 and 9/12. It is likely that the events of 9/12 also became flashbulb memories, vivid recollections of traumatic events, because the emotional impact of the stressful events, i.e., police and military presence, disrupted schedules, relating to the 9/11 attack endured beyond the day of the attack.     

Effects of viewing 9/11 footage on distress and Islamophobia: a temporally expanded approach

We investigated whether viewing September 11 footage affected peoples’ perceived distress spanning past, present, and anticipated future. Participants (n = 174) were randomly assigned to a 9/11, fear, or neutral condition and completed measures of temporal perceived distress, distress of future terrorism, Islamophobia, and restriction of civil liberties attitudes. Participants in the neutral and fear conditions perceived their 9/11‐related distress as declining over time. Those in the 9/11 condition perceived their distress as higher at present and declining from present (vs. past ratings). Those viewing 9/11 (vs. neutral or fear) footage reported greater future terrorism distress, more prejudice, and greater restriction of civil liberties. These differences were explained by higher 9/11‐related distress ratings for past 5 years, present, and future.     

Stress symptoms of two groups before and after the terrorist attacks of 9/11/01

This study investigated stress symptoms before and after the September 11, 2001 terrorist attack on the World Trade Center. Responses to the Smith Stress Symptoms Inventory were compared for Chicago area college students assessed 1 to 5 weeks after 9/11 (n=149) and a comparable sample tested up to 5 months prior to 9/11 (n=320). Post-9/11 participants scored higher on Attention Deficit. Contrary to prior research, post-9/11 participants did not score higher on distress, including Worry, Autonomic Arousal/Anxiety, Striated Muscle Tension, Depression, and Anger. It is suggested that those indirectly exposed to a terrorist attack may display traditional symptoms of distress and arousal (as suggested by previous research). Later symptoms of attention deficit and distancing may emerge. This work was based on independent pre- and post-9/11 samples and must be replicated longitudinally as a test-retest to draw conclusions regarding change over time.