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| Title: | The Behavioral Consequences of Terrorism: A Meta-analysis |
| Authors: | DiMaggio, Charles
Galea, Sandro |
| Keywords: | behavioral health
posttraumatic stress disorder |
| Issue Date: | 2006 |
| Abstract: | Effective postterrorism public health interventions require the recognition that behavioral consequences
are, in fact, the intent of terrorists. The authors searched published and unpublished post-1980 studies
that documented population-level behavioral and psychological consequences of terrorist incidents, focusing
on posttraumatic stress disorder (PTSD). Results were tabulated, and random effects models were used
to calculate overall effect sizes. The analysis indicates that in the year following terrorist incidents, the prevalence
of PTSD in directly affected populations varies between 12% and 16%. The review also shows that
this prevalence can be expected to decline 25% over the course of that year. These prevalence estimates
mask great variability, depending on who is being studied, who is conducting the study, and where the
event occurred. Higher rates of disease are reported for survivors and rescue workers, and higher overall
rates are also reported from studies conducted in Western Europe compared with studies conducted in
North America. Prior psychiatric diagnoses are strongly associated with subsequent PTSD and may be a
useful triage factor, particularly when considered together with factors such as female gender and direct
exposure to events as either a survivor or rescuer. The review indicates that these associations are consistent
across study types and environments and represent important variables to consider when developing
triage, outreach, and treatment programs. |
| Appears in Collections: | Public Health, School of (SPH)
Epidemiology, Department of (SPH)
Institute for Social Research (ISR)
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Description |
Size | Format | |
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| DiMaggio_The Behavioral Consequences of Terrorism_2006.pdf | | 377Kb | Adobe PDF | View/Open |
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