PTSD, Respiratory Problems May Be Linked in 9/11 Responders

FRIDAY, Dec. 30 (HealthDay News) –Among 9/11 responders at the
World Trade Center, the onset of respiratory problems and post-traumatic
stress disorder (PTSD) seems to be strongly correlated, with indications
that PTSD may lay the groundwork for the development of breathing issues,
a new study finds.

“This study illustrates the integral relationship between mental health
and physical diseases that WTC responders suffer,” study co-author Dr.
Benjamin Luft said in a Stony Brook University Medical Center news
release.

“The analysis not only shows that relationship but also connects PTSD
as a possible co-factor in responders’ diseases,” said Luft, medical
director of Stony Brook’s World Trade Center Health Program. The findings,
he suggested, add ballast to the view that “the illnesses suffered by 9/11
responders are a compilation of problems that often present as an entire
syndrome of diseases and conditions.”

Luft and his colleagues report their findings in the current online
edition of Psychological Medicine.

The researchers look at data from examinations conducted between 2002
and 2008 among more than 8,500 so-called “traditional responders” (mostly
police officers) as well as more than 12,300 “nontraditional responders,”
such as maintenance and transportation workers.

The exams, which looked at WTC exposure, PTSD, respiratory symptoms and
pulmonary function, took place at WTC Health Program Clinics that were
part of a network set in place by the U.S. National Institute for
Occupational Safety and Health (NIOSH).

The team found that PTSD was more common among nontraditional
responders than among police (23 percent vs. about 6 percent). Respiratory
illness was also somewhat more common among nontraditional responders than
police (more than 28 percent versus about 23 percent). Pulmonary function,
however, was comparable across groups.

In all, the researchers concluded that PTSD and respiratory
difficulties were correlated, and that PTSD may have a “mediating role” in
terms of respiratory risk.

“The results are indicative that PTSD appears to have a major and
complex role in relation to respiratory illnesses in this patient
population,” study co-author Dr. Evelyn Bromet, an expert in psychiatric
epidemiology and disaster research, said in the release. “Our findings
mirror research results found in several veterans’ populations and in
patients in primary care settings around the world. Mental and physical
health are integrally linked. It is not always obvious which one is the
driver, but in the end, what matters is that both mental and physical
health are recognized and treated with equal care and respect.”

“The results are a first step in nailing down the exact relationship
between PTSD and respiratory illness,” Luft said. “We need to continue to
study the relationship and its implications to help us to better treat
responders who suffer from multiple mental and physical conditions.”

More information

For more on the health impact of 9/11, visit the New York City government.

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