Predictors of responses to psychotherapy referral of WTC utility disaster workers

Journal of Traumatic Stress
Nimali JayasingheLisa Robin

Abstract

This study examined male utility disaster workers' responses to referral for trauma-specific psychotherapy. Among 328 workers offered referral for symptoms related to the World Trade Center (WTC) attacks during psychological screening, approximately 48% chose to accept, 28% chose to consider only, and 24% chose to decline. Analyses examined predisposing factors, i.e., age, race/ethnicity, marital status, education, previous mental health treatment, and previous disorder; as well as illness level; i.e., posttraumatic stress disorder (PTSD), depression, and general psychiatric distress; current treatment; and time of referral as predictors of referral response. PTSD (specifically reexperiencing and hyperarousal symptoms), depressive symptoms, and previous mental health treatment were positively associated with workers' accepting referral. Implications and limitations of these findings are discussed.

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Citations

May 27, 2008·The Mount Sinai Journal of Medicine, New York·Corey B BillsCraig L Katz
Nov 30, 2019·Administration and Policy in Mental Health·Olivia DiabRobert H Pietrzak
Dec 8, 2020·Children and Youth Services Review·S HaleemunnissaVaruna Vyas

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