Psychological trauma associated with the World Trade Center attacks and its effect on pregnancy outcome
- 19 August 2005
- journal article
- Published by Wiley in Paediatric and Perinatal Epidemiology
- Vol. 19 (5), 334-341
- https://doi.org/10.1111/j.1365-3016.2005.00676.x
Abstract
The destruction of the World Trade Center (WTC) on 11 September 2001 was a source of enormous psychological trauma that may have consequences for the health of pregnant women and their fetuses. In this report, we describe the impact of extreme trauma on the birth outcomes of women highly exposed to the WTC. We enrolled 187 women who were pregnant and living or working within close proximity to the WTC on 11 September. Among women with singleton pregnancies, 52 completed at least one psychological assessment prior to delivery. In adjusted multivariable models, both post-traumatic stress symptomatology (PTSS) and moderate depression were associated with longer gestational durations, although only PTSS was associated with decrements in infant head circumference at birth (β = −0.07, SE = 0.03, P = 0.01). The impact of stress resulting from extreme trauma may be different from that which results from ordinary life experiences, particularly with respect to cortisol production. As prenatal PTSS was associated with decrements in head circumference, this may influence subsequent neurocognitive development. Long-term follow-up of infants exposed to extreme trauma in utero is needed to evaluate the persistence of these effects.Keywords
This publication has 43 references indexed in Scilit:
- Exposures among Pregnant Women near the World Trade Center Site on 11 September 2001Environmental Health Perspectives, 2005
- Psychiatric medication use among Manhattan residents following the World Trade Center disasterJournal of Traumatic Stress, 2003
- Studies of the vicarious traumatization of college students by the September 11th attacks: effects of proximity, exposure and connectednessBehaviour Research and Therapy, 2003
- Environmental aftermath.Environmental Health Perspectives, 2001
- Stress, social support and pregnancy outcome: a reassessment based on recent researchPaediatric and Perinatal Epidemiology, 1996
- Psychometric properties of the PTSD checklist (PCL)Behaviour Research and Therapy, 1996
- Brain Size Matters: A Reply to Peters.Canadian Journal of Experimental Psychology / Revue canadienne de psychologie expérimentale, 1995
- PRENATAL STRESSORS OF HUMAN LIFE AFFECT FETAL BRAIN DEVELOPMENTDevelopmental Medicine and Child Neurology, 1994
- Head Circumference and Developmental Ability at the Age of Seven YearsActa Paediatrica, 1988
- Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluationClinical Psychology Review, 1988