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Post-9/11 Mental Health Comorbidity Predicts Self-Reported Confusion or Memory Loss in World Trade Center Health Registry Enrollees

Author

Listed:
  • Howard E. Alper

    (New York City Department of Health and Mental Hygiene, Long Island City, NY 11101, USA)

  • Rifat A. Tuly

    (School of Public Health, Columbia University, New York, NY 10032, USA)

  • Kacie Seil

    (New York City Department of Health and Mental Hygiene, Long Island City, NY 11101, USA)

  • Jennifer Brite

    (New York City Department of Health and Mental Hygiene, Long Island City, NY 11101, USA)

Abstract

Numerous studies report elevated levels of chronic mental health conditions in those exposed to the World Trade Center attacks of 11 September 2001 (9/11), but few studies have examined the incidence of confusion or memory loss (CML) or its association with mental health in 9/11 attack survivors. We investigated the incidence of CML and its association with the number of post-9/11 mental health conditions (PTSD, depression, and anxiety) in 10,766 World Trade Center Health Registry (Registry) enrollees aged 35–64 at the time of the wave 4 survey (2015–2016) that completed all four-wave surveys and met the study inclusion criteria. We employed log-binomial regression to evaluate the associations between CML and the number of mental health conditions. A total of 20.2% of enrollees in the sample reported CML, and there was a dose-response relationship between CML and the number of mental health conditions (one condition: RR = 1.85, 95% CI (1.65, 2.09); two conditions: RR = 2.13, 95% CI (1.85, 2.45); three conditions: RR = 2.51, 95% CI (2.17, 2.91)). Survivors may be experiencing confusion or memory loss partly due to the mental health consequences of the 9/11 attacks. Clinicians treating patients with mental health conditions should be aware of potential cognitive impairment.

Suggested Citation

  • Howard E. Alper & Rifat A. Tuly & Kacie Seil & Jennifer Brite, 2020. "Post-9/11 Mental Health Comorbidity Predicts Self-Reported Confusion or Memory Loss in World Trade Center Health Registry Enrollees," IJERPH, MDPI, vol. 17(19), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7330-:d:424762
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    References listed on IDEAS

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    1. Kacie Seil & Shengchao Yu & Howard Alper, 2019. "A Cognitive Reserve and Social Support-Focused Latent Class Analysis to Predict Self-Reported Confusion or Memory Loss among Middle-Aged World Trade Center Health Registry Enrollees," IJERPH, MDPI, vol. 16(8), pages 1-12, April.
    2. Ankura Singh & Rachel Zeig-Owens & Laura Rabin & Theresa Schwartz & Mayris P. Webber & David Appel & David J. Prezant & Charles B. Hall, 2020. "PTSD and Depressive Symptoms as Potential Mediators of the Association between World Trade Center Exposure and Subjective Cognitive Concerns in Rescue/Recovery Workers," IJERPH, MDPI, vol. 17(16), pages 1-13, August.
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    Cited by:

    1. Yian Zhang & Rebecca Rosen & Joan Reibman & Yongzhao Shao, 2022. "Posttraumatic Stress Disorder Mediates the Association between Traumatic World Trade Center Dust Cloud Exposure and Ongoing Systemic Inflammation in Community Members," IJERPH, MDPI, vol. 19(14), pages 1-16, July.
    2. James E. Cone & Albeliz Santiago-Colón & Roberto Lucchini, 2021. "9/11 Health Update," IJERPH, MDPI, vol. 18(12), pages 1-5, June.
    3. Rebecca Rosen & Yongzhao Shao & Qiao Zhang & Jia Bao & Yian Zhang & Arjun Masurkar & Thomas Wisniewski & Nina Urban & Joan Reibman, 2022. "Cognitive Function among World Trade Center-Exposed Community Members with Mental Health Symptoms," IJERPH, MDPI, vol. 19(6), pages 1-13, March.

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