Past Experiences of Getting Bullied and Assaulted and Posttraumatic Stress Disorder (PTSD) after a Severe Traumatic Event in Adulthood: A Study of World Trade Center (WTC) Responders

ABSTRACT

Although experiencing bullying and other forms of assault is associated with adverse physical, emotional, and psychological consequences, the long-term consequences, especially in the aftermath of a severe trauma in adulthood, is not known. This study examined the relationship between history of being bullied and/or assaulted and posttraumatic stress disorder (PTSD) symptoms among responders to the World Trade Center (WTC) disaster. During 2015–2016, a modified life events checklist was administered to responders at Stony Brook WTC Health Program. WTC-related PTSD symptoms were assessed by PTSD checklist (PCL). Longitudinal mixed models examined associations between bullying, other forms of assault, and severity and chronicity of PTSD symptoms. Approximately, 13% of 920 responders had probable WTC-PTSD (PCL≥44). Being bullied in childhood was associated with increased odds of WTC-PTSD (adjusted odds ratio [aOR] = 7.34; 95% confidence interval [CI] = 2.12–25.34), adjusted for demographics, other stressors, and WTC exposures. PTSD odds decreased over time among those not bullied (aOR 0.82; 95% CI: 0.73–0.92), but not among victims. Experiencing physical, sexual, or verbal assaults during adulthood also had a significant association with WTC-PTSD (aOR 4.64; 95% CI: 1.98–10.92). Findings suggest being bullied in childhood and/or assaulted in adulthood can increase PTSD risk and progression after mass trauma.

KEYWORDS:

• Bullying
• assault
• PTSD
• WTC responders
• childhood
• adulthood
• progressi

Disclosure of Interest

All the authors declare that they have no conflicts of interest to report.

Ethical Standards and Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation [institutional and national] and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all responders for being included in the study.

Supplementary data

Supplemental data for this article can be accessed here.

Additional information

Funding

Funding for this study was provided by the National Institutes of Health (R01 AG049953; PI: Dr. Clouston), and by the Centers for Disease Control and Prevention’s National Institute of Occupational Safety and Health to administer the monitoring survey (CDC-200-2011-39361). The funders played no role in data collection, analysis, interpretation, reporting, or the decision to submit for publication.