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National Center for PTSD

Terrorism and Bombings

Below is a list of information currently available from the National Center for PTSD about terrorism. For more information, click on the related links and/or search the PILOTS database for a more complete listing of articles available on this topic.

General Information

Frequently Asked Questions about Terrorism
Provides answers to frequently asked questions about terrorism

What Are the Traumatic Stress Effects of Terrorism?
A review of what previous research may tell us about the effects of terrorism on members of a community and nation.

Common Reactions to Trauma
Edna B. Foa, Elizabeth A. Hembree, David Riggs, Sheila Rauch, and Martin Franklin describe ten common reactions to trauma.

Survivors of Natural Disasters and Mass Violence
Answers to the questions: What symptoms can one experience as a result of disaster experiences? What factors increase the risk of readjustment problems? What can disaster survivors do to best recover from disaster stress?

The Effects of Media Coverage of Terrorist Attacks on Viewers
Information on how viewing terrorist-related media coverage might affect children and adults.

Brief Tips About Self Care and Self-Help Following Disasters
Information for survivors of disasters, including self-care activities, and how to seek additional support.

Self-Care and Self-Help Following Disasters
More detailed information for survivors of disasters, including helpful coping strategies, self-care activities, and when to seek additional support.

Seeking Help for PTSD
A general overview of the nature of PTSD and the resources available to individuals suffering from PTSD.

Children and Terrorism

Terrorist Attacks and Children
A guide for how children of different ages respond to trauma, how to talk to your child about terrorism, what parents can do, and how many children develop PTSD.

Information for the Media

The Effects of Media Coverage of Terrorist Attacks on Viewers
Information on how viewing terrorist-related media coverage might affect children and adults.

What Are the Traumatic Stress Effects of Terrorism?
Information on what previous research may tell us about the effects of terrorism on members of a community and nation

Working with Trauma Survivors
More in depth information for volunteers, rescue workers, health care workers, and journalists

Specialty Populations

Disaster Rescue and Response Workers
Information about the effects of traumatic stress on disaster rescue and response workers, as well as coping and self-care strategies

How Terrorist Acts May Affect Veterans
Information for veterans and caregivers on how veterans may be particularly sensitive to the effects of current traumatic events, including terroristic acts and war.

Working with Trauma Survivors
More in depth information for volunteers, rescue workers, health care workers, and journalists

Advice for Healthcare Personnel

The Acute Aftermath of Terrorism

Early Intervention for Trauma: Current Status and Future Directions
Identifies the core issues in early intervention that need to be addressed to resolve the debate over psychological debriefing (PD). It critiques the available evidence for PD and the early provision of cognitive-behavioral therapy.

Recommendations for Pharmacological Treatment of Acute Stress Reactions
Provides recommendations on pharmacological treatment for acute stress reactions

Treating Survivors in the Acute Aftermath of Traumatic Events
A treatment model for acute stress is described

Practice Guidelines

Post-Traumatic Stress Guideline
The Department of Veterans Affairs (VA), and Department of Defense (DOD) have developed the Post-Traumatic Stress Guideline. This guideline is based on evidence-based clinical practice and was developed by and written for clinicians. Implementation of evidence-based clinical practice guidelines is one strategy to improve care by reducing variation in practice and systematizing "best practices". Guidelines serve to reduce errors, and provide consistent quality of care and utilization of resources throughout the system. Guidelines also are cornerstones for accountability and facilitate learning and the conduct of research. NOTE: Once the link is accessed you must scroll down the page to see the text.

American Psychiatric Association Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder
This practice guideline is based on available evidence and clinical consensus and offers recommendations to help psychiatrists in assessing and treating adult partients with acute stress disorder and posttraumatic stress disorder.

National Institue for Clinical Excellence (NICE) PTSD Guideline
The National Institute for Health and Clinical Excellence (NICE) was formed to create a single excellence-in-practice organization responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health.

Reviews of the Empirical Literature on Disaster Response

The Range, Magnitude, and Duration of Effects of Natural and Human-Caused Disasters: A Review of the Empirical Literature
A summary of a recent review of disaster research, describing the range, magnitude, and duration of effects caused by both natural and human-caused disasters

Risk Factors for Adverse Outcomes in Natural and Human-Caused Disasters: A Review of the Empirical Literature
A summary of a recent review of disaster research, describing the risk factors for adverse outcomes in both natural and human-caused disasters

Psychosocial Resources in the Aftermath of Natural and Human-Caused Disasters: A Review of the Empirical Literature, with Implications for Intervention
A summary of a recent review of disaster research, describing the psychosocial resources in the aftermath of both natural and human-caused disasters, with implications for intervention

General Information

Phases of Traumatic Stress Reactions in a Disaster
Describes the normal phases of traumatic stress reactions in a disaster situation

Effects of Traumatic Stress in a Disaster Situation
Information on the effects of traumatic stress in a disaster situation, including PTSD, acute stress disorder, bereavement, and common traumatic stress reactions

Clinical Advice

Early Mental Health Intervention for Disasters
Discusses factors that influence prevention of problems following disasters, obstacles to help-seeking, early intervention, and basic principles of emergency care, including Psychological First Aid.

Disaster Handouts and Manuals including Psychological First Aid
An evidence-informed modular approach for assisting people in the immediate aftermath of disaster and terrorism: to reduce initial distress, and to foster short and long-term adaptive functioning.

Secondary Mental Health Treatment Following Disasters
Discusses follow-up to initial emergency care following a disaster, including: timing, who should receive care, content of care, and how to maximize follow-up care.

Types of Debriefing Following Disasters
Describes several types of debriefing following a trauma, and discusses the pros and cons of this form of mental health intervention.

Empirical Evidence Regarding Behavioral Treatments for PTSD
A review of some of the empirical information regarding various mental health treatments for PTSD.

Helping Survivors in the Wake of Disaster
Concise information for volunteers, mental-health clinicians, chaplains, and medical personnel about the effects of traumatic stress and how to help survivors of disasters

Managing Grief After Disaster
Information provided on the nature of traumatic bereavement and grief as well as on risk factors and treatment options

Primary Care

Screening for PTSD in a Primary Care Setting
A recommended 4-item screen for PTSD symptoms in primary care settings

For Health Care Professionals: Recommendations on How to Care for Bereaved Patients
Recommendations for health care professionals written by Holly Prigerson, PhD and Selby C. Jacobs, MD, PhD that appeared in the Journal of the American Medical Association

Specialty Populations

Disasters and Substance Abuse or Dependence
Discusses the empirical findings on substance use and abuse following disasters

Disasters and Domestic Violence
Describes the findings from the empirical literature regarding the prevalence of domestic violence after disasters and how it influences womenâs postdisaster recovery

The Effects of Disaster on People with Severe Mental Illness
Describes how people with severe mental illness (SMI) also may be at increased risk for distress, especially posttraumatic stress symptoms

Casualty and Death Notification
Following a traumatic event or disaster, it is frequently necessary to notify family members of the casualty or death of a loved one. This fact sheet is a curriculum on compassionate casualty/death notification for professional counselors and victim advocates.

Disaster Mental Health Services: A Guidebook for Clinicians and Administrators

Disaster Mental Health Services: A Guidebook for Clinicians and Administrators

Introduction   (PDF)

Stress Reactions of Survivors   (PDF)

Helping Survivors   (PDF)

Helping the Helpers   (PDF)

Helping Organizations   (PDF)

Team and Program Development   (PDF)

The Big Picture   (PDF)

Resources   (PDF)

PTSD Screen for Primary Care Settings   (PDF)

Web site links

APA
The American Psychological Association is the professional organization of psychologists in the United States. An APA task force has been developed to assist clinicians with promoting resilience in response to terrorism.

Terrorism Research Center
Founded in 1996, the Terrorism Research Center, Inc. (TRC) is an independent institute dedicated to the research of terrorism, information warfare and security, critical infrastructure protection, homeland security, and other issues of low-intensity political violence.

Assessing the Effects of the Attacks on America
The office of Behavioral and Social Science research (OBSSR) has provided support for the development of a 3-part 9/11 assessment instrument.