Unforeseen Consequences of Terrorism
Medically Unexplained Symptoms in a Time of Fear
Arch Intern Med. 2002;162:1809-1813.
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ONE YEAR later, reports related to the psychological and physiological
effects of the terrorist attacks perpetrated on September 11, 2001, continue
to emerge. These reports and what little is known about the long-term health
effects of terrorism suggest that many people will present to their physicians
with medically unexplained symptoms. These symptoms may be mistaken for organic
medical diseases, but are likely to be physiological manifestations of psychological
distress. This distress stems from living with a heightened state of alertness
and harboring a fear of the unknown given that there is now an unpredictable
threat that could strike indiscriminately. Previous research examining survivors
of terrorism, as well as natural and man-made disasters will be reviewed for
it may provide clues as to the possible somatic and psychological costs of
terrorism. Further, findings suggest that the negative health effects will
reach beyond direct survivors and inhabitants of the New York City . . . [Full Text of this Article]NEW TIMES, NEW ILLNESS
SOMATIC COMPLAINTS RELATED TO OTHER DISASTERS
PAST TERRORISM IN AMERICA
LESSONS LEARNED FROM PATIENTS WITH FIBROMYALGIA SYNDROME
EARLY DETECTION AND TREATMENT
FINAL WORD
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