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To the Editor: Many residents of Manhattan appear to have experienced symptoms of acute posttraumatic stress and depression following the September 11, 2001, attack,¹ similar to those experienced by survivors of other terrorist attacks and natural disasters.^2-3 Following the events of September 11 and the ensuing anthrax infections, a survey found that 1 in 4 Canadians was "always or often stressed and overwhelmed," and that 4% reported visiting a health professional to help cope with their reaction to the events.⁴

Such events may be reflected in use of prescription medications. For instance, 29% of long-term evacuees following a volcanic eruption received prescriptions for psychotropic drugs.⁵ Insomnia, for which benzodiazepines may be prescribed, is known to occur after local or distant disasters,⁶ and one survey found that 11% of US citizens reported having difficulty sleeping in the days following September 11.⁷ We examined changes in the frequencies of related drug prescriptions . . . [Full Text of this Article]

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Self-reported Symptoms Before and After September 11 in Patients With Fibromyalgia
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