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Latent class growth analysis identified 5 groups of rescue and recovery workers with similar score trajectories at 3 administrations of the PTSD Checklist (PCL): low\u2010stable (53.3%), moderate\u2010 stable (28.7%), moderate\u2010increasing (6.4%), high\u2010decreasing (7.7%), and high\u2010stable (4.0%). Relative to the low\u2010stable group, membership in higher risk groups was associated with 9\/11\u2010related exposures including duration of WTC work, with adjusted odds ratios ranging from 1.3 to 2.0, witnessing of horrific events (range = 1.3 to 2.1), being injured (range = 1.4 to 2.3), perceiving threat to life or safety (range = 2.2 to 5.2), bereavement (range = 1.6 to 4.8), and job loss due to 9\/11 (range = 2.4 to 15.8). Within groups, higher PCL scores were associated with adverse social circumstances including lower social support, with <jats:italic>B<\/jats:italic> coefficients ranging from 0.2 to 0.6, divorce, separation, or widowhood (range = 0.4\u20130.7), and unemployment (range = 0.4\u20130.5). Given baseline, exposure\u2010related, and contextual influences that affect divergent PTSD trajectories, screening for both PTSD and adverse circumstances should occur immediately, and at regular intervals postdisaster.<\/jats:p>","DOI":"10.1002\/jts.22011","type":"journal-article","created":{"date-parts":[[2015,5,19]],"date-time":"2015-05-19T20:13:20Z","timestamp":1432066400000},"page":"198-205","source":"Crossref","is-referenced-by-count":63,"title":["Trajectories of Scores on a Screening Instrument for PTSD Among World Trade Center Rescue, Recovery, and Clean\u2010Up Workers"],"prefix":"10.1002","volume":"28","author":[{"given":"Carey B.","family":"Maslow","sequence":"first","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry  Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Caramanica","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry  Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice E.","family":"Welch","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry  Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Stellman","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry  Long Island City New York USA"},{"name":"Department of Epidemiology Mailman School of Public Health, Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Brackbill","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry  Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark R.","family":"Farfel","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry  Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,19]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000228503.95503.e9"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.20982\/tqmp.05.1.p011"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024776509667"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/019394599701900303"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335491012500411"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/msj.20026"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22000"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335491112600211"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.110676"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2008.151605"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20672"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-008-9317-4"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000195307.28743.b2"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxi003"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.54.10.1380"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1364.051"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200108000-00010"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0049124101029003005"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.2.022305.095305"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsp050"},{"key":"e_1_2_5_23_1","first-page":"807","article-title":"Physical health status of World Trade Center rescue and recovery workers and volunteers\u2014New York City, July 2002\u2013August 2004","volume":"53","author":"Levin S. 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