Posttraumatic stress disorder following an air disaster: a prospective study
Abstract
OBJECTIVE: The purpose of this study was to determine predictors of posttraumatic stress disorder (PTSD) in health care workers exposed to a disaster, in order to facilitate early case identification and prevention of subsequent morbidity. METHOD: Following an air disaster, 355 military medical health care workers were studied over an 18-month follow-up period. Measures included assessment of peritraumatic reactions associated with the disaster, the frequency of other stressful events after the disaster, and standard PTSD rating scales at 6, 12, and 18 months. RESULTS: Multivariate logistic regression of data on health care workers who cared for victims of the air disaster showed that PTSD was more likely to develop in those who had not completed college, those who had worked with burn victims, those who had experienced more stressful life events in a period of approximately 6 months following the disaster, and those who experienced emotional numbness immediately after the disaster. CONCLUSIONS: Results suggest that lower levels of education, exposure to grotesque burn injuries, stressful life events following exposure, and feelings of numbness following exposure are useful predictors of subsequent development of PTSD.
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Being seen at fever stations may reinforce a sense of vulnerability and threat of infection, and this may interact with younger age to produce more severe stress symptoms.
“psychiatric morbidity was associated with being seen at fever stations which may reinforce the sense of vulnerability and threat of infection, and this can interact with the younger age to produce more severe stress symptoms [40].”
From Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease (2010) · cites this paper as [40]
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- Authors
- Epstein, R. S., Fullerton, C. S., & Ursano, R. J.
- Affiliations
- Uniformed Services University of the Health Sciences (US)
- ORCID
- Ursano, Robert J.
- Venue
- American Journal of Psychiatry
- Published
- 1998-07-01
- Volume
- 155
- Issue
- 7
- Pages
- 934-938
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2077375688
- Cited by
- 170
- References
- 22
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 7 · 2019: 2 · 2018: 6 · 2017: 6 · 2016: 10 · 2015: 3 · 2014: 5 · 2013: 6 · 2012: 10
- FWCI
- 7.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- post-traumatic stress disorder, aviation accidents, healthcare workers, military medical personnel, disaster exposure, burns, life events, emotional numbness, educational attainment, risk factors, PTSD prevention
- MeSH terms
- Accidents, Aviation, Affective Symptoms, Burns, Disasters, Educational Status, Female, Fires, Follow-Up Studies, Humans, Life Change Events, Male, Military Medicine, Military Personnel, Probability, Prospective Studies, Regression Analysis, Stress Disorders, Post-Traumatic, Comorbidity, Logistic Models, Rescue Work
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