Cited by 170Posttraumatic Stress Disorder ResearchDisaster Response and ManagementCOVID-19 and Mental Health

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Posttraumatic Stress Disorder Following an Air Disaster: A Prospective Study

Epstein, Richard S., Fullerton, Carol S., Ursano, Robert J.·1998·American Journal of Psychiatry

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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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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
Publisher: American Psychiatric Association Publishing
Published: 1998-07-01
Volume: 155
Issue: 7
Pages: 934-938
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/ajp.155.7.934
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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Posttraumatic Stress Disorder Following an Air Disaster: A Prospective Study

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