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Cited by 515Posttraumatic Stress Disorder ResearchDisaster Response and ManagementCOVID-19 and Mental Health

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Acute Stress Disorder, Posttraumatic Stress Disorder, and Depression in Disaster or Rescue Workers

Fullerton, Carol S., Ursano, Robert J., Wang, Leming·2004·American Journal of Psychiatry
DOI 10.1176/appi.ajp.161.8.1370
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Abstract

OBJECTIVE: The events of Sept. 11, 2001, highlighted the importance of understanding the effects of trauma on disaster workers. To better plan for the health care of disaster workers, this study examined acute stress disorder, posttraumatic stress disorder (PTSD), early dissociative symptoms, depression, and health care utilization in disaster workers. METHOD: Exposed disaster workers (N=207) and unexposed comparison subjects (N=421) were examined at 2, 7, and 13 months after an airplane crash. RESULTS: Exposed disaster workers had significantly higher rates of acute stress disorder, PTSD at 13 months, depression at 7 months, and depression at 13 months than comparison subjects. Those who were younger and single were more likely to develop acute stress disorder. Exposed disaster workers with acute stress disorder were 3.93 times more likely to be depressed at 7 months. Those with high exposure and previous disaster experience or who had acute stress disorder were more likely to develop PTSD. Similarly, those who were depressed at 7 months were 9.5 times more likely to have PTSD. Those who were depressed at 13 months were 7.96 times more likely to also meet PTSD criteria. More exposed disaster workers than comparison subjects obtained medical care for emotional problems at 2, 7, and 13 months. Overall, 40.5% of exposed disaster workers versus 20.4% of comparison subjects had acute stress disorder, depression at 13 months, or PTSD. CONCLUSIONS: Exposed disaster workers are at increased risk of acute stress disorder, depression, or PTSD and seek care for emotional problems at an increased rate.

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Crossref · 10.1176/appi.ajp.161.8.1370

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Metadata

Authors
Fullerton, C. S., Ursano, R. J., & Wang, L.
Affiliations
Uniformed Services University of the Health Sciences (US)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
2004-08-01
Volume
161
Issue
8
Pages
1370-1376
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/appi.ajp.161.8.1370
OpenAlex
W2140846624
Cited by
515
References
34
Citations by year
2026: 10 · 2025: 22 · 2024: 24 · 2023: 20 · 2022: 19 · 2021: 37 · 2020: 38 · 2019: 36 · 2018: 25 · 2017: 30 · 2016: 27 · 2015: 34 · 2014: 26 · 2013: 19 · 2012: 28
FWCI
20.77
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
acute stress disorder, post-traumatic stress disorder, depression, disaster workers, rescue workers, trauma exposure, dissociative symptoms, health care utilization, September 11 attacks, airplane crash
MeSH terms
Accidents, Aviation, Adult, Age Factors, Community Mental Health Services, Depressive Disorder, Disaster Planning, Disasters, Dissociative Disorders, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Patient Acceptance of Health Care, Prospective Studies, Risk Factors, Stress Disorders, Post-Traumatic, United States, Marital Status, Rescue Work, Stress Disorders, Traumatic, Acute

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