CoChat
Sign Up
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
Open this paper in CoChat — free account

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.

Overview

Integrity signals

Registry

Crossref · 10.1176/appi.ajp.161.8.1370

Cites

34 of 34 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 34 references

Cited by

Sorted by citations

Items 401–500 of 512

Related

See all

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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review