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Longitudinal Assessment of Posttraumatic Stress Disorder and Depression after Exposure to Traumatic Death

 

作者: ROBERT,   URSANO CAROL,   FULLERTON TZU-CHEG,   KAO VIVEK,  

 

期刊: The Journal of Nervous and Mental Disease  (OVID Available online 1995)
卷期: Volume 183, issue 1  

页码: 36-42

 

ISSN:0022-3018

 

年代: 1995

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Little is known of the specific effects of exposure to traumatic death, an important dimension of many disasters. This study examined acute and long-term intrusive and avoidant symptoms, depression, and posttraumatic stress disorder (PTSD) in disaster workers exposed to traumatic death after the USSIowagun turret explosion. Fifty-four volunteer body handlers were assessed at. 1, 4, and 13 months. They were compared with 11 non-body handler disaster worker volunteers. The Impact of Events Scale, Zung Depression Scale, Symptom Cheeklist-90-Revised, and a multi-method assessment of PTSD were used. Intrusive and avoidant symptoms were elevated at 1, 4, and 13 months, and decreased over time. Probable PTSD was present in 11% at 1 month, 10% at 4 months, and 2% at 13 months. The frequency of depression was not increased. Single body handler disaster workers reported more avoidance (times 1 and 2) and somatization (time 1) than did married workers. Body handlers reported more intrusion, avoidance, hostility, and somatization at 1 month than did non-body handler volunteers. These results indicate that exposure to traumatic death increases intrusive and avoidant symptoms, hostility, somatization, and the risk of PTSD and that symptoms can persist for months.

 

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