Psychiatric disorders among survivors of the Oklahoma City bombing.
Context Disasters expose unselected populations to traumatic events and can be used to study the mental health effects.
The Oklahoma City, Okla, bombing is particularly significant for the study of mental health sequelae of trauma because its extreme magnitude and scope have been predicted to render profound psychiatric effects on survivors.
Objective To measure the psychiatric impact of the bombing of the Alfred P. Murrah Federal Building in Oklahoma City on survivors of the direct blast, specifically examining rates of posttraumatic stress disorder (PTSD), diagnostic comorbidity, functional impairment, and predictors of postdisaster psychopathology.
Design, Setting, and Participants Of 255 eligible adult survivors selected from a confidential registry, 182 (71%) were assessed systematically by interviews approximately 6 months after the disaster, between August and December 1995.
Main Outcome Measures Diagnosis of 8 psychiatric disorders, demographic data, level of functioning, treatment, exposure to the event, involvement of family and friends, and physical injuries, as ascertained by the Diagnostic Interview Schedule/Disaster Supplement.
Results Forty-five percent of the subjects had a postdisaster psychiatric disorder and 34.3% had PTSD.
Predictors included disaster exposure, female sex (for any postdisaster diagnosis, 55% vs 34% for men ; khi21=8. (...)
Mots-clés Pascal : Santé mentale, Etats Unis, Amérique du Nord, Amérique, Evaluation, Homme, Sexe, Survivant, Victimologie, Stress, Coping, Oklahoma, Attentat
Mots-clés Pascal anglais : Mental health, United States, North America, America, Evaluation, Human, Sex, Survivor, Victimology, Stress, Coping, Oklahoma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0459432
Code Inist : 002B18F01. Création : 22/03/2000.