The Marchioness disaster: preliminary report on psychological effects

Abstract

The psychological after-effects on 27 survivors of the Marchioness riverboat disaster of 20 August 1989 are described. On measures of intrusive memories and psychological difficulties these subjects are significantly higher than population norms, and somewhat higher than psychiatric in-patient populations. Personality measures taken after the disaster show that neuroticism scores are very much higher than population norms, but personality measures were not correlated with distress.

Identification in the Lockerbie air disaster

Abstract

In the aftermath of the Lockerbie air disaster, identification of the victims (plane occupants and local residents) was established by two primary methods: odontology and dactylography. Scottish law requires corroboration of evidence of identity, so both primary methods were used whenever possible, with further evidence occasionally derived from the matching of physical characteristics, personal effects and details from past medical records. Of the 270 victims, 253 were positively identified. Of these, 209 were identified with the aid of odontology.

Psychosocial research in traumatic stress: an update

Abstract

This report presents an update of psychosocial research in the traumatic stress field, presenting an overview of recent studies in several areas: the epidemiology of traumatic events and of PTSD in the general adult population, other diagnoses associated with trauma exposure and PTSD, the course and longevity of PTSD symptomatology, and risk factors for the diagnosis. Other areas of increasing interest and focus are briefly noted.

The impact of the Amsterdam aircraft disaster on reported annoyance by aircraft noise and on psychiatric disorders

Abstract

BACKGROUND:

On 4 October 1992 a plane crashed on the south-eastern (SE) borough of Amsterdam. This study examines the effects of this disaster on the reported annoyance caused by aircraft noise and on psychiatric disorders measured by the General Health Questionnaire (GHQ), in an ongoing Health Interview Survey (HIS).

METHODS:

In the HIS 5092 people were interviewed; 1006 before the accident and 305 in the SE borough. Odds ratios (OR) were computed comparing the period before the disaster with the 8 months thereafter.

RESULTS:

Patients with medically unexplained symptoms

Abstract

Numerous patients in hospital medicine present with physical symptoms but can be given no substantive medical diagnosis. In this article we describe certain characteristics and management problems associated with this difficult group of patients and propose effective approaches to management.

A sudden outbreak of illness suggestive of mass hysteria in schoolchildren

Abstract

OBJECTIVE:

To clarify factors contributing to mass illness of sudden onset by studying an outbreak that was apparently triggered by a gaseous odor and that involved a rapid, extensive response by school and fire officials.

SETTING:

Urban elementary school.

MAIN OUTCOME MEASURE:

A standardized student questionnaire was designed to identify potential illness predictors.

DESIGN:

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