The psychological effects of disaster at sea

Abstract

BACKGROUND:

In March 1987, the P&O car ferry Herald of Free Enterprise capsized killing 193 passengers. Seventy-five survivors and relatives were referred by their solicitors to the authors for assessment of psychological injury.

METHOD:

Information was gathered retrospectively and systematically from clinical notes and legal reports.

RESULTS:

Psychological effects of Hurricane Andrew on an elementary school population

Abstract

OBJECTIVE:

To explore the prevalence and progression of posttraumatic symptomatology (PTS), using emotional and behavioral indices of psychopathology in school-age children in the pathway of Hurricane Andrew (HI-IMPACT) and in a comparison group north of Miami (LO-IMPACT).

METHOD:

Psychiatric comorbidity in children after the 1988 earthquake in Armenia

Abstract

OBJECTIVE:

To determine current rates of posttraumatic stress disorder (PTSD), depressive disorder, and separation anxiety disorder (SAD) among children 1 1/2 years after the 1988 earthquake in Armenia; to determine current rates of comorbid PTSD and depressive disorder; and to assess the contribution of exposure, gender, loss of family members, and loss of residence.

METHOD:

Cognitive behavioural therapy for medically unexplained physical symptoms: a randomised controlled trial

Abstract

OBJECTIVE:

To examine the additional effect of cognitive behavioural therapy for patients with medically unexplained physical symptoms in comparison with optimised medical care.

DESIGN:

Randomised controlled trial with follow up assessments six and 12 months after the baseline evaluation.

SETTING:

General medical outpatient clinic in a university hospital.

SUBJECTS:

An intervention group of 39 patients and a control group of 40 patients.

INTERVENTIONS:

A mass killing in New Zealand

Abstract

The circumstances surrounding a mass killing in New Zealand are described in conjunction with a review of a number of other similar multiple victim homicides. Due to the rare and extreme nature of such events, it is argued that they should be managed as human disasters by the professionals involved and that stress debriefing should be available for all potential primary, secondary and tertiary victims.

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