Psychosocial research in traumatic stress: an update


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



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).


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.


Patients with medically unexplained symptoms


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



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.


Urban elementary school.


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