OBJECTIVE: This study systematically evaluated the psychological
reactions of a nonclinical population to the October 1989 earthquake in the
San Francisco Bay Area. METHOD: A representative group of about 100
graduate students from two different institutions in the Bay Area
volunteered to participate in the study. Within 1 week of the earthquake,
the authors administered a checklist of anxiety and dissociative symptoms
to the subjects, and 4 months later they conducted a follow-up study with
the same checklist. RESULTS: The participants reported significantly
greater numbers and frequency of dissociative symptoms, including
derealization and depersonalization, distortions of time, and alterations
in cognition, memory and somatic sensations, during or shortly after the
earthquake than after 4 months. To a lesser degree they also reported
significantly more nonsomatic anxiety symptoms and Schneider's first-rank
symptoms at the earlier testing time. CONCLUSIONS: These results suggest
that among nonclinical populations, extreme distress may significantly
increase the prevalence and severity of transient dissociative phenomena
and anxiety. They provide further evidence of the role that dissociation
plays in the response to trauma and are of considerable clinical and
theoretical importance in view of the lifetime prevalence of traumatic
experiences in the general population.
Abstract Teaser