OBJECTIVE: The purpose of this study was to examine factors predicting
the development of posttraumatic stress symptoms after a traumatic event,
the 1991 Oakland/Berkeley firestorm. The major predictive factors of
interest were dissociative, anxiety, and loss of personal autonomy symptoms
reported in the immediate aftermath of the fire; contact with the fire; and
life stressors before and after the fire. METHOD: Subjects were recruited
from several sources so that they would vary in their extent of contact
with the fire. Of 187 participants who completed self-report measures about
their experiences in the aftermath of the firestorm, 154 completed a
follow-up assessment. Of these 154 subjects, 97% completed the follow-up
questionnaires 7-9 months after the fire. The questionnaires included
measures of posttraumatic stress and life events since the fire. RESULTS:
Dissociative and loss of personal autonomy symptoms experienced in the
fire's immediate aftermath, as well as stressful life experiences occurring
later, significantly predicted posttraumatic stress symptoms measured 7-9
months after the firestorm by a civilian version of the Mississippi Scale
for Combat-Related Posttraumatic Stress Disorder and the Impact of Event
Scale. Dissociative symptoms more strongly predicted posttraumatic symptoms
than did anxiety and loss of personal autonomy symptoms. Intrusive thinking
differs from other kinds of posttraumatic symptoms in being related
directly to the trauma and previous stressful life events. CONCLUSIONS:
These findings suggest that dissociative symptoms experienced in the
immediate aftermath of a traumatic experience and subsequent stressful
experiences are indicative of risk for the later development of
posttraumatic stress symptoms. Such measures may be useful as screening
procedures for identifying those most likely to need clinical care to help
them work through their reactions to the traumatic event and to subsequent
stressful experiences.
Abstract Teaser