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Am J Psychiatry 1990; 147:202-206
Copyright © 1990 by American Psychiatric Association
Acute postdisaster psychiatric disorders: identification of persons at risk
EM Smith, CS North, RE McCool and JM Shea
Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110.
This study examined the prevalence of four psychiatric disorders--
posttraumatic stress disorder, major depression, generalized anxiety
disorder, and alcohol abuse/dependence--in survivors of a jet plane crash
into a hotel. Forty-six subjects were interviewed with the Diagnostic
Interview Schedule/Disaster Supplement within 4-6 weeks of the event. More
than half of the subjects met criteria for a psychiatric disorder after the
disaster. More than two-thirds of the cases of acute postdisaster
psychiatric disorders were predicted by identifying the subjects who had
predisaster psychiatric histories. Predisaster psychiatric disorder
predicted postdisaster psychopathology with a sensitivity of 72% and a
specificity of 90%.
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