Journal of Traumatic Stress

, Volume 8, Issue 3, pp 403–417 | Cite as

Post-traumatic morbidity in a civilian community of litigants: A follow-up at 3 years

  • Richard B. Scott
  • Neil Brooks
  • William McKinlay
Article

Abstract

This paper examines post-traumatic morbidity in a community sample who had claimed compensation and been assessed 10–14 months after the Lockerbie Disaster. At 36 months 25 residents were reassessed by clinical interview and 35 by questionnaire. A chronic pattern of morbidity was found in 56% of this sample with the most frequent diagnoses being post traumatic stress disorder and depression, followed by other anxiety disorders. Only six cases were found to have “recovered” and there was only one case of delayed onset morbidity between 12 and 36 months. No unequivocal predictors of the presence of diagnosis or questionnaire scores were found.

Key words

PTSD longitudinal morbidity traumatic stress 

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References

  1. American Psychiatric Association (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
  2. American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed. rev.). Washington, DC: Author.Google Scholar
  3. American Psychiatric Association (1994)Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  4. Brooks, N., & McKinlay, W. (1992). Mental health consequences of the Lockerbie disaster.Journal of Traumatic Stress, 5, 5–21.CrossRefGoogle Scholar
  5. Curran, P.S., Bell, P., Murray, A., Loughrey, G., Roddy, R., & Rocke, L.G. (1990). Psychological consequences of the Enniskillen bombing.British Journal of Psychiatry 156, 479–482.PubMedGoogle Scholar
  6. Eldridge, G.D. (1991). Contextual issues in the assessment of post-traumatic stress disorder.Journal of Traumatic Stress, 4, 7–22.CrossRefGoogle Scholar
  7. Gibbs, M.S. (1989). Factors in the victim that mediate between disaster and psychopathology: A review.Journal of Traumatic Stress, 2, 489–514.CrossRefGoogle Scholar
  8. Gleser, G., Green, B., & Winget, C. (1978). Quantifying interview data on psychic impairment of disaster survivors.Journal of Nervous and Mental Disease, 166, 209–216.PubMedGoogle Scholar
  9. Goldberg, D., & Hillier V.F. (1979). A scaled version of the General Health Questionnaire.Psychological Medicine, 9, 139–146.PubMedGoogle Scholar
  10. Green, B.L., Grace, M.C., Lindy, J.D., Gleser, G.C., Leonard, A.C., & Kramer, T.L. (1990). Buffalo Creek survivors in the second decade: Comparison with unexposed and non-litigant groups.Journal of Applied Social Psychology, 20, 1033–1050.Google Scholar
  11. Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress.Psychosomatic Medicine, 41, 209–218.PubMedGoogle Scholar
  12. Lyons, J. (1991). Issues to consider in assessing the effects of trauma—introduction.Journal of Traumatic Stress, 4, 3–6.CrossRefGoogle Scholar
  13. Lyons, J.A., & McClendon, O.B. (1990). Changes in PTSD symptomatology as a function of ageing.NOVA-Psi Newsletter, 8(1), 13–18.Google Scholar
  14. McFarlane, A.C. (1988). The relationship between psychiatric impairment and a natural disaster.Psychological Medicine, 18, 129–139.PubMedGoogle Scholar
  15. McFarlane, A.C. (1988). The longitudinal course of post-traumatic morbidity: The range of outcomes and their predictors.Journal of Nervous and Mental Disease, 176, 30–39.PubMedGoogle Scholar
  16. Nadelson, C.C., Notman, M.T., Zackson, H., & Gornick, J. (1982). A follow-up study of rape victims.American Journal of Psychiatry, 139, 1266–1270.PubMedGoogle Scholar
  17. Nader, K., Pynoos, R., Fairbanks, L., & Fredrick, C. (1990). Children's PTSD reactions one year after a sniper attack at their school.American Journal of Psychiatry, 147, 1526–1530.Google Scholar
  18. Norusis, M.J. (1990).SPSS/PC+. Chicago, IL: SPSS INC.Google Scholar
  19. O'Brien, L.S., & Hughes, S.J. (1991). Symptoms of post-traumatic stress disorder in Falklands veterans five years after the conflict.British Journal of Psychiatry, 159, 135–141.PubMedGoogle Scholar
  20. Quarantelli, E.L. (1985). An assessment of conflicting views on mental health: The consequences of traumatic events. In C.R. Figley (Ed.),Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 173–218). New York: Brunner/Mazel.Google Scholar
  21. Shore, J.H., Vollmer, W.M., & Tatum, E.L. (1989). Community patterns of post-traumatic stress disorders.Journal of Nervous and Mental Disease, 177, 681–685.PubMedGoogle Scholar
  22. Smith, E.M., North, C.S., & McCool, R.E. (1990). Acute post-disaster psychiatric disorders: Identification of persons at risk.American Journal of Psychiatry, 147, 202–206.Google Scholar
  23. Snaith, R.P., Bridge, G.W.K., & Hamilton, M. (1976). The Leeds Scales for the detection of anxiety and depression.British Journal of Psychiatry, 128, 156–165.PubMedGoogle Scholar
  24. Titchener, J.L., & Kapp, F.T. (1976). Family and character change at Buffalo Creek.American Journal of Psychiatry, 133, 295–299.PubMedGoogle Scholar
  25. Trimble, M. (1985). Post-traumatic stress disorder: History of a concept. In C.R. Figley (Ed.),Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 5–14). New York:Brunner/Mazel.Google Scholar
  26. Wilson, J.P., Smith, W.K., & Johnson, S.K. (1985). A comparative analysis of PTSD among various survivor groups. In C.R. Figley (Ed.),Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 142–173). New York: Brunner/Mazel.Google Scholar

Copyright information

© Plenum Publishing Corporation 1995

Authors and Affiliations

  • Richard B. Scott
    • 1
  • Neil Brooks
    • 2
  • William McKinlay
    • 2
  1. 1.Russell-Cairns Unit, Department of NeurosurgeryRadcliffe InfirmaryOxfordUK
  2. 2.Case Management ServicesEdinburghUK

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