TY - JOUR
T1 - Seven-year follow-up of child survivors of a bus-train collision
AU - Tyano, Samuel
AU - Iancu, Iulian
AU - Solomon, Zahava
AU - Sever, Jonathan
AU - Goldstein, Ivan
AU - Touviana, Yoseph
AU - Bleich, Avraham
PY - 1996/3
Y1 - 1996/3
N2 - Objective: To assess the long-term effects of a traumatic bus-train collision and to examine the effect of levels of exposure and immediate reactions on long-term adjustment. Method: Seven years after the accident, 389 subjects, all doing compulsory army service, filled out self-report questionnaires assessing symptoms of posttraumatic stress disorder (PTSD), psychiatric symptomatology, and military functioning. In addition, subjects were questioned about their immediate reactions to the traumatic event. Results: The most highly exposed subjects reported the highest levels of somatization, depression, phobic anxiety, and psychoticism and more PTSD symptoms. Acute stress symptoms and manifestations of fear immediately after the accident were strongly related to long-term maladjustment. Conclusions: The results suggest that the investigation and assessment of long-term adjustment after traumatic events should take into account both contextual factors, such as the level of exposure to the event, and personal factors, such as the victims' immediate reactions.
AB - Objective: To assess the long-term effects of a traumatic bus-train collision and to examine the effect of levels of exposure and immediate reactions on long-term adjustment. Method: Seven years after the accident, 389 subjects, all doing compulsory army service, filled out self-report questionnaires assessing symptoms of posttraumatic stress disorder (PTSD), psychiatric symptomatology, and military functioning. In addition, subjects were questioned about their immediate reactions to the traumatic event. Results: The most highly exposed subjects reported the highest levels of somatization, depression, phobic anxiety, and psychoticism and more PTSD symptoms. Acute stress symptoms and manifestations of fear immediately after the accident were strongly related to long-term maladjustment. Conclusions: The results suggest that the investigation and assessment of long-term adjustment after traumatic events should take into account both contextual factors, such as the level of exposure to the event, and personal factors, such as the victims' immediate reactions.
KW - adolescents
KW - children
KW - long-term follow-up
KW - posttraumatic stress disorder
UR - http://www.scopus.com/inward/record.url?scp=0030028868&partnerID=8YFLogxK
U2 - 10.1097/00004583-199603000-00019
DO - 10.1097/00004583-199603000-00019
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AN - SCOPUS:0030028868
SN - 0890-8567
VL - 35
SP - 365
EP - 373
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 3
ER -