Skip to main content
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 8/2007

01.08.2007 | ORIGINAL PAPER

Psychological consequences of a firework factory disaster in a local community

verfasst von: Dr. Ask Elklit

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 8/2007

Einloggen, um Zugang zu erhalten

Abstract

Objective

This study assessed the prevalence of post-traumatic stress disorder (PTSD) and other psychological consequences of an explosion disaster in a residential area in Kolding, Denmark, in November 2004.

Method

A community sample of 516 evacuated adults and a control group of 119 residents situated near the disaster area, but not affected by the explosion were assessed 3 months after the disaster by standardized instruments.

Results

Of the evacuated sample, 13% met DSM-IV criteria for PTSD in contrast to 1% in the control group; 35% of the exposed sample and 7% of the control group were identified as ‘probable cases’ by the GHQ-30 (both p’s < 0.0005).

Conclusion

The study provides evidence of the negative impact of a technological disaster on mental health and the need of preventive interventions.
Literatur
1.
Zurück zum Zitat American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. Author, Washington, DC American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. Author, Washington, DC
2.
Zurück zum Zitat Arendt M, Elklit A (2001) Effectiveness of psychological debriefing. Acta Psychiatr Scand 104(6):423–437CrossRefPubMed Arendt M, Elklit A (2001) Effectiveness of psychological debriefing. Acta Psychiatr Scand 104(6):423–437CrossRefPubMed
3.
Zurück zum Zitat Armenian HK, Morikawa M, Melkonian AK, Hovanesian AP, Haroutunian N, Saigh PA, et al. (2000) Loss as a determinant of PTSD in a cohort of adult survivors of the 1988 earthquake in Armenia: implications for policy. Acta Psychiatr Scand 102(1):58–64CrossRefPubMed Armenian HK, Morikawa M, Melkonian AK, Hovanesian AP, Haroutunian N, Saigh PA, et al. (2000) Loss as a determinant of PTSD in a cohort of adult survivors of the 1988 earthquake in Armenia: implications for policy. Acta Psychiatr Scand 102(1):58–64CrossRefPubMed
4.
Zurück zum Zitat Bach ME (2003) En empirisk belysning og analyse af “Emotional Numbing” som eventuel selvstændig faktor i PTSD. Psykologisk Studieskriftserie 6(1):1–199 Bach ME (2003) En empirisk belysning og analyse af “Emotional Numbing” som eventuel selvstændig faktor i PTSD. Psykologisk Studieskriftserie 6(1):1–199
5.
Zurück zum Zitat Basoglu M, Kilic C, Salcioglu E, Livanou M (2004) Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: an epidemiological study. J Trauma Stress 17(2):133–141CrossRefPubMed Basoglu M, Kilic C, Salcioglu E, Livanou M (2004) Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: an epidemiological study. J Trauma Stress 17(2):133–141CrossRefPubMed
6.
Zurück zum Zitat Bödvarsdóttir I, Elklit A (2004) Psychological reactions in Icelandic earthquake survivors. Scand J Psychol 45(1):3–13CrossRefPubMed Bödvarsdóttir I, Elklit A (2004) Psychological reactions in Icelandic earthquake survivors. Scand J Psychol 45(1):3–13CrossRefPubMed
7.
Zurück zum Zitat Brewin CR, Andrews B, Valentine JD (2000) Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol 68(5):748–766CrossRefPubMed Brewin CR, Andrews B, Valentine JD (2000) Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol 68(5):748–766CrossRefPubMed
8.
Zurück zum Zitat Cladera T, Palma L, Penayo U, Kullgren G (2001) Psychological impact of the hurricane Mitch in Nicaragua in a one-year perspective. Soc Psychiatry Psychiatr Epidemiol 36(3):108–114CrossRef Cladera T, Palma L, Penayo U, Kullgren G (2001) Psychological impact of the hurricane Mitch in Nicaragua in a one-year perspective. Soc Psychiatry Psychiatr Epidemiol 36(3):108–114CrossRef
9.
Zurück zum Zitat Den Ouden DJ, Dirkzwager AJ, Yzermans CJ (2005) Health problems presented in general practice by survivors before and after a fireworks disaster: associations with mental health care. Scand J Prim Health Care 23(3):137–141CrossRef Den Ouden DJ, Dirkzwager AJ, Yzermans CJ (2005) Health problems presented in general practice by survivors before and after a fireworks disaster: associations with mental health care. Scand J Prim Health Care 23(3):137–141CrossRef
10.
Zurück zum Zitat D’Souza MJJ (1999) Socio-structural differentials in the mental health impact of the 1994 Northridge earthquake (California). Dissertation Abstracts International Section A: Humanities & Social Sciences 60(4-A):1351 D’Souza MJJ (1999) Socio-structural differentials in the mental health impact of the 1994 Northridge earthquake (California). Dissertation Abstracts International Section A: Humanities & Social Sciences 60(4-A):1351
11.
Zurück zum Zitat Elklit A (1997) The aftermath of an industrial disaster. Acta Psychiatr Scand 96(392):1–25 Elklit A (1997) The aftermath of an industrial disaster. Acta Psychiatr Scand 96(392):1–25
12.
Zurück zum Zitat Elklit A (2000) Psykologisk traumebehandling—en effekt-undersøgelse. Dansk krise-og katastrofepsykologisk selskab, København Elklit A (2000) Psykologisk traumebehandling—en effekt-undersøgelse. Dansk krise-og katastrofepsykologisk selskab, København
13.
Zurück zum Zitat Elklit A (2002) Victimization and PTSD in a Danish national youth probability sample. J Am Acad Child Adolesc Psychiatry 41:174–181CrossRefPubMed Elklit A (2002) Victimization and PTSD in a Danish national youth probability sample. J Am Acad Child Adolesc Psychiatry 41:174–181CrossRefPubMed
14.
Zurück zum Zitat Finnsdottir T, Elklit A (2002) Posttraumatic sequelae in a community hit by an avalanche. J Trauma Stress 15(6):479–485CrossRefPubMed Finnsdottir T, Elklit A (2002) Posttraumatic sequelae in a community hit by an avalanche. J Trauma Stress 15(6):479–485CrossRefPubMed
15.
Zurück zum Zitat Foa EB, Riggs DS, Dancu CV, Rothbaum BO (1993) Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. J Trauma Stress 6(4):459–473 Foa EB, Riggs DS, Dancu CV, Rothbaum BO (1993) Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. J Trauma Stress 6(4):459–473
16.
Zurück zum Zitat Freedy JR, Saladin ME, Kilpatrick DG, Resnick HS (1994) Understanding acute psychological distress following natural disaster. J Trauma Stress 7(2):257–273CrossRefPubMed Freedy JR, Saladin ME, Kilpatrick DG, Resnick HS (1994) Understanding acute psychological distress following natural disaster. J Trauma Stress 7(2):257–273CrossRefPubMed
17.
Zurück zum Zitat Green BL (1982) Assessing levels of psychological impairment following disaster: consideration of actual and methodological dimensions. J Nerv Ment Dis 170(9):544–552PubMedCrossRef Green BL (1982) Assessing levels of psychological impairment following disaster: consideration of actual and methodological dimensions. J Nerv Ment Dis 170(9):544–552PubMedCrossRef
18.
Zurück zum Zitat Hobfoll SE (1989) Conservation of resources: a new attempt at conceptualizing stress. Am Psychol 44(3):513–524CrossRefPubMed Hobfoll SE (1989) Conservation of resources: a new attempt at conceptualizing stress. Am Psychol 44(3):513–524CrossRefPubMed
19.
Zurück zum Zitat Holen A (1990) A long-term outcome study of survivors from a disaster. University of Oslo, Oslo Holen A (1990) A long-term outcome study of survivors from a disaster. University of Oslo, Oslo
20.
Zurück zum Zitat Kato H, Asukai N, Miyake Y, Minakawa K, Nishiyama A (1996) Post-traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanshin-Awaji earthquake in Japan. Acta Psychiatr Scand 93(6):477–481PubMed Kato H, Asukai N, Miyake Y, Minakawa K, Nishiyama A (1996) Post-traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanshin-Awaji earthquake in Japan. Acta Psychiatr Scand 93(6):477–481PubMed
21.
Zurück zum Zitat Kessler RC, Sonnega A, Bromet E, Hughes M (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 52:1048–1060PubMed Kessler RC, Sonnega A, Bromet E, Hughes M (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 52:1048–1060PubMed
22.
Zurück zum Zitat Kilic C, Ulusoy M (2003) Psychological effects of the November 1999 earthquake in Turkey: an epidemiological study. Acta Psychiatr Scand 108(3):232–238CrossRefPubMed Kilic C, Ulusoy M (2003) Psychological effects of the November 1999 earthquake in Turkey: an epidemiological study. Acta Psychiatr Scand 108(3):232–238CrossRefPubMed
23.
Zurück zum Zitat Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York
24.
Zurück zum Zitat Livanou M, basoglu M, salcioglu E, kalender D (2002) Traumatic stress responses in treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis 190(12):816–823CrossRefPubMed Livanou M, basoglu M, salcioglu E, kalender D (2002) Traumatic stress responses in treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis 190(12):816–823CrossRefPubMed
25.
Zurück zum Zitat Mollica RF, Caspiyavin Y, Bollini P, Truong T, Tor S, Lavelle J (1992) The harvard trauma questionnaire—validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic-stress-disorder in Indo-Chinese refugees. J Nerv Ment Dis 180(2):111–116PubMedCrossRef Mollica RF, Caspiyavin Y, Bollini P, Truong T, Tor S, Lavelle J (1992) The harvard trauma questionnaire—validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic-stress-disorder in Indo-Chinese refugees. J Nerv Ment Dis 180(2):111–116PubMedCrossRef
26.
Zurück zum Zitat Nolen-Hoeksema S, Morrow J (1991) A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta earthquake. J Pers Soc Psychol 61:115–121CrossRefPubMed Nolen-Hoeksema S, Morrow J (1991) A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta earthquake. J Pers Soc Psychol 61:115–121CrossRefPubMed
27.
Zurück zum Zitat Norris FH, Perilla JL, Murphy AD (2001) Postdisaster stress in the United States and Mexico: a cross-cultural test of the multicriterion conceptual model of posttraumatic stress disorder. J Abnorm Psychol 110(4):553–563CrossRefPubMed Norris FH, Perilla JL, Murphy AD (2001) Postdisaster stress in the United States and Mexico: a cross-cultural test of the multicriterion conceptual model of posttraumatic stress disorder. J Abnorm Psychol 110(4):553–563CrossRefPubMed
28.
Zurück zum Zitat Norris FH, Kaniasty K, Conrad ML, Inman GL, Murphy AD (2002) Placing age differences in cultural context: a comparison of the effects of age on PTSD after disasters in the United States, Mexico, Poland. J Clin Geropsychol 8(3):153–173 Special Issue: Traumatic exposure and PTSD in older adultsCrossRef Norris FH, Kaniasty K, Conrad ML, Inman GL, Murphy AD (2002) Placing age differences in cultural context: a comparison of the effects of age on PTSD after disasters in the United States, Mexico, Poland. J Clin Geropsychol 8(3):153–173 Special Issue: Traumatic exposure and PTSD in older adultsCrossRef
29.
Zurück zum Zitat Norris FH, Murphy AD, Baker CK, Perilla JL (2004) Postdisaster PTSD over four waves of a panel study of Mexico’s 1999 flood. J Trauma Stress 17(4):283–292CrossRefPubMed Norris FH, Murphy AD, Baker CK, Perilla JL (2004) Postdisaster PTSD over four waves of a panel study of Mexico’s 1999 flood. J Trauma Stress 17(4):283–292CrossRefPubMed
30.
Zurück zum Zitat Ohta Y, Araki K, Kawasaki N, Nakane Y, Honda S, Mine M (2003) Psychological distress among evacuees of a volcanic eruption in Japan: a follow-up study. Psychiatry Clin Neurosci 57(1):105–111CrossRefPubMed Ohta Y, Araki K, Kawasaki N, Nakane Y, Honda S, Mine M (2003) Psychological distress among evacuees of a volcanic eruption in Japan: a follow-up study. Psychiatry Clin Neurosci 57(1):105–111CrossRefPubMed
31.
Zurück zum Zitat Solomon Z (1993) Assessment of PTSD: validation of the revised PTSD inventory. Isr J Psychiatry Relat Sci 30:110–115PubMed Solomon Z (1993) Assessment of PTSD: validation of the revised PTSD inventory. Isr J Psychiatry Relat Sci 30:110–115PubMed
32.
Zurück zum Zitat Ursano RJ, Fullerton CS, Mccaughey BG (1994) Trauma and disaster. In: Ursano RJ, Mccaughey BG, Fullerton CS (eds) Individual and community responses to trauma and disaster: the structure of human chaos. Cambridge University Press, New York, pp 3–30 Ursano RJ, Fullerton CS, Mccaughey BG (1994) Trauma and disaster. In: Ursano RJ, Mccaughey BG, Fullerton CS (eds) Individual and community responses to trauma and disaster: the structure of human chaos. Cambridge University Press, New York, pp 3–30
33.
Zurück zum Zitat Van Kamp I, Van Der Velden PG, Stellato RK, Roorda J, Van Loon J, Kleber RJ, et al. (2006) Physical and mental health shortly after a disaster: first results from the Enschede firework disaster study. Eur J Public Health 16(3):253–259CrossRefPubMed Van Kamp I, Van Der Velden PG, Stellato RK, Roorda J, Van Loon J, Kleber RJ, et al. (2006) Physical and mental health shortly after a disaster: first results from the Enschede firework disaster study. Eur J Public Health 16(3):253–259CrossRefPubMed
34.
Zurück zum Zitat Weisaeth L (1989) A study of behavioural responses to an industrial disaster. Acta Psychiatr Scand 80(355):13–24 Weisaeth L (1989) A study of behavioural responses to an industrial disaster. Acta Psychiatr Scand 80(355):13–24
35.
Zurück zum Zitat Yzermans CJ, Donker GA, Kerssens JJ, Dirkzwager AJ, Soeteman RJH, Ten veen PM (2005) Health problems of victims before and after disaster: a longitudinal study in general practice. Int J Epidemiol 34(4):820–826CrossRefPubMed Yzermans CJ, Donker GA, Kerssens JJ, Dirkzwager AJ, Soeteman RJH, Ten veen PM (2005) Health problems of victims before and after disaster: a longitudinal study in general practice. Int J Epidemiol 34(4):820–826CrossRefPubMed
Metadaten
Titel
Psychological consequences of a firework factory disaster in a local community
verfasst von
Dr. Ask Elklit
Publikationsdatum
01.08.2007
Verlag
D. Steinkopff-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 8/2007
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-007-0206-z

Weitere Artikel der Ausgabe 8/2007

Social Psychiatry and Psychiatric Epidemiology 8/2007 Zur Ausgabe

Typ-2-Diabetes und Depression folgen oft aufeinander

14.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes sind überdurchschnittlich gefährdet, in den nächsten Jahren auch noch eine Depression zu entwickeln – und umgekehrt. Besonders ausgeprägt ist die Wechselbeziehung laut GKV-Daten bei jüngeren Erwachsenen.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Spezielles Sportprogramm bei einer Reihe von psychischen Erkrankungen effektiv

08.05.2024 Psychotherapie Nachrichten

Sportliche Betätigung hilft nicht nur bei Depression, sondern auch in Gruppen von Patientinnen und Patienten mit unterschiedlichen psychischen Erkrankungen, wie Insomnie, Panikattacken, Agoraphobie und posttraumatischem Belastungssyndrom. Sie alle profitieren längerfristig.

Wartezeit nicht kürzer, aber Arbeit flexibler

Psychotherapie Medizin aktuell

Fünf Jahren nach der Neugestaltung der Psychotherapie-Richtlinie wurden jetzt die Effekte der vorgenommenen Änderungen ausgewertet. Das Hauptziel der Novellierung war eine kürzere Wartezeit auf Therapieplätze. Dieses Ziel wurde nicht erreicht, es gab jedoch positive Auswirkungen auf andere Bereiche.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.