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Psychological Consequences of the Kegworth Air Disaster

  • W. Gregg (a1), I. Medley (a2), R. Fowler-Dixon (a3), P. Curran (a4), G. Loughrey, P. Bell (a5), A. Lee (a2) and G. Harrison (a6)...

Abstract

Background

The study sought to quantify psychiatric morbidity among survivors of a major air crash and to identify aetiological factors linked with post-traumatic stress disorder (PTSD).

Method

Sixty-eight of the 79 survivors (86%) were assessed at a clinical interview within one year of the disaster. The majority also completed the General Health Questionnaire, the Impact of Events Scale (IES) and the Zung Anxiety and Depression Scales.

Results

Fifty-four of the study group (79%) met DSM–III–R criteria for a psychiatric disorder within one year of the disaster, of whom 27 (50%) had PTSD. Those who saw injured or dead people at the scene, or had sustained less severe injuries as measured by their Injury Severity Scores, or were under 35 years old, were significantly more likely to develop PTSD.

Conclusions

High rates of psychiatric morbidity are found in survivors of transportation disasters. Further studies are needed to identify those at most risk and to evaluate the benefits of psychological intervention.

Copyright

Corresponding author

Dr William Gregg, Holywell Hospital, Antrim, Co. Antrim BT41 2RJ, Northern Ireland

References

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Allen, M. J., et al (Staff of the A&E departments of Derbyshire Royal Infirmary, Leicester Royal Infirmary, and Queen's Medical Centre, Nottingham) (1989) Coping with the early stages of the M1 Disaster: at the scene and on arrival at hospital. British Medical Journal, 298, 651654.
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.
Baker, S., O'Neill, B., Haddon, W., et al (1974) Injury Severity Score: a method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma, 14, 187195.
Barren, J. B. (1976) Crisis intervention: the Ice-Cream Parlour Disaster. In Emergencies in Disaster Management (eds Parad, J. H., Resnick, H. L. P. & Parad, L. G.), pp. 353362. Bowie, Maryland: Charles Press.
Brooks, N. & McKinlay, W. (1992) Mental health consequences of the Lockerbie Disaster. Journal of Traumatic Stress, 5, 527543.
Crown, S. & Crisp, A. H. (1979) Manual of the Crown-Crisp Experimental Index. London: Hodder and Stoughton.
Curran, P. S., Bell, P., Murray, A., et al (1990) Psychological consequences of the Enniskillen bombing. British Journal of Psychiatry, 156, 479482.
Goldberg, D. (1978) Manual of the General Health Questionnaire. London: NFER-Nelson.
Green, B. L., Lindy, J. D., Grace, M. C., et al (1989) Multiple diagnosis in posttraumatic stress disorder. The role of war stressors. Journal of Nervous and Mental Disease, 177, 329335.
Greenwald, J. (1986) Is there cause for fear of flying? Time, 13 January, 3940.
Horowitz, M. J., Wilner, N. & Alvarez, W. (1979) Impact of Events Scale: a measure of subjective stress. Psychosomatic Medicine, 41, 209218.
Kirsh, G., Learmonth, D. J. A., Martindale, J. P., et al (1989) The Nottingham, Leicester, Derby Aircraft Accident Study: preliminary report three weeks after the accident. British Medical Journal, 298, 503505.
Nance, J. (1986) Blind Trust: The Human Crisis in Airline Safety. New York: Morrow.
Perlberg, M. (1979) Trauma at Tenerife: the psychic aftershocks of a jet disaster. Human Behaviour, 8, 4950.
Rawlins, T. (1985) Survivors. Nursing Times, 27 November, 1214.
Sloan, P. (1988) Post-traumatic stress in survivors of an airplane crash-landing: a clinical and exploratory research intervention. Journal of Traumatic Stress, 1, 211229.
Wright, K., Ursano, R. J., Ingraham, L., et al (1990) Individual and community responses to an aircraft disaster. In Post-Traumatic Stress Disorder: Etiology, Phenomenology, and Treatment (eds Wolf, M. E. & Mosnaim, A. D.), pp. 126138. Washington, DC: APA.
Zung, W. W. K. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 63.
Zung, W. W. K. (1971) A rating instrument for anxiety disorders. Psychosomatics, 12, 371379.

Psychological Consequences of the Kegworth Air Disaster

  • W. Gregg (a1), I. Medley (a2), R. Fowler-Dixon (a3), P. Curran (a4), G. Loughrey, P. Bell (a5), A. Lee (a2) and G. Harrison (a6)...

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Psychological Consequences of the Kegworth Air Disaster

  • W. Gregg (a1), I. Medley (a2), R. Fowler-Dixon (a3), P. Curran (a4), G. Loughrey, P. Bell (a5), A. Lee (a2) and G. Harrison (a6)...
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