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Early traumatic stress reactions among Swedish survivors of the m/s Estonia disaster.

https://arctichealth.org/en/permalink/ahliterature210500
Source
Br J Psychiatry. 1996 Dec;169(6):713-6
Publication Type
Article
Date
Dec-1996
Author
N G Eriksson
T. Lundin
Author Affiliation
National Centre for PTSD, Karolinska Hospital, Sundbyberg, Sweden.
Source
Br J Psychiatry. 1996 Dec;169(6):713-6
Date
Dec-1996
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Aged
Disasters
Dissociative Disorders - diagnosis - psychology
Estonia
Female
Follow-Up Studies
Humans
Male
Middle Aged
Personality Inventory - statistics & numerical data
Psychometrics
Ships
Stress Disorders, Post-Traumatic - diagnosis - psychology
Survival - psychology
Sweden
Abstract
This study is a three-month follow-up study in order to assess the short-term impact of traumatic stress among 53 Swedish survivors of the Estonia disaster.
A questionnaire consisting of general questions about conditions during and after the disaster and self-assessment by Post Traumatic Symptom Scale (PTSS-10), Impact of Event Scale (IES), Sense of Coherence-short version (SoC-12), and the DSM-IV list of dissociative symptoms of Acute Stress Disorder formulated as questions regarding individual reactions was distributed.
The response rate was 79.2% (n = 42). The participants scored an average of 3.9 on PTSS-10, 28.5 on IES ('intrusion' and 'avoidance' subscales) and 62.8 on SoC-12, which shows elevated levels of post-traumatic stress reactions but a normal level of sense of coherence. The reported occurrence of dissociative symptoms during the disaster was as follows: emotional numbing in 43% of the survivors, reduction of awareness in 55%, derealisation in 67%, depersonalisation in 33%, and dissociative amnesia in 29%. Survivors scoring low in SoC scored significantly higher in both PTSS-10 and IES than those with high scores in SoC. All dissociative symptoms were predictive of post-traumatic reactions.
This study substantiates the importance of assessing dissociative symptoms during a life-threatening event as a possible for later post-traumatic reactions and possible PTSD. The Sense of Coherence Scale may be useful as an instrument to sort out survivors at risk.
PubMed ID
8968628 View in PubMed
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[Naval rescue workers and post-traumatic stress syndrome. Relieving conversation made coping easier].

https://arctichealth.org/en/permalink/ahliterature208951
Source
Lakartidningen. 1997 Mar 26;94(13):1204-6
Publication Type
Article
Date
Mar-26-1997

[Psychosocial support activities. Help to persons calling the Karolinska hospital's hotline].

https://arctichealth.org/en/permalink/ahliterature208953
Source
Lakartidningen. 1997 Mar 26;94(13):1195-8
Publication Type
Article
Date
Mar-26-1997
Author
M. Markström
T. Lundin
Author Affiliation
Akutdivisionen, Karolinska sjukhuset, Stockholm.
Source
Lakartidningen. 1997 Mar 26;94(13):1195-8
Date
Mar-26-1997
Language
Swedish
Publication Type
Article
Keywords
Accidents
Crisis Intervention
Disaster planning
Emergency Service, Hospital
Emergency Services, Psychiatric - organization & administration
Estonia
Hotlines
Humans
Ships
Social Support
Sweden
PubMed ID
9148059 View in PubMed
Less detail