Acute stress disorder, subsequent posttraumatic stress disorder and depression after a series of typhoons

Anxiety
J P StaabRobert J Ursano

Abstract

From August to November 1992, five typhoons struck the U.S. Pacific island territory of Guam. Three hundred and twenty subjects exposed to all five typhoons participated in a population survey measuring their acute stress symptoms and subsequent diagnoses of posttraumatic stress disorder (PTSD) and depression. A 23-item scale approximating the new DSM-IV diagnosis of acute stress disorder (ASD) was used to classify subjects into three groups based on their symptoms one week after the first typhoon: (1) probable ASD, (2) an early traumatic stress response (ETSR) of fear, intrusion, avoidance, and arousal, without dissociation, and (3) no acute diagnosis. A multi-dimensional measure of PTSD and the Zung Self-Rating Depression Scale were used to assess PTSD and depression 8 months after the first storm. The point prevalence of ASD at one week was 7.2%. An additional 15% of subjects had ETSR. Subjects with probable ASD at one week had significantly increased rates of PTSD and somewhat higher rates of depression at 8 months than those without ASD. In contrast, subjects with ETSR at one week did not have a poorer outcome than those with no acute diagnosis. These findings suggest that ASD is prognostically important, but also indicate...Continue Reading

Citations

Aug 2, 2007·Social Psychiatry and Psychiatric Epidemiology·Rivka Yahav, Miri Cohen
Oct 31, 2002·Psychological Bulletin·Allison G Harvey, Richard A Bryant
Jul 14, 2005·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Rachel YehudaJoseph Zohar
Apr 18, 2009·The Australian and New Zealand Journal of Psychiatry·Bernd KraemerUlrich Schnyder
May 8, 2003·Journal of Psychoactive Drugs·Maria Yellow Horse Brave Heart
May 8, 2003·Journal of Psychoactive Drugs·Yvonne Edwards
Mar 10, 2012·Journal of Psychoactive Drugs·Maria Yellow Horse Brave HeartDeborah B Altschul
Jun 17, 2005·Epidemiologic Reviews·Sandro GaleaDavid Vlahov
Jun 17, 2005·Epidemiologic Reviews·James M ShultzZelde Espinel
Sep 26, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Christopher R Thomas
Dec 24, 2005·The Journal of Trauma·Glenn N SaxeSteve Moulton
Jan 13, 2010·The Journal of Trauma·Sherri SharpWalter Meyer
Mar 11, 2004·Psychiatry and Clinical Neurosciences·Masahiro KokaiGlen Edwards
Sep 10, 2005·Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)·Richard A Bryant
Sep 10, 2005·Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)·David Spiegel
Oct 30, 2003·Violence and Victims·Ask Elklit, Ole Brink
Nov 1, 2003·Psychological Science in the Public Interest : a Journal of the American Psychological Society·Richard J McNallyAnke Ehlers
Feb 1, 2011·Annual Review of Clinical Psychology·Etzel Cardeña, Eve Carlson
Apr 10, 2013·Neuroscience and Biobehavioral Reviews·Phillip R Zoladz, David M Diamond
Nov 18, 2011·Journal of Psychiatric Research·Richard A BryantAlexander C McFarlane
Nov 11, 2005·Journal of Traumatic Stress·Lynn C WaeldeJohn A Fairbank
Dec 25, 2007·Journal of Traumatic Stress·Richard A BryantPatricia Davidson
Feb 1, 2007·Early Intervention in Psychiatry·Richard A Bryant
Feb 28, 2008·Journal of Traumatic Stress·Miri Cohen, Rivka Yahav
May 16, 2007·International Journal of Geriatric Psychiatry·Miri Cohen
Sep 13, 2011·Depression and Anxiety·Richard A BryantJames Strain
Oct 12, 1999·Emergency Medicine Clinics of North America·J B Frank, M F Rodowski
May 3, 2003·Biological Psychiatry·Richard A Bryant
Aug 5, 2003·Journal of Traumatic Stress·Lori A ZoellnerEdna B Foa
Oct 19, 2010·The American Journal of Orthopsychiatry·Quinn M BiggsRobert J Ursano
Nov 23, 2013·Journal of Korean Medical Science·Yong-Sil KweonKyoung-Uk Lee
Sep 13, 2002·Journal of Traumatic Stress·Damodar SuarR Khuntia
May 14, 2004·Journal of Interpersonal Violence·Ask Elklit, Ole Brink
Jan 14, 2010·Journal of Interpersonal Violence·Ask Elklit, Dorte M Christiansen
Jan 1, 2010·Psychological Science in the Public Interest : a Journal of the American Psychological Society·George A BonannoAnnette M La Greca
Mar 16, 2018·Journal of Clinical Psychology·Mary C VanceEric Bui
Feb 11, 2004·The Journal of Nervous and Mental Disease·Karin E ThompsonPatricia B Sutker
Jun 3, 2006·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Gernot Brauchle

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