The Association Between Dissatisfaction with Debriefing and Post-Traumatic Stress Disorder (PTSD) in Rescue and Recovery Workers for the Oklahoma City Bombing

2018 ◽  
Vol 12 (6) ◽  
pp. 718-722 ◽  
Author(s):  
Duy Vu Tran ◽  
Carol S. North
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychiatric Treatment ◽  
Subjective Evaluation ◽  
Oklahoma City ◽  
Oklahoma City Bombing ◽  
Post Traumatic Stress ◽  
Potential Association ◽  
Post Traumatic

AbstractObjectiveThe purpose of this study was to investigate potential association between psychopathology and subjective evaluation of the experience of debriefing in disaster-exposed rescue and recovery workers.MethodsStructured diagnostic interviews for DSM-III-R psychiatric disorders were conducted with 166 firefighters who served as rescue and recovery workers for the 1995 Oklahoma City bombing, who categorized their satisfaction with the debriefing on 4 levels. “Very dissatisfied” responses were examined for their association with post-traumatic stress disorder (PTSD) and with PTSD symptom groups.ResultsBeing “very dissatisfied” with the debriefing was significantly associated with the DSM-III-R avoidance and numbing group and with PTSD.ConclusionsThese findings suggest that debriefing may be an unsatisfactory intervention for people with prominent avoidance and numbing symptoms, such as those with PTSD. These individuals might be better served by referral directly to psychiatric treatment (Disaster Med Public Health Preparedness. 2018;12:718-722).

scholarly journals Coming to terms with Fukushima disaster-related trauma and earlier trauma by constructing a new identity. About a case

2020 ◽  
Vol 55 (4) ◽  
pp. 283-290
Author(s):  
A. Hori
Keyword(s):  
Power Plant ◽  
Nuclear Power Plant ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Nuclear Power ◽  
Stress Disorder ◽  
Psychiatric Treatment ◽  
Post Traumatic Stress ◽  
Nuclear Power Plant Accident ◽  
Post Traumatic

The incidence of post-traumatic stress disorder, depression, and anxiety generally increases after disasters, and the 2011 Great East Japan Earthquake and nuclear power plant accident were no exception. Psychological first aid providers who deliver interventions to address mental health issues do not emphasize psychiatric expertise, but instead go into the field to help residents rebuild and stabilize their daily lives and provide a link between them and supporters. When psychiatric problems do not improve with such interventions and persist for more than a few years, specialized psychiatric interventions are considered. Past studies have examined the experience of prolonged exposure therapy (a specialized cognitive behavioral therapy for post-traumatic stress disorder) among survivors of the Fukushima nuclear power plant accident. The participant in this study was a survivor who was evacuated from the nuclear power plant accident but had experienced multiple traumas and had been a victim of domestic violence before the disaster. Recovery in this case did not involve a simple psychiatric treatment for trauma, but rather a process of overcoming the values that caused indulgence in victimization to form a new identity.

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