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Early psychological reactions in a group of individuals with pre-existing and enduring mental health difficulties following a major coach accident

Chubb, H. L. and Bisson, Jonathan Ian 1996. Early psychological reactions in a group of individuals with pre-existing and enduring mental health difficulties following a major coach accident. British Journal of Psychiatry 169 (4) , pp. 430-433. 10.1192/bjp.169.4.430

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Abstract

BACKGROUND The impact of major trauma on individuals with pre-existing and enduring mental health difficulties is poorly understood. METHOD Twenty individuals with pre-existing and enduring mental health difficulties were assessed with the Clinician Administered Post Traumatic Stress Disorder Scale, the 28-item version of the GHO, the Hospital Anxiety and Depression Scale, and the impact of Event Scale between four and eight weeks after their involvement in a major coach accident. RESULTS Ten (50%) individuals satisfied the full DSM-IV criteria for a diagnosis of PTSD. The questionnaire scores indicated a high level of psychological suffering among the group. On dividing the sample into those individuals with previous diagnosis of anxiety or depressive disorders and those with a previous diagnosis of chronic schizophrenia, the schizophrenia group displayed less marked psychological sequelae on all measures. CONCLUSION There was a high incidence of early psychological sequelae among the group as a whole. Some diagnoses (e.g. depression and anxiety) may predispose to psychological sequelae while others (e.g. chronic schizophrenia) may not.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > R Medicine (General)
Publisher: Royal College of Psychiatrists
ISSN: 0007-1250
Last Modified: 04 Jun 2017 04:58
URI: http://orca-mwe.cf.ac.uk/id/eprint/46878

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