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Screening and Psychological Debriefing of Adolescent Survivors of Life-Threatening Events

Published online by Cambridge University Press:  02 January 2018

Paul Stallard*
Affiliation:
Clinical Psychology Department, Department of Child and Family Psychiatry, Royal United Hospital, Combe Park, Bath BA1 3NG
Fergus Law
Affiliation:
Royal United Hospital, Combe Park, Bath BA1 3NG
*
Correspondence

Abstract

There is a perceived need for schools and casualty departments to receive appropriate information and guidelines in order to minimise the effect of PTSD. A recommended screening battery for PTSD was administered at the start of a two-session debriefing group and again three months later to a group of seven young survivors of a minibus accident. No studies using this screen other than those of shipping disasters have been reported to date. Screen scores were compared with those of survivors of the cruise ship Jupiter. No significant differences were found between minibus survivors when assessed at six months (before intervention), and Jupiter survivors, who when assessed at five months had already undergone debriefing. Post-debriefing assessment of minibus survivors demonstrated significant reductions on all measures.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Birleson, P. (1981) The validity of depressive disorder in childhood and the development of a self-rating scale: A research report. Journal of Child Psychology and Psychiatry, 22, 7378.Google Scholar
Earls, F., Smith, E., Reich, W., et al (1988) Investigating Psychopathological consequences of a disaster in children: A pilot study incorporating a structured diagnostic approach. Journal of the American Academy of Child Psychiatry, 27, 9095.Google Scholar
Galante, R. & Foa, D. (1986) An epidemiological study of psychic trauma and treatment effectiveness after a natural disaster. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 357363.Google Scholar
Garmezy, N. & Rutter, M. (1985) Acute reactions to stress. In Child and Adolescent Psychiatry: Modern Approaches (eds Rutter, M. & Hersov, L.) (2nd edn). Oxford: Blackwell.Google Scholar
Green, B. L. (1982) Assessing levels of psychological impairment following disasters. Journal of Nervous and Mental Disease, 170, 544552.Google Scholar
Horowitz, M. J., Wilner, N. & Alvarez, W. (1979) Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209218.Google Scholar
Joseph, S., Andrews, B., Williams, R., et al (1992) Crisis support and psychiatric symptomatology in adult survivors of the “Jupiter” cruise ship disaster. British Journal of Clinical Psychology, 31, 6374.Google Scholar
Joseph, S., Brewin, C. R. & Yule, W. (1993) Causal attributions and post-traumatic stress in adolescents. Journal of Child Psychology and Psychiatry, 34, 247253.Google Scholar
McFarlane, A. C., Policansky, S. & Irwin, C. P. (1987) A longitudinal study of the psychological morbidity in children due to a natural disaster. Psychological Medicine, 17, 727738.CrossRefGoogle ScholarPubMed
Newman, C. J. (1976) Children of disaster: clinical observations at Buffalo Creek. American Journal of Psychiatry, 133, 306312.Google Scholar
Pynoos, R. S. & Eth, S. S. (1986) Witness to violence: the child interview. Journal of the American Academy of Child Psychiatry, 25 (suppl. 3), 306319.CrossRefGoogle Scholar
Pynoos, R. S., Fredrick, C., Nader, K., et al (1987) Life threat and post traumatic stress in school-age children. Archives of General Psychiatry, 44, 10571063.Google Scholar
Raphael, B. (1986) When Disaster Strikes: A Handbook for the Caring Professions. London: Hutchinson.Google Scholar
Reynolds, C. R. & Richmond, B. D. (1978) What I think and feel: a revised measure of children's manifest anxiety. Journal of Abnormal Child Psychology, 6, 271280.Google Scholar
Rothbaum, F., Weisz, J. R. & Snyder, S. S. (1982) Changing the world and changing the self: a two process model of perceived control. Journal of Personality and Social Psychology, 42, 537.Google Scholar
Terr, C. C. (1991) Childhood traumas: an outline and overview. American Journal of Psychiatry, 148 (suppl. 1), 1020.Google Scholar
World Health Organization (1990) Tenth Revision of the International Classification of Diseases. Geneva: WHO.Google Scholar
Yule, W. (1989) The effects of disasters on children. Association for Child Psychology and Psychiatry Newsletter, 11 (suppl. 6), 36.Google Scholar
Yule, W. (1992) Post traumatic stress disorder in child survivors of shipping disasters: the sinking of the “Jupiter”. Journal of Psychotherapy and Psychosomatics, 57, 200205.Google Scholar
Yule, W. & Udwin, O. (1991) Screening child survivors for post-traumatic stress disorders: Experiences from the “Jupiter” sinking. British Journal of Clinical Psychology, 30, 131138.CrossRefGoogle ScholarPubMed
Yule, W., Udwin, O. & Murdoch, K. (1990) The “Jupiter” sinking: Effects on children's fears, depression and anxiety. Journal of Child Psychology and Psychiatry, 31, 10511061.Google Scholar
Yule, W. & Williams, R. (1990) Post-traumatic stress reactions in children. Journal of Traumatic Stress, 3 (suppl. 2), 279295.Google Scholar
Ziv, A. & Israeli, R. (1973) Effects of bombardment on the manifest anxiety level of children living in Kibbutzim. Journal of Consulting and Clinical Psychology, 40, 287291.Google Scholar
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