A community study of the psychological effects of the Omagh car bomb on adults.

<h4>Background</h4>The main aims of the study were to assess psychological morbidity among adults nine months after a car bomb explosion in the town of Omagh, Northern Ireland and to identify predictors of chronic posttraumatic stress disorder symptoms.<h4>Method</h4>A questi...

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Autores principales:	Michael Duffy, David Bolton, Kate Gillespie, Anke Ehlers, David M Clark
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3920e09400e94b9bafa0133681dd61ad
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spelling	oai:doaj.org-article:3920e09400e94b9bafa0133681dd61ad2021-11-18T08:53:20ZA community study of the psychological effects of the Omagh car bomb on adults.1932-620310.1371/journal.pone.0076618https://doaj.org/article/3920e09400e94b9bafa0133681dd61ad2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24098795/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The main aims of the study were to assess psychological morbidity among adults nine months after a car bomb explosion in the town of Omagh, Northern Ireland and to identify predictors of chronic posttraumatic stress disorder symptoms.<h4>Method</h4>A questionnaire was sent to all adults in households in The Omagh District Council area. The questionnaire comprised established predictors of PTSD (such as pre-trauma personal characteristics, type of exposure, initial emotional response and long-term adverse physical or financial problems), predictors derived from the Ehlers and Clark (2000) cognitive model, a measure of PTSD symptoms and the General Health Questionnaire.<h4>Results</h4>Among respondents (n = 3131) the highest rates of PTSD symptoms and probable casesness (58.5%) were observed among people who were present in the street when the bomb exploded but elevated rates were also observed in people who subsequently attended the scene (21.8% probable caseness) and among people for whom someone close died (11.9%). People with a near miss (left the scene before the explosion) did not show elevated rates. Exposure to the bombing increased PTSD symptoms to a greater extent than general psychiatric symptoms. Previously established predictors accounted for 42% of the variance in PTSD symptoms among people directly exposed to the bombing. Predictors derived from the cognitive model accounted for 63%.<h4>Conclusions</h4>High rates of chronic PTSD were observed in individuals exposed to the bombing. Psychological variables that are in principle amenable to treatment were the best predictors of PTSD symptoms. Teams planning treatment interventions for victims of future bombings and other traumas may wish to take these results into account.Michael DuffyDavid BoltonKate GillespieAnke EhlersDavid M ClarkPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 9, p e76618 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Michael Duffy David Bolton Kate Gillespie Anke Ehlers David M Clark A community study of the psychological effects of the Omagh car bomb on adults.
description	<h4>Background</h4>The main aims of the study were to assess psychological morbidity among adults nine months after a car bomb explosion in the town of Omagh, Northern Ireland and to identify predictors of chronic posttraumatic stress disorder symptoms.<h4>Method</h4>A questionnaire was sent to all adults in households in The Omagh District Council area. The questionnaire comprised established predictors of PTSD (such as pre-trauma personal characteristics, type of exposure, initial emotional response and long-term adverse physical or financial problems), predictors derived from the Ehlers and Clark (2000) cognitive model, a measure of PTSD symptoms and the General Health Questionnaire.<h4>Results</h4>Among respondents (n = 3131) the highest rates of PTSD symptoms and probable casesness (58.5%) were observed among people who were present in the street when the bomb exploded but elevated rates were also observed in people who subsequently attended the scene (21.8% probable caseness) and among people for whom someone close died (11.9%). People with a near miss (left the scene before the explosion) did not show elevated rates. Exposure to the bombing increased PTSD symptoms to a greater extent than general psychiatric symptoms. Previously established predictors accounted for 42% of the variance in PTSD symptoms among people directly exposed to the bombing. Predictors derived from the cognitive model accounted for 63%.<h4>Conclusions</h4>High rates of chronic PTSD were observed in individuals exposed to the bombing. Psychological variables that are in principle amenable to treatment were the best predictors of PTSD symptoms. Teams planning treatment interventions for victims of future bombings and other traumas may wish to take these results into account.
format	article
author	Michael Duffy David Bolton Kate Gillespie Anke Ehlers David M Clark
author_facet	Michael Duffy David Bolton Kate Gillespie Anke Ehlers David M Clark
author_sort	Michael Duffy
title	A community study of the psychological effects of the Omagh car bomb on adults.
title_short	A community study of the psychological effects of the Omagh car bomb on adults.
title_full	A community study of the psychological effects of the Omagh car bomb on adults.
title_fullStr	A community study of the psychological effects of the Omagh car bomb on adults.
title_full_unstemmed	A community study of the psychological effects of the Omagh car bomb on adults.
title_sort	community study of the psychological effects of the omagh car bomb on adults.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/3920e09400e94b9bafa0133681dd61ad
work_keys_str_mv	AT michaelduffy acommunitystudyofthepsychologicaleffectsoftheomaghcarbombonadults AT davidbolton acommunitystudyofthepsychologicaleffectsoftheomaghcarbombonadults AT kategillespie acommunitystudyofthepsychologicaleffectsoftheomaghcarbombonadults AT ankeehlers acommunitystudyofthepsychologicaleffectsoftheomaghcarbombonadults AT davidmclark acommunitystudyofthepsychologicaleffectsoftheomaghcarbombonadults AT michaelduffy communitystudyofthepsychologicaleffectsoftheomaghcarbombonadults AT davidbolton communitystudyofthepsychologicaleffectsoftheomaghcarbombonadults AT kategillespie communitystudyofthepsychologicaleffectsoftheomaghcarbombonadults AT ankeehlers communitystudyofthepsychologicaleffectsoftheomaghcarbombonadults AT davidmclark communitystudyofthepsychologicaleffectsoftheomaghcarbombonadults
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A community study of the psychological effects of the Omagh car bomb on adults.

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