Posttraumatic stress symptoms after exposure to two fire disasters: comparative study
This study investigated traumatic stress symptoms in severely burned survivors of two fire disasters and two comparison groups of patients with "non-disaster" burn injuries, as well as risk factors associated with acute and chronic stress symptoms. Patients were admitted to one out of eigh...
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| Veröffentlicht in: | PloS one 2012-07, Vol.7 (7), p.e41532-e41532 |
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| creator | Van Loey, Nancy E van de Schoot, Rens Faber, Albertus W |
| description | This study investigated traumatic stress symptoms in severely burned survivors of two fire disasters and two comparison groups of patients with "non-disaster" burn injuries, as well as risk factors associated with acute and chronic stress symptoms. Patients were admitted to one out of eight burn centers in The Netherlands or Belgium. The Impact of Event Scale (IES) was administered to 61 and 33 survivors respectively of two fire disasters and 54 and 57 patients with "non-disaster" burn etiologies at 2 weeks, 3, 6, 12 and 24 months after the event. We used latent growth modeling (LGM) analyses to investigate the stress trajectories and predictors in the two disaster and two comparison groups. The results showed that initial traumatic stress reactions in disaster survivors with severe burns are more intense and prolonged during several months relative to survivors of "non-disaster" burn injuries. Excluding the industrial fire group, all participants' symptoms on average decreased over the two year period. Burn severity, peritraumatic anxiety and dissociation predicted the long-term negative outcomes only in the industrial fire group. In conclusion, fire disaster survivors appear to experience higher levels of traumatic stress symptoms on the short term, but the long-term outcome appears dependent on factors different from the first response. Likely, the younger age, and several beneficial post-disaster factors such as psychosocial aftercare and social support, along with swift judicial procedures, contributed to the positive outcome in one disaster cohort. |
| doi_str_mv | 10.1371/journal.pone.0041532 |
| format | Article |
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Patients were admitted to one out of eight burn centers in The Netherlands or Belgium. The Impact of Event Scale (IES) was administered to 61 and 33 survivors respectively of two fire disasters and 54 and 57 patients with "non-disaster" burn etiologies at 2 weeks, 3, 6, 12 and 24 months after the event. We used latent growth modeling (LGM) analyses to investigate the stress trajectories and predictors in the two disaster and two comparison groups. The results showed that initial traumatic stress reactions in disaster survivors with severe burns are more intense and prolonged during several months relative to survivors of "non-disaster" burn injuries. Excluding the industrial fire group, all participants' symptoms on average decreased over the two year period. Burn severity, peritraumatic anxiety and dissociation predicted the long-term negative outcomes only in the industrial fire group. In conclusion, fire disaster survivors appear to experience higher levels of traumatic stress symptoms on the short term, but the long-term outcome appears dependent on factors different from the first response. Likely, the younger age, and several beneficial post-disaster factors such as psychosocial aftercare and social support, along with swift judicial procedures, contributed to the positive outcome in one disaster cohort.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0041532</identifier><identifier>PMID: 22911810</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Analysis ; Anxiety ; Belgium - epidemiology ; Burns ; Comparative studies ; Disaster victims ; Disasters ; Disasters - statistics & numerical data ; Dissociation ; Earthquakes ; Ethics ; Etiology ; Female ; Fires - statistics & numerical data ; Follow-Up Studies ; Health risks ; Humans ; Injuries ; Male ; Medicine ; Models, Biological ; Netherlands - epidemiology ; Patients ; Post traumatic stress disorder ; Posttraumatic stress disorder ; Prevalence ; Risk analysis ; Risk factors ; Roads & highways ; Social and Behavioral Sciences ; Social interactions ; Stress ; Stress Disorders, Post-Traumatic - epidemiology ; Stresses ; Studies ; Trajectory analysis ; Trauma ; Tsunamis ; Vehicles ; Young Adult</subject><ispartof>PloS one, 2012-07, Vol.7 (7), p.e41532-e41532</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Van Loey et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Van Loey et al. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-1ca51092ed2b2160bce923116479320f07ccc8bbe3aa3239aab71110093e3543</citedby><cites>FETCH-LOGICAL-c725t-1ca51092ed2b2160bce923116479320f07ccc8bbe3aa3239aab71110093e3543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404048/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404048/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27923,27924,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22911810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Fontenelle, Leonardo</contributor><creatorcontrib>Van Loey, Nancy E</creatorcontrib><creatorcontrib>van de Schoot, Rens</creatorcontrib><creatorcontrib>Faber, Albertus W</creatorcontrib><title>Posttraumatic stress symptoms after exposure to two fire disasters: comparative study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>This study investigated traumatic stress symptoms in severely burned survivors of two fire disasters and two comparison groups of patients with "non-disaster" burn injuries, as well as risk factors associated with acute and chronic stress symptoms. Patients were admitted to one out of eight burn centers in The Netherlands or Belgium. The Impact of Event Scale (IES) was administered to 61 and 33 survivors respectively of two fire disasters and 54 and 57 patients with "non-disaster" burn etiologies at 2 weeks, 3, 6, 12 and 24 months after the event. We used latent growth modeling (LGM) analyses to investigate the stress trajectories and predictors in the two disaster and two comparison groups. The results showed that initial traumatic stress reactions in disaster survivors with severe burns are more intense and prolonged during several months relative to survivors of "non-disaster" burn injuries. Excluding the industrial fire group, all participants' symptoms on average decreased over the two year period. Burn severity, peritraumatic anxiety and dissociation predicted the long-term negative outcomes only in the industrial fire group. In conclusion, fire disaster survivors appear to experience higher levels of traumatic stress symptoms on the short term, but the long-term outcome appears dependent on factors different from the first response. Likely, the younger age, and several beneficial post-disaster factors such as psychosocial aftercare and social support, along with swift judicial procedures, contributed to the positive outcome in one disaster cohort.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Belgium - epidemiology</subject><subject>Burns</subject><subject>Comparative studies</subject><subject>Disaster victims</subject><subject>Disasters</subject><subject>Disasters - statistics & numerical data</subject><subject>Dissociation</subject><subject>Earthquakes</subject><subject>Ethics</subject><subject>Etiology</subject><subject>Female</subject><subject>Fires - statistics & numerical data</subject><subject>Follow-Up Studies</subject><subject>Health risks</subject><subject>Humans</subject><subject>Injuries</subject><subject>Male</subject><subject>Medicine</subject><subject>Models, Biological</subject><subject>Netherlands - epidemiology</subject><subject>Patients</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic stress disorder</subject><subject>Prevalence</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Roads & highways</subject><subject>Social and Behavioral Sciences</subject><subject>Social interactions</subject><subject>Stress</subject><subject>Stress Disorders, Post-Traumatic - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Loey, Nancy E</au><au>van de Schoot, Rens</au><au>Faber, Albertus W</au><au>Fontenelle, Leonardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posttraumatic stress symptoms after exposure to two fire disasters: comparative study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-07-24</date><risdate>2012</risdate><volume>7</volume><issue>7</issue><spage>e41532</spage><epage>e41532</epage><pages>e41532-e41532</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>This study investigated traumatic stress symptoms in severely burned survivors of two fire disasters and two comparison groups of patients with "non-disaster" burn injuries, as well as risk factors associated with acute and chronic stress symptoms. Patients were admitted to one out of eight burn centers in The Netherlands or Belgium. The Impact of Event Scale (IES) was administered to 61 and 33 survivors respectively of two fire disasters and 54 and 57 patients with "non-disaster" burn etiologies at 2 weeks, 3, 6, 12 and 24 months after the event. We used latent growth modeling (LGM) analyses to investigate the stress trajectories and predictors in the two disaster and two comparison groups. The results showed that initial traumatic stress reactions in disaster survivors with severe burns are more intense and prolonged during several months relative to survivors of "non-disaster" burn injuries. Excluding the industrial fire group, all participants' symptoms on average decreased over the two year period. Burn severity, peritraumatic anxiety and dissociation predicted the long-term negative outcomes only in the industrial fire group. In conclusion, fire disaster survivors appear to experience higher levels of traumatic stress symptoms on the short term, but the long-term outcome appears dependent on factors different from the first response. Likely, the younger age, and several beneficial post-disaster factors such as psychosocial aftercare and social support, along with swift judicial procedures, contributed to the positive outcome in one disaster cohort.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22911810</pmid><doi>10.1371/journal.pone.0041532</doi><tpages>e41532</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Analysis Anxiety Belgium - epidemiology Burns Comparative studies Disaster victims Disasters Disasters - statistics & numerical data Dissociation Earthquakes Ethics Etiology Female Fires - statistics & numerical data Follow-Up Studies Health risks Humans Injuries Male Medicine Models, Biological Netherlands - epidemiology Patients Post traumatic stress disorder Posttraumatic stress disorder Prevalence Risk analysis Risk factors Roads & highways Social and Behavioral Sciences Social interactions Stress Stress Disorders, Post-Traumatic - epidemiology Stresses Studies Trajectory analysis Trauma Tsunamis Vehicles Young Adult |
| title | Posttraumatic stress symptoms after exposure to two fire disasters: comparative study |
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