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 ORCID: https://orcid.org/0000-0001-5170-1243 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:	Schools > Medicine Research Institutes & Centres > 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:	24 Oct 2022 11:05
URI:	https://orca.cardiff.ac.uk/id/eprint/46878

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