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Long-term psychopathology changes among the injured and members of the community after a massive terrorist attack

Published online by Cambridge University Press:  16 April 2020

L. Ferrando ,
S. Galea ,
E. Sainz Cortón ,
C. Mingote ,
E. García Camba ,
A. Fernandez Líria  and
R. Gabriel
L. Ferrando*
Affiliation:
Instituto IAP, Serrano 178, 28002Madrid, Spain
S. Galea
Affiliation:
3663 SPH I1415 Washington Heights Ann Arbor, Michigan48109-2029, USA
E. Sainz Cortón
Affiliation:
Servicio de Psiquiatría, Hospital General Universitario Gregorio Marañón, 28007Madrid, Spain
C. Mingote
Affiliation:
Servicio de Psiquiatría, Hospital Universitario 12 de Octubre, 28041Madrid, Spain
E. García Camba
Affiliation:
Servicio de Psiquiatría, Hospital Universitario de la Princesa, 28006Madrid, pain
A. Fernandez Líria
Affiliation:
Servicio de Psiquiatría, Hospital Universitario Príncipe de Asturias, 28805 Alcalá de Henares, Madrid, Spain
R. Gabriel
Affiliation:
Unidad de Investigación, Instituto IdiPaz, Hospital Universitario La Paz and Universidad Autónoma de Madrid, 28046Madrid, Spain
*
*Corresponding author. Fax: +34 91 5644718. E-mail address: lauraferrando@iiap.es (L. Ferrando).
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Abstract

Background and aim

To document long-term prevalence trends and changes in Post-Traumatic Stress Disorder (PTSD), Current Major Depression (MD), Agoraphobia, Generalized Anxiety Disorder (GAD), and Panic Disorder, in two groups of people with different levels of exposure to a massive terrorist attack.

Methods

Cohort study. Two random samples of people exposed to a terrorist attack, the injured (n = 127) and community residents (n = 485) were followed and assessed, 2 and 18 months after the event.

Results

Among the injured, 2 and 18 months after the attack, the prevalences were respectively, PTSD: 44.1% and 34%, MD: 31.5% and 23.7%, Agoraphobia: 23.8% and 20.7%, GAD: 13.4% and 12.4% and Panic Disorder: 9.4% and 11.3%. The corresponding figures among residents were PTSD: 12.3% and 3.5%, MD: 8.5% and 5.4%, Agoraphobia: 10.5% and 8.7%, GAD: 8.6%, and 8.2% and Panic Disorder 2.1% and 2.7%.

Conclusions

Two months after the event, the prevalence of mental disorders among both injured and residents was higher than expected levels at baseline conditions. Eighteen months after the event, psychopathological conditions did not change significantly among the injured but returned to the expected baseline rates among community residents.

Keywords

Mental disordersPsychopathologyTraumatic eventTerrorism
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 8 , November 2011 , pp. 513 - 517
Copyright
Copyright © Elsevier Masson SAS 2011

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