Psychiatric reactions to disaster: the Mount St. Helens experience

James H. Shore · Ellie Tatum · William M. Vollmer

332 citations0/0 files storedAmerican Journal of Psychiatry

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Posttraumatic Stress Disorder Research Mental Health Treatment and Access Disaster Response and Management

Abstract

Following the 1980 Mount St. Helens volcanic eruption, psychiatric reactions were studied in the disaster area and in a control community. Using the new criterion-based diagnostic method for psychiatric epidemiologic research, the Diagnostic Interview Schedule, the authors found a significant prevalence of disaster-related psychiatric disorders. These Mount St. Helens disorders included depression, generalized anxiety, and posttraumatic stress reaction. There was a progressive "dose-response" relationship in the comparison of control, low-exposure, and high-exposure groups. The dose-response pattern occurred among both the bereaved and the property-loss victims.

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References

1981National Institute of Mental Health Diagnostic Interview Schedule 1984Lifetime Prevalence of Specific Psychiatric Disorders in Three Sites

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1994Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia 1994Children Exposed to Disaster: II. Risk Factors for the Development of Post-Traumatic Symptomatology 1993The phenomenological and conceptual interface between borderline personality disorder and PTSD 1994Psychosocial research in traumatic stress: An update 2013Current status on behavioral and biological markers of PTSD: A search for clarity in a conflicting literature 2000Disaster Preparedness: Relationships Among Prior Experience, Personal Characteristics, and Distress 1 1998Prevalence of traumatic events and peritraumatic predictors of posttraumatic stress symptoms in a nonclinical sample of college students 2000Prevalence, characteristics, and long‐term sequelae of natural disaster exposure in the general population

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