Citation

Classen C, Koopman C, Hales R, Spiegel D. Am. J. Psychiatry 1998; 155(5): 620-624.

Affiliation

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA 94305-5718, USA. classen@leland.stanford.edu

Copyright

(Copyright © 1998, American Psychiatric Association)

DOI

unavailable

PMID

9585712

Abstract

OBJECTIVE: Using the DSM-IV diagnostic criteria for acute stress disorder, the authors examined whether the acute psychological effects of being a bystander to violence involving mass shootings in an office building predicted later posttraumatic stress symptoms. METHOD: The participants in this study were 36 employees working in an office building where a gunman shot 14 persons (eight fatally). The acute stress symptoms were assessed within 8 days of the event, and posttraumatic stress symptoms of 32 employees were assessed 7 to 10 months later. RESULTS: According to the Stanford Acute Stress Reaction Questionnaire, 12 (33%) of the employees met criteria for the diagnosis of acute stress disorder. Acute stress symptoms were found to be an excellent predictor of the subjects' posttraumatic stress symptoms 7-10 months after the traumatic event. CONCLUSIONS: These results suggest not only that being a bystander to violence is highly stressful in the short run, but that acute stress reactions to such an event further predict later posttraumatic stress symptoms.

Language: en