TY - JOUR PY - 2010// TI - Reactivation of posttraumatic stress in male disaster survivors: The role of residual symptoms JO - Journal of anxiety disorders A1 - Boe, Hans Jakob A1 - Holgersen, Katrine Hoyer A1 - Holen, Are SP - 397 EP - 402 VL - 24 IS - 4 N2 - The aim of this study was to establish the relative distribution of resilient, remitted, chronic and reactivated posttraumatic stress disorder (PTSD) in a population of survivors from a major civilian disaster. Residual PTSD symptoms were explored to identify predictors of future reactivation. Symptoms were measured by the Impact of Event Scale (IES) 5.5 months, 14 months and 5 years after the disaster. Forty-eight survivors (79%) were interviewed after 27 years. PTSD status was determined by using the Structural Clinical Interview for DSM-IV axis I Disorders (SCID-I). The distributions were: 58.3% resilient, 14.6% remitted, 8.3% chronic, and 18.8% reactivated PTSD. Number of residual symptoms from intrusion and avoidance 14 months and 5 years past trauma predicted later reactivation. Intrusion symptoms in general, and sleep related intrusions in particular, were the most consistent predictors deserving special attention.
Language: en
LA - en SN - 0887-6185 UR - http://dx.doi.org/10.1016/j.janxdis.2010.02.003 ID - ref1 ER -