TY  - JOUR
PY  - 2005//
TI  - Comparison of post-disaster psychiatric disorders after terrorist bombings in Nairobi and Oklahoma City
JO  - British journal of psychiatry
A1  - North, Carol S.
A1  - Pfefferbaum, Betty
A1  - Narayanan, Pushpa
A1  - Thielman, Samuel
A1  - McCoy, Gretchen
A1  - Dumont, Cedric
A1  - Kawasaki, Aya
A1  - Ryosho, Natsuko
A1  - Kim, You-Seung
A1  - Spitznagel, Edward L.
SP  - 487
EP  - 493
VL  - 186
IS  - 
N2  - BACKGROUND: African disaster-affected populations are poorly represented in disaster mental health literature. AIMS: To compare systematically assessed mental health in populations directly exposed to terrorist bombing attacks on two continents, North America and Africa. METHOD: Structured diagnostic interviews compared citizens exposed to bombings of the US Embassy in Nairobi, Kenya (n=227) and the Oklahoma City Federal Building (n=182). RESULTS: Prevalence rates of post-traumatic stress disorder (PTSD) and major depression were similar after the bombings. No incident (new since the bombing) alcohol use disorders were observed in either site. Symptom group C was strongly associated with PTSD in both sites. The Nairobi group relied more on religious support and the Oklahoma City group used more medical treatment, drugs and alcohol. CONCLUSIONS: Post-disaster psychopathology had many similarities in the two cultures; however, coping responses and treatment were quite different. The findings suggest potential for international generalisability of post-disaster psychopathology, but confirmatory studies are needed.<p /> <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.186.6.487
ID  - ref1
ER  -