Acute postdisaster psychiatric disorders: identification of persons at risk

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Abstract
This study examined the prevalence of four psychiatric disorders-posttraumatic stress disorder, major depression, generalized anxiety disorder, and alcohol abuse/dependence-in survivors of a jet plane crash into hotel. Forty-six subjects were interviewed with the Diagnostic Interview Schedule/Disaster Supplement within 4-6 weeks of the event. More than half of the subjects met criteria for a psychiatric disorder after the disaster. More than two-thirds of the cases of acute postdisaster psychiatric disorders were predicted by identifying the subjects who had predisaster psychiatric histories. Predisaster psychiatric disorder predicted postdisaster psychopathology with a sensitivity of 72% and a specificity of 90%.

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