TY - JOUR PY - 2003// TI - Protracted acute stress reaction following an earthquake JO - Acta psychiatrica Scandinavica A1 - Bergiannaki, J. D. A1 - Psarros, C. A1 - Varsou, E. A1 - Paparrigopoulos, Th A1 - Soldatos, C. R. SP - 18 EP - 24 VL - 107 IS - 1 N2 - OBJECTIVE: To verify the official criteria of ICD-10 diagnosis of acute stress reaction (ASR) among earthquake victims. METHOD: Data on psychosocial variables and the diagnosis of ASR were collected from 91 subjects. RESULTS: The diagnosis of ASR was made in 70% of the sample. However, the restrictive duration criterion (i.e. symptoms not exceeding the first 48 h) was fulfilled only in 10%; in the remaining 60% the symptoms lasted for about another week. Thus, 60% of the sample constituted a group with protracted ASR (PASR) and 40% a group without it (n-PASR). Medical history was more frequent among PASR than n-PASR; PASR showed higher anxiety levels (both pre- and post-disaster) than n-PASR; finally, the persistence of ASR related positively to the fear of death at the time of the earthquake and pre-disaster anxiety levels. CONCLUSION: As in the vast majority of earthquake victims the ASR is protracted beyond 48 h, a revision of ICD-10 guidelines should be considered.
Language: en
LA - en SN - 0001-690X UR - http://dx.doi.org/ ID - ref1 ER -