TITLE

Comparison of post-disaster psychiatric disorders after terrorist bombings in Nairobi and Oklahoma City

AUTHOR(S)
North, C. S.; Pfefferbaum, B.; Narayanan, P.; Thielman, S.; McCoy, G.; Dumont, C.; Kawasaki, A.; Ryosho, N.; Spitznagel, E. L.; North, Carol S; Pfefferbaum, Betty; Narayanan, Pushpa; Thielman, Samuel; McCoy, Gretchen; Dumont, Cedric; Kawasaki, Aya; Ryosho, Natsuko; Kim, You-Seung; Spitznagel, Edward L
PUB. DATE
June 2005
SOURCE
British Journal of Psychiatry;Jun2005, Vol. 186, p487
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
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.
ACCESSION #
25240236

 

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