Coping,functioning, and adjustment of rescue workers after the Oklahoma City bombing |
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| Authors: | North Carol S Tivis Laura McMillen J Curtis Pfefferbaum Betty Cox Jann Spitznagel Edward L Bunch Kenneth Schorr John Smith Elizabeth M |
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| Affiliation: | (1) Department of Psychiatry, School of Medicine, Washington University, St. Louis, Missouri;(2) Department of Psychiatry and Behavioral Sciences, University of Oklahoma, Oklahoma City, Oklahoma;(3) George Warren Brown School of Social Work, Washington University, St. Louis, Missouri;(4) Department of Mathematics and Division of Biostatistics, Washington University, St. Louis, Missouri;(5) Oklahoma City Fire Department, Oklahoma, Oklahoma;(6) Stetson University, Deland, Florida |
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| Abstract: | Studies have not previously considered postdisaster adjustment in the context of psychiatric disorders. After the Oklahoma City bombing, a volunteer sample of 181 firefighters who served as rescue and recovery workers was assessed with a structured diagnostic interview. The firefighters had relatively low rates of posttraumatic stress disorder (PTSD) and described little functional impairment, positive social adjustment, and high job satisfaction. PTSD was associated with reduced job satisfaction and functional impairment, providing diagnostic validity. Turning to social supports, seeking mental health treatment, and taking medication were not widely prevalent coping responses. Postdisaster alcohol use disorders and drinking to cope were significantly associated with indicators of poorer functioning. Surveillance for problem drinking after disaster exposure may identify useful directions for intervention. |
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| Keywords: | posttraumatic stress disorder rescue workers coping disaster alcohol use disorder Diagnostic Interview Schedule |
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