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Psychiatric morbidity in bus crews following violent assault: a follow-up study

Published online by Cambridge University Press:  09 July 2009

Nigel Fisher*
Affiliation:
Maudsley Hospital, London
Robin Jacoby
Affiliation:
Maudsley Hospital, London
*
1 Address for correspondence: Dr Nigel Fisher, Maudsley Hospital, Denmark Hill, London SE5 8AZ.

Synopsis

In a prospective study 22 bus crews who were victims of physical assault were assessed using standardized psychiatric instruments, followed up for 18 months and compared to a non-assaulted control group drawn from the same bus garage. At initial assessment the assaulted group, compared to the controls showed a significant increase in psychiatric impairment and distress (as measured by the GHQ-30 and IES respectively), with 23% of assault victims developing post-traumatic stress disorder as defined by DSM-III-R. At follow-up, while high levels of both psychiatric impairment and distress persisted there was evidence that they may be separate phenomena.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1992

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References

REFERENCES

APA (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn Revised (DSM-III-R). APA: Washington, DC.Google Scholar
Bell, P., Kee, M., Loughry, G. C., Roddy, R. J. & Curran, P. S. (1988). Post traumatic stress in Northern Ireland. Acta Psychiatrica Scandinavica 77, 166169.CrossRefGoogle ScholarPubMed
Blanchard, E. B., Gerardi, R. J., Kolb, L. C. & Barlow, D. H. (1986). The utility of the anxiety disorders interview schedule in the diagnosis of post-traumatic stress disorder (PTSD) in Vietnam veterans. Behavioural Research and Therapy 24, 577580.CrossRefGoogle ScholarPubMed
Breslau, N., Davis, D., Andreski, P. & Peterson, E. (1991). Traumatic events and post-traumatic stress disorder in an urban population of young adults. Archives of General Psychiatry 48, 216222.CrossRefGoogle Scholar
Brett, E. A., Spitzer, R. L. & Williams, J. B. W. (1988). DSM-III-R criteria for post-traumatic stress disorder. American Journal of Psychiatry 145, 12321236.Google Scholar
Burgess, A. W. & Holmstrom, L. L. (1974). Rape trauma syndrome. American Journal of Psychiatry 131, 981986.CrossRefGoogle ScholarPubMed
Cox, B., Blaxter, M., Buckle, A., Fenner, N. R., Golding, J., Gore, M., Huppert, F., Nickson, J., Roth, M., Stark, J., Wadsworth, M. & Wichelow, M. (1987). The Health and Life Style Survey. Health Promotion Research Trust: Cambridge.Google Scholar
Creamer, M., Burgess, P. & Pattison, P. (1990). Cognitive processing in post-trauma reactions: some preliminary findings. Psychological Medicine 20, 597604.CrossRefGoogle ScholarPubMed
Department of Transport (1986). Assaults on Bus Staff and Measures to Prevent Such Assaults. HMSO: London.Google Scholar
Ersland, S., Weisaeth, L. & Sund, A. (1989). The stress upon rescuers involved in an oil rig disaster. ‘Alexander L. Kielland’ 1980. Acta Psychiatrica Scandinavica Supplementum 355. 80, 3849.CrossRefGoogle Scholar
Eysenck, H. J. & Eysenck, S. B. G. (1975). Manual of the Eysenck Personality Questionnaire. Hodder and Stoughton: Sevenoaks.Google Scholar
Fairley, M., Langeluddecke, P. & Tennant, C. (1986). Psychological and physical morbidity in the aftermath of a cyclone. Psychological Medicine 16, 671676.CrossRefGoogle ScholarPubMed
Feinstein, A. & Dolan, R. (1991). Predictors of post-traumatic stress disorder following physical trauma: an examination of the stressor criterion. Psychological Medicine 21, 8591.Google Scholar
Finlay-Jones, R. A. & Murphy, E. (1979). Severity of psychiatric disorder and the 30-item General Health Questionnaire. British Journal of Psychaitry 134, 609614.CrossRefGoogle ScholarPubMed
Goldberg, D. P. & Williams, P. (1988). A Users' Guide to the General Health Questionnaire. National Foundation for Education Research – Nelson: Windsor.Google Scholar
Goldberg, D. P., Cooper, A. B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970). A psychiatric interview suitable for use in community surveys. British Journal of Preventive and Social Medicine 24, 1826.Google Scholar
Green, B. L., Lindy, L. D. & Grace, M. C. (1985). Post-traumatic stress disorder: toward DSM-IV. Journal of Nervous and Mental Disease 173, 406411.CrossRefGoogle ScholarPubMed
Helzer, J. E., Robins, L. N. & McEvoy, L. (1987). Post-traumatic stress disorder in the general population. Findings of the epidemiological catchment area survey. New England Journal of Medicine 317, 16301634.CrossRefGoogle ScholarPubMed
Home Office (1990). Criminal Statistics: England and Wales 1989. HMSO: London.Google Scholar
Horowitz, M. J., Wilner, N. & Alvarez, W. (1979). Impact of event scale: a measure of subjective stress. Psychosomatic Medicine 41, 209218.CrossRefGoogle Scholar
Hough, M. & Mayhew, P. (1983). The British Crime Survey: First Report. HMSO: London.Google Scholar
Joffe, M., Mackay, T. & Mitchell, J. (1986). Buswork and Health. TURC Publishing: Birmingham.Google Scholar
Keane, T. & Penk, W. (1988). The prevalence of post-traumatic stress disorder. New England Journal of Medicine 318, 16901691.Google Scholar
Kilpatrick, D., Best, C., Veronen, L., Amick, A., Villeponteaux, L. & Ruff, G. (1985). Mental health correlates of criminal victimization: a random community survey. Journal of Consulting and Clinical Psychology 53, 866873.CrossRefGoogle ScholarPubMed
Kuch, K., Swinson, R. P. & Kirby, M. (1985). Post-traumatic stress disorder after car accidents. Canadian Journal of Psychiatry 30, 426427.CrossRefGoogle ScholarPubMed
McCaffrey, R. J., Hickling, E. J. & Marrazo, M. J. (1989). Civilian related post-traumatic stress disorder: assessment related issues. Journal of Clinical Psychology 45, 7276.3.0.CO;2-W>CrossRefGoogle ScholarPubMed
McFarlane, A. C. (1985). The effects of stressful life events and disasters: research and theoretical issues. Australian and New Zealand Journal of Psychiatry 19, 409421.CrossRefGoogle ScholarPubMed
McFarlane, A. C. (1988 a). The longitudinal course of post-traumatic morbidity. Journal of Nervous and Mental Disease 176, 3039.CrossRefGoogle Scholar
McFarlane, A. C. (1988 b). Relationship between psychiatric impairment and a natural disaster: the role of distress. Psychological Medicine 18, 129139.CrossRefGoogle Scholar
McGuffin, P., Katz, R. & Bebbington, P. (1988). The Camberwell Collaborative Depression Study III: depression and adversity in the relatives of depressed probands. British Journal of Psychiatry 152, 775782.CrossRefGoogle ScholarPubMed
Mackey, E. A. (1983). The bus driver syndrome: a Belfast phenomenon. Irish Medical Journal 76, 492493.Google ScholarPubMed
Mann, J. P. & Neece, J. D. (1990). Workers' compensation for law enforcement related post traumatic stress disorder. Behavioural Sciences and the Law 8, 447456.CrossRefGoogle Scholar
Mari, J. & Williams, P. (1985). A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, using Relative Operating Characteristic (ROC) analysis. Psychological Medicine 15, 651659.CrossRefGoogle ScholarPubMed
Mayfield, D., McCleod, G. & Hall, P. (1974). The CAGE questionnaire: validation for a new alcoholism screening questionnaire. American Journal of Psychiatry 131, 11211123.CrossRefGoogle Scholar
Mendelson, G. (1987). The concept of post-traumatic stress disorder: a review. International Journal of Law and Psychiatry 10, 4562.CrossRefGoogle ScholarPubMed
Mezey, G. & King, M. (1989). The effects of sexual assault on men: a survey of 22 victims. Psychological Medicine 19, 205209.CrossRefGoogle Scholar
Mezey, G. C. & Taylor, P. J. (1988). Psychological reactions of women who have been raped: a descriptive and comparative study. British Journal of Psychiatry 152, 330339.CrossRefGoogle ScholarPubMed
Miller, H. (1961). Accident neurosis. British Medical Journal i, 919925, 992–998.CrossRefGoogle Scholar
Norman, L. G. (1958). The health of bus drivers. A study in London transport. Lancet i, 807812.Google Scholar
Pilowsky, I. (1985). Cryptotrauma and ‘Accident Neurosis’. British Journal of Psychiatry 147, 310311.CrossRefGoogle ScholarPubMed
Ramsay, R. (1990). Invited review: post-traumatic stress disorder: a new clinical entity? Journal of Psychosomatic Research 34, 355365.CrossRefGoogle ScholarPubMed
Raphael, B., Lundin, T. & Weisaeth, L. (1989). A research method for the study of psychological and psychiatric aspects of disaster. Acta Psychiatrica Scandinavica Supplementum No. 353; 80, 13.CrossRefGoogle Scholar
Richards, D. & Rose, J. (1991). Exposure therapy for post-traumatic stress disorder. British Journal of Psychiatry 158, 836840.CrossRefGoogle ScholarPubMed
Shapland, J. (1990). Victims of violent crime. In Principles and Practice of Forensic Psychiatry (ed. Bluglass, R. and Bowden, P.), pp. 577585. Churchill Livingstone: Edinburgh.Google Scholar
Shepherd, J. P., Qureshi, R., Preston, M. S. & Levers, B. G. H. (1990). Psychological distress after assaults and accidents. British Medical Journal 301, 849850.CrossRefGoogle ScholarPubMed
Symonds, M. (1975). Victims of violence. American Journal of Psychoanalysis 35, 1926.CrossRefGoogle ScholarPubMed
Taylor, P. J. (1986). Forensic psychiatry. In Essentials of Post Graduate Psychiatry (ed. Hill, P., Murray, R. and Thorley, A.), pp. 571595. Grune and Stratton: London.Google Scholar
Taylor, P. J. (1988). Victims and survivors. Current Opinions in Psychiatry 1, 675681.CrossRefGoogle Scholar
Tennant, C. & Andrews, G. (1976). A scale to measure the stress of life events. Australian and New Zealand Journal of Psychiatry 10, 2732.CrossRefGoogle ScholarPubMed
Walmsley, R. (1986). Personal Violence: the Dimensions of Risk. Home Office Research Study 89. HMSO: London.Google Scholar
Weisaeth, L. (1989). Importance of high response rates in traumatic stress research. Acta Psychiatrica Scandinavica Supplementum No. 353; 80, 131137.CrossRefGoogle Scholar
Ziegenhagen, E. (1976). The recidivist victim of violent crime. Victimology 1, 538550.Google Scholar