Psychiatric disorders in rescue workers after the Oklahoma City bombing.
OBJECTIVE
Psychiatric disorders were studied in a volunteer group of 181 firefighters who served as rescue/recovery workers after the Oklahoma City bombing.


METHODS
Approximately 34 months after the disaster, the authors retrospectively assessed psychopathology both before and after the bombing with the Diagnostic Interview Schedule. Findings for male rescue workers were compared with those of male primary victims who had been in the direct path of the blast and who had been assessed with the same instrument.


RESULTS
The prevalence of posttraumatic stress disorder related to the bombing was significantly lower in male rescue workers (13%) than in male primary victims (23%). High rates of alcohol disorders (postdisaster: 24%; lifetime: 47%) were seen among all rescue workers, with virtually no new cases occurring after the bombing.


CONCLUSIONS
The resilience seen in firefighters may be related to their career selection, their preparedness and experience, the fewer injuries they suffered, and postdisaster mental health interventions. However, alcohol disorders were endemic before the disaster, indicating a need for ongoing programs targeting this problem.
North
Carol S
CS
Department of Psychiatry, Washington University School of Medicine, St Louis, MO 63110, USA. NorthC@psychiatry.wustl.edu
Tivis
Laura
L
McMillen
J Curtis
JC
Pfefferbaum
Betty
B
Spitznagel
Edward L
EL
Cox
Jann
J
Nixon
Sara
S
Bunch
Kenneth P
KP
Smith
Elizabeth M
EM
D000328:Adult; D000437:Alcoholism / Q000453:epidemiology; D015897:Comorbidity; D005107:Explosions / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D009825:Oklahoma / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D018635:Rescue Work / Q000706:statistics & numerical data*; D012107:Research Design; D012307:Risk Factors; D012737:Sex Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology; D023481:Terrorism / Q000523:psychology / Q000706:statistics & numerical data*