title: Impact of a foot and mouth disease crisis on post-traumatic stress symptoms in farmers.
abstract: Culling 27,000 farm animals during an epidemic of foot and mouth disease in The Netherlands in 2001 resulted in substantial psychological distress among Dutch farmers. We investigated the association of exposure to this crisis with symptoms of intrusions and avoidance as found in post-traumatic stress disorder. Survey results from the Impact of Event Scale administered to 661 Dutch dairy farmers showed that about half of those whose animals were culled suffered from severe post-traumatic distress; we conclude that such agricultural crises can have a substantial impact on mental health.
authors.affiliation: Psychiatry AMC/De Meren, Academic Medical Center of the University of Amsterdam, Amsterdam, The Netherlands. m.olff@amc.uva.nl
authors.forename: Miranda
authors.initials: M
authors.lastname: Olff
authors.forename: Maarten W J
authors.initials: MW
authors.lastname: Koeter
authors.forename: E Heleen
authors.initials: EH
authors.lastname: Van Haaften
authors.forename: Paul H
authors.initials: PH
authors.lastname: Kersten
authors.forename: Berthold P R
authors.initials: BP
authors.lastname: Gersons
mesh_terms: D000382:Agricultural Workers' Diseases / Q000209:etiology*; D000818:Animals; D005260:Female; D005536:Foot-and-Mouth Disease / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D012044:Regression Analysis; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000209:etiology*