Smoking predicts posttraumatic stress symptoms among rescue workers: a prospective study of ambulance personnel involved in the Enschede Fireworks Disaster.

Abstract:

BACKGROUND:Examining whether smoking is a risk factor for posttraumatic stress disorder (PTSD) symptoms among rescue workers affected by a disaster. METHODS:Ambulance personnel (N=66) participated in surveys 2-3 weeks (T1) and 18 months after a fireworks disaster (T2). Hierarchical multiple regression analyses were conducted with cigarette consumption at T1 as a predictor of PTSD symptoms at T2. Demographic characteristics, disaster experiences, peritraumatic dissociation, intrusions and avoidance, psychological distress and alcohol consumption assessed at T1 were included as covariates. RESULTS:Regression analyses showed that smoking at T1 independently predicted intrusions, avoidance, hostility, and depression symptoms at T2. Results were not affected by controlling for post-disaster critical incidents at work. CONCLUSIONS:This is the first prospective study among rescue workers demonstrating that smoking soon after a disaster predicts PTSD symptoms in the intermediate term. Findings substantiate results of previous studies indicating that smoking is a relevant risk factor. Future research on how changes in cigarettes consumption post-trauma affect risk of PTSD is required.

journal_name

Drug Alcohol Depend

authors

van der Velden PG,Kleber RJ,Koenen KC

doi

10.1016/j.drugalcdep.2007.11.001

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

267-71

issue

1-3

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(07)00430-9

journal_volume

94

pub_type

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