The aim of this prospective follow-up study was to investigate the role of trauma-related factors in the development of acute and chronic Posttraumatic Stress Disorder (PTSD) among South African gold mineworkers involved in disabling and reportable earth-fall mine accidents. A consecutive sample of 200 mineworkers who were involved in earth-fall mine accidents was evaluated over a period of seven months. A history of previous trauma exposure was associated with both acute and chronic PTSD. Injury severity predicted acute PTSD but could not differentiate between subjects with acute PTSD that developed chronic PTSD and those whose symptoms went into remission. The intensity and severity of the precipitating earth-fall event were associated with acute and chronic PTSD. Being pinned down by rocks was the earth-fall-related event that predicted chronic PTSD most accurately. The intensity of the traumatic earth-fall event was found to be a more significant predictor for acute PTSD than previous exposure to trauma. Based on these results, recommendations were made to manage trauma in the mining sector.
American Psychiatric Association (APA) (1987). Diagnostic and statistical manual for mental disorders (3rd ed. revised). Washington: Author
2.
American Psychiatric Association (APA) (1994). Diagnostic and statistical manual for mental disorders (4th ed.). Washington: Author
3.
American Psychiatric Association (APA) (1995). Readings in basic traumatic stress care.Miami: Annual Meeting
4.
JohnsonAttah F.Y. (1990). Post-traumatic stress disorder (PTSD): A review of the literature and report on nine cases seen in Papua New Guinea. Papua New Guinea Medical Journal, 33, 121–132
5.
BartonA. (1969). Communities in disasters.New York: Basic Books
6.
BaumA. (1987). Toxins, technology, and natural disasters. In Vanden BosG.R.BryantB.K. (Eds.), Cataclysms, crises, and catastrophes: Psychology in action/Masters lectures volume 6 (pp. 9–53). Washington: APA
7.
BaumA.SolomonS.D.UrsanoR.J.BickmanL.BlanchardE.GreenB.L. (1993). Emergency/disaster studies. In WilsonJ.P.RaphaelB. (Eds.), International handbook of traumatic stress syndromes (pp. 125–133). New York: Plenum Press
8.
BoydC.R.ToisonM.A.CopesW.S. (1987). Evaluating trauma care: The TRISS Method. Journal of Trauma, 27(A), 370–379
9.
BrewinC.R. (2001). Cognitive and emotional reactions to traumatic events: Implications for short-term interventions. Advances in Mind-Body Medicine, 17, 160–196
10.
Chamber of Mines of South Africa. (2004). Provisional South African mining industry statistical tables.Johannesburg: Author
11.
DavissW.B.MooneyD.RacusinR.FordJ.D.FleischerA.McHugoG.J. (2000). Predicting posttraumatic stress after hospitalization for pediatric injury. Journal of American Academic Child Adolescence Psychiatry, 39(5), 576–583
12.
DeLisiL.E.MaurizioA.YostM.PapparozziC.F.FulchinoC.KatzC.L. (2003). A survey of New Yorkers after the Sept. 11, 2001, terrorist attacks. American Journal of Psychiatry, 160, 780–783
13.
DesivilyaH.S.GalR.AyalonO. (1996). Extent of victimization, traumatic stress symptoms, and adjustment of terrorist assault survivors: A long-term follow-up. Journal of Traumatic Stress, 9(4), 881–889
14.
EastonS.A. (1988). An investigation into the minimization of stress caused to survivors of traumatic mining accidents (consultancy report for Gencor).Johannesburg: Chamber of Mines of South Africa, Human Resources Laboratory
15.
EhlersA.ClarkD.M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345
16.
ErikssonL. (1995, January/February). Industrial accidents and psychiatry.Mine Medical Officers Association of South Africa Newsletter, 2–3
17.
EverlyG.S.MitchellJ.T. (1999). Critical Incident Stress Management (CISM); Anew era and standard of care in crisis intervention (2nd ed.). Ellicott City, MD: Chevron
18.
FeinsteinA.DolanR. (1991). Predictors of posttraumatic stress disorder following physical trauma: An examination of the stressor criterion. Psychiatric Medicine, 21, 85–91
19.
FlahertyJ.A.GaviriaF.M.PathakD.MitchellT.WintrobR.RichmanJ.A.BirzS. (1988). Developing instruments for cross-cultural psychiatric research. The Journal for Nervous and Mental Disease, 176(5), 157–163
20.
GaleaS.AhernJ.ResnickH.KilpatrickD.BucuvalasM.GoldJ.VlahovD. (2002). Psychological sequella of the September 11 terrorist attacks in New York City. The New England Journal of Medicine, 346(13), 982–987
21.
GoodmanL. A.CorcoranC.TurnerK.YuanN.GreenB.L. (1998). Assessing traumatic event exposure: General issues and preliminary findings for the Stressful Life Events Screening Questionnaire. Journal of Traumatic Stress, 11(3), 521–542
22.
GreenB.L. (1993). Identifying survivors at risk. In WilsonJ.P.RaphaelB. (Eds.), International handbook of traumatic stress syndromes (pp. 135–144). New York: Plenum Press
23.
GreenM.M.McFarlaneA.C.HunterC.E.GriggsW.M. (1993). Undiagnosed posttraumatic stress disorder following motor vehicle accidents. The Medical Journal of Australia, 159, 529–534
24.
KardinerA. (1941). The traumatic neurosis of war.New York: Hoeber
25.
KatzenellenbogenJ.M.JoubertG.KarimAbdool S.S. (1997). Epidemiology. A manual for South Africa.Cape Town: Oxford Press
26.
KeaneT.M. (1985). Defining traumatic stress: Some comments on the current terminological confusion. Behaviour Therapy, 16, 419–423
27.
KempA.GreenB.L.HovanitzC.RawlingsE.I. (1995). Incidence and correlates of posttraumatic stress disorder in battered women. Journal of Interpersonal Violence, 10(1), 43–55
28.
KesslerR.C.SonnegaA.BrometE.HughesM.NelsonC.B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060
29.
LeeK.A.VaillantG.E.TorreyW.C.ElderG.H. (1995). A 50-year study of the psychological sequella of World War II combat. American Journal of Psychiatry, 152(4), 516–522
30.
McFarlaneA.C. (1986). Posttraumatic morbidity of a disaster: A study of cases presenting for psychiatric treatment. Journal of Nervous and Mental Disease, 174(1), 4–14
31.
McFarlaneA.C. (1987). Life events and psychiatric disorder: The role of a national disaster. British Journal of Psychiatry, 151, 362–367
32.
McFarlaneA.C. (1988a). The aetiology of post-traumatic stress disorders following a natural disaster. British Journal of Psychiatry, 152, 116–121
33.
McFarlaneA.C. (1988b). The longitudinal course of posttraumatic morbidity. The Journal of Nervous and Mental Disease, 176(1), 30–40
34.
McFarlaneA.C. (1988c). Phenomenology of post-traumatic stress disorders following a natural disaster. Journal of Nervous and Mental Disease, 176, 22–29
35.
McFarlaneA.C. (1990). Vulnerability to posttraumatic stress disorder. In WolfM.E.MosnaimA.D. (Eds.), Posttraumatic stress disorder (pp. 3–20). London: American Psychiatric Press
36.
McFarlaneA.C. (1993). PTSD: Synthesis of research and clinical studies. In WilsonJ.P.RaphaelB. (Eds.), International handbook of traumatic stress syndromes (pp. 421–429). New York: Plenum Press
37.
McFarlaneA.C.AchisonM.RafalowiczE.PapayP. (1994). Physical symptoms in Post-Traumatic Stress Disorder. Journal of Psychosomatic Research, 38(7), 715–726
38.
McNallyR.J.BryantR.A.EhlersA. (2003). Does early psychological intervention promote recovery from posttraumatic stress?. Psychological Science in the Public Interest, 4(2), 45–79
39.
MitchellJ.T. (1983). When disaster strikes: The Critical Incident Stress Debriefing process. Journal of Emergency Medical Services, 8, 36–39
40.
MollicaR.F.Caspi-YavinY.BolliniP.TruongT.TorS.LavelleJ. (1992). The Harvard Trauma Questionnaire — Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. The Journal of Nervous and Mental Disease, 180(2), 111–116
41.
RadnitzC.L.HsuL.WillardJ.Perez-StrumoloL.FestaJ.LillianL.B. (1998). Posttraumatic Stress Disorder in veterans with spinal cord injury: Trauma related risk factors. Journal of Traumatic Stress, 11(3), 505–520
42.
ReichJ.H. (1990). Personality disorders and posttraumatic stress disorder. In WolfM.E.MosnaimA.D. (Eds.), Posttraumatic stress disorder (pp. 65–79). London: American Psychiatric Press
43.
Republic of South Africa (1991). Minerals Act, (Act 50 of 1991). Government Gazette.Pretoria: Government Printer
44.
Republic of South Africa. (6 October 1993). Compensation for Occupational Injuries and Diseases Act (Act 130 of 1993). Government Gazette, Pretoria: Government Printer
45.
ScrignarC.B. (1988). Post-traumatic Stress Disorder (2nd ed.). New Orleans: Bruno Press
46.
SelyeH. (1976). The stress of life.New York: McGraw-Hill
47.
ShalevA.Y.MunitzH. (1988). Psychiatric care of acute stress reactions to military threat. In UrsanoR.J.FullertonC.S.DixonM.S.DoranE.S. (Eds.), Groups and organisations in war, disasters, and trauma (pp. 107–119). Maryland: USUHS
48.
SmithE.M.NorthC.S. (1993). Posttraumatic stress disorder in natural disasters and technological accidents. In WilsonJ.P.RaphaelB. (Eds.), International handbook of traumatic stress syndromes (pp. 405–419). New York: Plenum Press
49.
FawziSmith M.C.MurphyE.PhamT.LinL.PooleC.MollicaR.F. (1997). The validity of screening for post-traumatic stress disorder and major depression among Vietnamese former political prisoners. Acta Psychiatrica Scandinavica, 95, 87–93
50.
SolomonZ. (1990). Back to the front: Recurrent exposure to combat stress and reactivation of posttraumatic stress disorder. In WolfM.E.MosnaimA.D. (Eds.), Posttraumatic stress disorder (pp. 115–124). London: American Psychiatric Press
SolomonZ.MikulincerM.JacobB.R. (1987). Exposure to recurrent combat stress: Combat stress reactions among Israeli soldiers in the Lebanon war. Psychological Medicine, 17, 433–440
53.
SorensonS.B.GoldingJ.M. (1990). Depressive sequella of recent criminal victimization. Journal of Traumatic Stress, 3, 337–350
54.
StevensJ.L.GagianoC.A.CalitzF.J.W. (1996, June). Pathogenesis of PTSD in South African gold mine employees involved in accident related trauma. Paper presented at the Second World Conference of the International Society for Traumatic Stress Studies, Jerusalem
55.
WeisaethL.EitingerL. (1993). Posttraumatic stress phenomena. In WilsonJ.P.RaphaelB. (Eds.), International handbook of traumatic stress syndromes (pp. 69–77). New York: Plenum Press
56.
WestermeyerJ. (1985). Psychiatric diagnosis across cultural boundaries. American Journal of Psychiatry, 142, 798–805
57.
WhiteD.H. (1982). The effects of job stress in the South African gold mining industry. Unpublished doctoral thesis, University of South Africa, Pretoria
58.
WilliamsT. (1993). Trauma in the workplace. In WilsonJ.P.RaphaelB. (Eds.), International handbook of traumatic stress syndromes (pp. 925–933). New York: Plenum Press
