In collaboration with a Community Advisory Group we examined the impact of the 1998 Swissair Flight 111 disaster on volunteer responders and surrounding communities. We conducted qualitative interviews and administered a set of structured questionnaires to 13 volunteer disaster workers and conducted a focus group with community leaders. Community silence and limited help-seeking behaviour were typical reactions to the SA 111 disaster. The nature and duration of the disaster response efforts contributed to a probable 46 per cent PTSD rate in the community volunteers. Community-based, culturally appropriate followup, as well as the development of volunteer protocols for future disaster response efforts, are necessary to minimize long-term health impacts and to promote resilience among community residents and volunteers exposed to a major disaster.
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References
1.
Adams, P. R., & Adams, G. R. (1984). Mount Saint Helens’s Ashfall: Evidence for a disaster stress reaction . American Psychologist, 39, 252–260 .
2.
American Psychological Association. (1994). Diagnostic and statistical manual of mental disorders, 4th edn. Washington, DC: American Psychological Association .
3.
Bravo, M., Rubio-Stipec, M., Canino, G. J., Woodbury, M. A., & Ribera, J. C. (1990). The psychological sequelae of disaster stress prospectively and retrospectively evaluated . American Journal of Community Psychology, 18, 661–680 .
4.
Brooks, N., & McKinlay, W. W. (1992). Mental health consequences of the Lockerbie disaster . Journal of Traumatic Stress, 5, 527–543 .
5.
Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M., Robinson, D., Ketcham, A., Moffat, F. L., & Clark, K. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer . Journal of Personality and Social Psychology, 65, 375–390 .
6.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach . Journal of Personality and Social Psychology, 56, 267–283 .
7.
Chung, M. C., Chung, C., & Easthope, Y. (2000). Traumatic stress and death anxiety among community residents exposed to an aircraft crash . Death Studies, 24, 689–704 .
8.
Chung, M. C., Farmer, S., Werrett, J., Easthope, Y., & Chung, C. (2001). Traumatic stress and ways of coping of community residents exposed to a train disaster . Australian and New Zealand Journal of Psychiatry, 35, 528–534 .
9.
Davidson, B. M. (2000). Personality and coping styles as predictors of well-being in cross-cultural personnel [Summary] . Dissertation Abstracts International, 61(5-B), 2808-2808 .
Dembert, M. L., & Simmer, E. (2000). When trauma affects a community: Group interventions and support after a disaster. In R. H. Klein & V. L. Schermer (Eds.), Group psychotherapy for psychological trauma(pp. 239–264). New York: The Guilford Press .
12.
Echterling, L. G., & Wylie, M. (1999). In the public arena: Disaster as a socially constructed problem. In R. Gist & B. Lubin (Eds.), Response to disaster: Psychosocial, community, and ecological approaches(pp. 327–346). Philadelphia, PA: Brunner/Mazel .
13.
Falsetti, S. A., Resnick, H. S., Resick, P. A., & Kilpatrick, D. G. (1993). The Modified PTSD Symptom Scale: A brief self-report measure of posttraumatic stress disorder . The Behavior Therapist, 16, 161–162 .
14.
Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder . Journal of Traumatic Stress, 6, 459–473 .
15.
Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample . Journal of Health and Social Behavior, 21, 219–239 .
16.
Gibbs, M. S. (1989). Factors in the victim that mediate between disaster and psychopathology: A review . Journal of Traumatic Stress, 2, 489–514 .
17.
Gist, R., & Lubin, B. (Eds.). (1999). Response to disaster: Psychosocial, community, and ecological approaches. Philadelphia, PA: Brunner/Mazel .
18.
Glaser, B. (1992). Basics of grounded theory analysis: Emergence vs. forcing. Mill Valley, CA: Sociology Press .
19.
Gray, J., & Hedge, B. (1999). Psychological distress and coping in the partners of gay men with HIVrelated disease . British Journal of Health Psychology, 4, 117–126 .
20.
Green, B. L., Lindy, J. D., Grace, M. C., Gleser, G. C., Leonard, A. C., Korol, M. et al. (1990). Buffalo Creek survivors in the second decade: Stability of stress symptoms . American Journal of Orthopsychiatry, 60, 43–54 .
21.
Green, L. W., George, M. A., Daniel, M., Frankish, C. J., Herbert, C. J., Bowie, W. R. et al. (1995). Study of participatory research in health promotion: Review and recommendations for the development of participatory research in health promotion in Canada by the Institute of Health Promotion Research, University of British Columbia & B.C. Consortium for Health Promotion. Ottawa: Royal Society of Canada .
22.
Green, L. W., Richard, L., & Potvin, L. (1996). Ecological foundation of health promotion . American Journal of Health Promotion, 10, 270–281 .
23.
Griffith, J., Cropley, M., & Steptoe, A. (1999). An investigation of coping strategies associated with job stress in teachers . British Journal of Educational Psychology, 69, 517–531 .
24.
McFarlane, A. C. (2000). Posttraumatic stress disorder: A model of the longitudinal course and the role of risk factors . Journal of Clinical Psychiatry, 61(Supp. 5), 15–23 .
25.
McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs . Health Education Quarterly, 15, 351–377 .
26.
Mitchell, M. (1993). The role of the general practitioner in the aftermath of the Lockerbie disaster. In T. Newburn (Ed.), Working with disaster: Social welfare interventions during and after tragedy(pp. 84–94). Harlow, Essex: Longman .
27.
Mitchell, T., Townsend, R., & Schnare, J. (in press). Community resilience or unidentified health risk? Health professional perceptions on the impact of the Swissair Flight 111 disaster on surrounding communities . Canadian Journal of Community Mental Health.
28.
Morisset, J. (2002). Handle with care: A view from the staff counsellor’s office. In Y. Danieli (Eds.), Sharing the front line and the back hills: Peacekeepers, humanitarian aid workers and the media in the midst of crisis(pp. 128–133). New York: Baywood Publishing Company .
29.
Norris, F. H., Friedman, M. J., Watson, P. J., Byrne, C., M., Diaz, E., & Kaniasty, K. (2002). 60,000 disaster victims speak. Part I: An empirical review of the empirical literature, 1981–2001 . Psychiatry, 65, 207–239 .
30.
Paton, D. (1997). Communities and disasters: Integrating psychological, economic and political intervention. In G. M. Habermann (Ed.), Looking back and moving forward: 50 years of New Zealand psychology(pp. 179–186). Wellington, New Zealand: New Zealand Psychological Society .
31.
Peterson, R. A., & Reiss, S. (1992). Anxiety sensitivity index manual, 2nd edn. Worthington, OH: International Diagnostic Systems .
32.
Raphael, B. (1986). When disaster strikes: How individuals and communities cope with catastrophe(pp. 55–77). New York: Basic Books .
33.
Ray, C., Weir, W. R. C., & Jefferies, S. (1995). Coping with chronic fatigue syndrome: Illness responses and their relationship with fatigue, functional impairment, and emotional status . Psychological Medicine, 25, 937–945 .
34.
Richards, L. (1999). Using NVivo in qualitative research. Thousand Oaks, CA: Sage Publications .
35.
Smith, B. W. (1996). Coping as a predictor of outcomes following the 1993 midwest flood . Journal of Social Behavior and Personality, 11, 225–239 .
36.
Sowder, B. J. (Ed.). (1985). Disasters and mental health: Selected contemporary perspectives. Rockville, MD: Center for Mental Health Studies of Emergencies, National Institutes of Mental Health .
37.
Spurell, M. T., & MacFarlane, A. C. (1993). Posttraumatic and coping after a natural disaster . Social Psychiatry and Psychiatric Epidemiology, 28, 194–200 .
38.
Stewart, S. H. (1996). Alcohol abuse in individuals exposed to trauma: A critical review . Psychological Bulletin, 120, 83–112 .
39.
Stewart, S. H., Conrod, P. J., Pihl, R. O., & Dongier, M. (1999). Relations between posttraumatic stress symptom dimensions and substance dependence in a community-recruited sample of substance-abusing women . Psychology of Addictive Behaviors, 13, 78–88 .
40.
Stewart, S. H., Conrod, P. J, Samoluk, S. B., Pihl, R. O., & Dongier, M. (2000). Posttraumatic stress disorder symptoms and situation-specific drinking in women substance abusers . Alcoholism Treatment Quarterly, 18, 31–47 .
41.
Stewart, S. H., Mitchell, T., Weerasinghe, S., Loba, P., & Griffin, K. (2002). A multidisciplinary approach to investigating the effects of disaster on alcohol use and abuse [Summary] . Alcoholism: Clinical and Experimental Research, Supp. 5, 30A-30A .
42.
Stewart, S. H., Taylor, S., & Baker, J. M. (1997). Gender differences in dimensions of anxiety sensitivity . Journal of Anxiety Disorders, 11, 179–200 .
43.
Tashakkori, A., & Teddlie, C. (1998). Mixed methodology: Combining qualitative and quantitative approaches. Thousand Oaks, CA: Sage Publications .
44.
Taylor, S., Koch, W. J., & McNally, R. J. (1992). How does anxiety sensitivity vary across the anxiety disorders? Journal of Anxiety Disorders, 6, 249–259 .
45.
Ursano, R. J., & McCarroll, J. E. (1990). The nature of a traumatic stressor: Handling dead bodies . Journal of Nervous and Mental Disease, 178, 396–398 .
46.
Weerasinghe, S., Stewart, S. H., Mitchell, T., & Russell, C. (2003). Health impact associated with a manmade disaster: Time and spatial analyses of health outcomes and risk indicators of Swissair crash . Abstract submitted to the Canadian Epidemiology and Biostatistics Conference, Halifax, Nova Scotia.
47.
Wright, K. M., & Bartone, P. T. (1994). Community responses to disaster: The Gander plane crash. In R. J. Ursano, B. G. McCaughey, & C. S. Fullerton (Eds.), Individual and community response to trauma and disaster: The structure of human chaos(pp. 267–284). Cambridge: Cambridge University Press .
48.
Yates, S., Axsom, D., Bickman, L., & Howe, G. (1989). Factors influencing help seeking for mental health problems after disasters. In R. Gist & B. Lubin (Eds.), Psychosocial aspects of disaster(pp. 163–189). New York: Wiley .
49.
Zvolensky, M. J., McNeil, D. W., Porter, C. A., & Stewart, S. H. (2001). Assessment of anxiety sensitivity in young American Indians and Alaska natives . Behaviour Research and Therapy, 39, 477–493 .
