A school based study of psychological disturbance in children following the Omagh bomb

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    Objective
    To assess the extent and nature of psychiatric morbidity among children (aged 8 to 13 years) 15 months after a car bomb explosion in the town of Omagh, Northern Ireland.

    Method
    A survey was conducted of 1945 school children attending 13 schools in the Omagh district. Questionnaires included demographic details, measures of exposure, the Horowitz Impact of Events Scale, the Birleson Self-Rating Depression Scale, and the Spence Children’s Anxiety Scale.

    Results
    Children directly exposed to the bomb reported higher levels of probable PTSD (70%), and psychological distress than those not exposed. Direct exposure was more closely associated with an increase in PTSD symptoms than in general psychiatric distress. Significant predictors of increased IES scores included being male, witnessing people injured and reporting a perceived life threat but when co-morbid anxiety and depression are included as potential predictors anxiety remains the only significant predictor of PTSD scores.

    Conclusions
    School-based studies are a potentially valuable means of screening and assessing for PTSD in children after large-scale tragedies. Assessment should consider type of exposure, perceived life threat and other co-morbid anxiety as risk factors for PTSD.

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    • A school based study of psychological disturbance in children following the Omagh bomb

      Rights statement: © 2013 McDermott et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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    DOI

    Original languageEnglish
    Article number36
    Number of pages11
    JournalChild and Adolescent Psychiatry and Mental Health
    Journal publication date27 Oct 2013
    Issue number1
    Volume7
    DOIs
    Publication statusPublished - 27 Oct 2013

      Research areas

    • Children, PTSD, bombing

    ID: 4451894