Skip to main content
    • Aa
    • Aa

Psychiatric morbidity in bus crews following violent assault: a follow-up study

  • Nigel Fisher (a1) and Robin Jacoby (a1)

In a prospective study 22 bus crews who were victims of physical assault were assessed using standardized psychiatric instruments, followed up for 18 months and compared to a non-assaulted control group drawn from the same bus garage. At initial assessment the assaulted group, compared to the controls showed a significant increase in psychiatric impairment and distress (as measured by the GHQ-30 and IES respectively), with 23% of assault victims developing post-traumatic stress disorder as defined by DSM-III-R. At follow-up, while high levels of both psychiatric impairment and distress persisted there was evidence that they may be separate phenomena.

Corresponding author
1 Address for correspondence: Dr Nigel Fisher, Maudsley Hospital, Denmark Hill, London SE5 8AZ.
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

P. Bell , M. Kee , G. C. Loughry , R. J. Roddy & P. S. Curran (1988). Post traumatic stress in Northern Ireland. Acta Psychiatrica Scandinavica 77, 166169.

E. B. Blanchard , R. J. Gerardi , L. C. Kolb & D. H. Barlow (1986). The utility of the anxiety disorders interview schedule in the diagnosis of post-traumatic stress disorder (PTSD) in Vietnam veterans. Behavioural Research and Therapy 24, 577580.

N. Breslau , D. Davis , P. Andreski & E. Peterson (1991). Traumatic events and post-traumatic stress disorder in an urban population of young adults. Archives of General Psychiatry 48, 216222.

S. Ersland , L. Weisaeth & A. Sund (1989). The stress upon rescuers involved in an oil rig disaster. ‘Alexander L. Kielland’ 1980. Acta Psychiatrica Scandinavica Supplementum 355. 80, 3849.

R. A. Finlay-Jones & E. Murphy (1979). Severity of psychiatric disorder and the 30-item General Health Questionnaire. British Journal of Psychaitry 134, 609614.

B. L. Green , L. D. Lindy & M. C. Grace (1985). Post-traumatic stress disorder: toward DSM-IV. Journal of Nervous and Mental Disease 173, 406411.

J. E. Helzer , L. N. Robins & L. McEvoy (1987). Post-traumatic stress disorder in the general population. Findings of the epidemiological catchment area survey. New England Journal of Medicine 317, 16301634.

M. J. Horowitz , N. Wilner & W. Alvarez (1979). Impact of event scale: a measure of subjective stress. Psychosomatic Medicine 41, 209218.

D. Kilpatrick , C. Best , L. Veronen , A. Amick , L. Villeponteaux & G. Ruff (1985). Mental health correlates of criminal victimization: a random community survey. Journal of Consulting and Clinical Psychology 53, 866873.

R. J. McCaffrey , E. J. Hickling & M. J. Marrazo (1989). Civilian related post-traumatic stress disorder: assessment related issues. Journal of Clinical Psychology 45, 7276.

A. C. McFarlane (1985). The effects of stressful life events and disasters: research and theoretical issues. Australian and New Zealand Journal of Psychiatry 19, 409421.

A. C. McFarlane (1988 a). The longitudinal course of post-traumatic morbidity. Journal of Nervous and Mental Disease 176, 3039.

P. McGuffin , R. Katz & P. Bebbington (1988). The Camberwell Collaborative Depression Study III: depression and adversity in the relatives of depressed probands. British Journal of Psychiatry 152, 775782.

J. P. Mann & J. D. Neece (1990). Workers' compensation for law enforcement related post traumatic stress disorder. Behavioural Sciences and the Law 8, 447456.

G. Mendelson (1987). The concept of post-traumatic stress disorder: a review. International Journal of Law and Psychiatry 10, 4562.

G. C. Mezey & P. J. Taylor (1988). Psychological reactions of women who have been raped: a descriptive and comparative study. British Journal of Psychiatry 152, 330339.

I. Pilowsky (1985). Cryptotrauma and ‘Accident Neurosis’. British Journal of Psychiatry 147, 310311.

R. Ramsay (1990). Invited review: post-traumatic stress disorder: a new clinical entity? Journal of Psychosomatic Research 34, 355365.

B. Raphael , T. Lundin & L. Weisaeth (1989). A research method for the study of psychological and psychiatric aspects of disaster. Acta Psychiatrica Scandinavica Supplementum No. 353; 80, 13.

D. Richards & J. Rose (1991). Exposure therapy for post-traumatic stress disorder. British Journal of Psychiatry 158, 836840.

J. P. Shepherd , R. Qureshi , M. S. Preston & B. G. H. Levers (1990). Psychological distress after assaults and accidents. British Medical Journal 301, 849850.

M. Symonds (1975). Victims of violence. American Journal of Psychoanalysis 35, 1926.

P. J. Taylor (1988). Victims and survivors. Current Opinions in Psychiatry 1, 675681.

C. Tennant & G. Andrews (1976). A scale to measure the stress of life events. Australian and New Zealand Journal of Psychiatry 10, 2732.

L. Weisaeth (1989). Importance of high response rates in traumatic stress research. Acta Psychiatrica Scandinavica Supplementum No. 353; 80, 131137.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *


Full text views

Total number of HTML views: 0
Total number of PDF views: 3 *
Loading metrics...

Abstract views

Total abstract views: 1082 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 20th August 2017. This data will be updated every 24 hours.