Psychiatric symptoms and cognitive appraisal following the near sinking of a research submarine

Mil Med. 2005 Jan;170(1):44-7. doi: 10.7205/milmed.170.1.44.

Abstract

Objective: This study assessed the stress reactions of a submarine crew forced to abandon their vessel in high seas after flooding and fire damaged their ship.

Methods: The remaining crew members (n = 22) were surveyed 7 months after the incident regarding exposures, initial emotional responses, peritraumatic dissociation, subsequent life events, current safety appraisal, and current symptoms of posttraumatic stress disorder (PTSD) and depression.

Results: At 7 months, 9.1% met criteria for PTSD and none met criteria for depression. Higher levels of depressive symptoms were associated with previous traumatic exposures, subsequent life events, and higher levels of PTSD symptoms; higher levels of PTSD symptoms were associated with greater peritraumatic dissociation and initial emotional response.

Conclusion: Acute exposures of highly trained professionals to potentially fatal events may not result in high levels of posttraumatic symptoms. Previous and subsequent life events may play a more significant role in the level of postdisaster symptoms.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Acute Disease
  • Adaptation, Psychological*
  • Adult
  • Cognition*
  • Disasters*
  • Equipment Failure
  • Health Surveys
  • Humans
  • Male
  • Military Personnel / psychology*
  • Military Psychiatry*
  • Risk Factors
  • Stress Disorders, Post-Traumatic*
  • Submarine Medicine*
  • United States