Abstract

BackgroundDisasters yield increased rates of psychological disorders decades later. Other consequences, however, have received little attention in the past.ObjectiveWe aimed to examine diagnostic status and survivors’ views on disaster-related consequences and social support.MethodsA mixed-methods approach was used with 22 survivors (of 49 eligible) 15 years after a ferry disaster. Data collection included audiotaped interviews with open-ended questions and diagnostic assessment of Axis-I disorders.ResultsThe post-disaster incidence was 54% (12/22) for Axis-I disorders, and 45% (10/22) for full or subsyndromal posttraumatic stress disorder. Thematic analysis revealed that survivor perception of the long-term consequences included positive (character change) and negative aspects (being ascribed a survivor identity). Participants’ sought social support for several years, yet many felt hindered by experiential dissimilarity and distress of significant others.ConclusionsAxis-I disorders were prevalent, but not salient to survivors’ perceptions in the long-term. Post-disaster interventions need to attend to common barriers to support.

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