Post-traumatic stress disorder in airplane cabin crew attendants

Six cabin crew attendants who survived an airplane crash in which 47 passengers were killed were assessed for post-traumatic stress disorder and other psychological problems. Each was interviewed 8 months after the crash and completed questionnaires measuring intrusive thoughts, avoidance, depressed mood, anxiety, and fear. Questionnaires were repeated 10 months later. All six met DSM-III-R criteria for post-traumatic stress disorder, reported a wide range of symptoms, and developed a fear of flying 8 months after the crash. Depression scores were normal 18 months after the crash, but all other measures remained unchanged, showing a continued high level of traumatic stress. Results point to the potential for crash survivors to develop chronic psychological problems. The highest levels of distress were reported by the three most senior members of staff with the most responsibility on board, who had also suffered the most severe physical injury. Clinical implications of the results are discussed, and the need for predisaster training of cabin crew and postdisaster treatment is emphasized.