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Posttraumatic stress following the 2023 Odisha train accident: a cross-sectional comparison study of passengers, health professionals, and the local community
Swain, Sarada Prasanna Parija, Seema Banerjee, Shraddha Mahakul, Sukanya Behura, Sushree Sangita Palei, Bindulata Kar, Shreyan
Swain, Sarada Prasanna
Parija, Seema
Banerjee, Shraddha
Mahakul, Sukanya
Behura, Sushree Sangita
Palei, Bindulata
Kar, Shreyan
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2025-05-08
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Abstract
Objectives
We studied posttraumatic stress symptoms (PTSS) and disorder (PTSD), associated factors, and quality of life (QOL) of a group of passengers (n = 58) affected by the 2023 Odisha train accident, comparing it with health professionals (n = 42) such as doctors and nurses who treated them, and individuals from the local community (n = 65). We also checked the anxiety and depression of passengers.
Methods
In a cross-sectional study, we assessed accident experience and used the PTSD checklist, WHO-QOL-BREF, General Anxiety Disorder, and Patient Health Questionnaire scales.
Results
The PTSS were common; specifically, intrusive memories (36.4%), feeling upset while reminded of the experience (33.9%), and avoidance of memories (30.9%). Strong negative feelings, loss of interest, feeling distant, and irritability or anger outbursts were significantly more common among passengers than others. PTSD was present in 20.7% of passengers, 19.0% of health professionals, and 7.7% of local participants. Seeing dead bodies significantly contributed to PTSD. Clinical levels of anxiety (58.3%) and depression (50%) were present in passengers, which were significantly associated with PTSD, along with fear of death. Passengers had the worst QOL and health satisfaction among the groups.
Conclusions
Following the train accident, stress-related psychiatric problems were common and highlighted the intervention needs of the affected people.
Citation
Kar N, Swain SP, Parija S, et al. (2025) Posttraumatic Stress Following the 2023 Odisha Train Accident: A Cross-sectional Comparison Study of Passengers, Health Professionals, and the Local Community. Disaster Medicine and Public Health Preparedness, 19, article number e112. doi:10.1017/dmp.2025.113
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Journal article
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en
Description
This is an author's accepted manuscript of an article published by Cambridge University Press on 08/05/2025, available online: https://doi.org/10.1017/dmp.2025.113
The accepted manuscript may differ from the final published version.
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1935-7893