| Tittel: | Physically Injured Survivors of Terror: Posttraumatic stress reactions, somatic complaints, and experiences with early psychosocial hospital care after the 2011 Utøya attack | | Signatur: | Elektronisk dokument | | Ansvar: | Ingrid Bugge | | Forfatter: | Bugge, Ivar  | | Materialtype: | Elektronisk dokument | | Utgitt: | Oslo : Faculty of Medicine, University of Oslo, Oslo University Hospital, Norwegian Centre for Violence and Traumatic, 2019 | | Omfang: | 1 b. ; 978-82-8377-589-1 | | Emneord: | Posttraumatiske lidelser / Skader / Terrorisme | | Note: | Doktorgradsavhandling. | | Innhold: | After traumatic mass events, physically injured survivors constitute a vulnerable group that may struggle with high levels of psychological distress in addition to sequelae from their injuries. This thesis focuses on how mental and somatic health problems develop in injured mass trauma survivors, and how we can provide adequate early psychosocial care in the hospital for the most severely injured survivors.
The development of posttraumatic stress reactions (PTSR) and somatic complaints was studied quantitatively in two different groups of injured survivors (hospitalized and non-hospitalized, compared to non-injured) after the 2011 Utøya terror attack. In addition, hospitalized survivors’ experiences with the early psychosocial care in the hospital were explored qualitatively.
In brief, both hospitalized and non-hospitalized survivors developed particularly high levels of health complaints. Peri-traumatic exposure seemed to contribute to a heightened level of PTSR, and PTSR contributed to a substantial proportion of the somatic complaints developed among the non-hospitalized injured survivors. Regarding the psychosocial hospital care, the analyses resulted in six emphasized themes: Engaging in the trauma narrative; Understanding the trauma reminders; Bringing back normalcy; Being there; Supporting confidence; Instilling trust.
In conclusion, survivors of mass trauma with injuries ranging from minor to severe may need special attention from health care services regarding both mental and somatic health problems. Both trauma-focused interventions and commonplace actions and conversations are important in reducing hospitalized survivors’ early distress. By drawing on the competencies of a range of health care professionals, the hospital is a setting in which survivors’ essential emotional needs may be met and a process towards healing may be effectively initiated. | | Eier: | HELSTILS |
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