{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T22:45:51Z","timestamp":1770072351915,"version":"3.49.0"},"reference-count":66,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"unspecified","delay-in-days":127,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789325001132_sec1\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>We studied posttraumatic stress symptoms (PTSS) and disorder (PTSD), associated factors, and quality of life (QOL) of a group of passengers (<jats:italic>n =<\/jats:italic> 58) affected by the 2023 Odisha train accident, comparing it with health professionals (<jats:italic>n =<\/jats:italic> 42) such as doctors and nurses who treated them, and individuals from the local community (<jats:italic>n =<\/jats:italic> 65). We also checked the anxiety and depression of passengers.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325001132_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>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.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325001132_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>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.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325001132_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Following the train accident, stress-related psychiatric problems were common and highlighted the intervention needs of the affected people.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2025.113","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T09:16:35Z","timestamp":1746695795000},"source":"Crossref","is-referenced-by-count":4,"title":["Posttraumatic Stress Following the 2023 Odisha Train Accident: A Cross-sectional Comparison Study of Passengers, Health Professionals, and the Local Community"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8801-9245","authenticated-orcid":false,"given":"Nilamadhab","family":"Kar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarada Prasanna","family":"Swain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Parija","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shraddha","family":"Banerjee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukanya","family":"Mahakul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sushree Sangita","family":"Behura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bindulata","family":"Palei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shreyan","family":"Kar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,5,8]]},"reference":[{"key":"S1935789325001132_r16","doi-asserted-by":"publisher","DOI":"10.4103\/OJP.OJP_23_23"},{"key":"S1935789325001132_r22","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9962.214599"},{"key":"S1935789325001132_r27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2012.06.007"},{"key":"S1935789325001132_r57","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-015-0109-z"},{"key":"S1935789325001132_r19","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05563-6"},{"key":"S1935789325001132_r21","unstructured":"21. Weathers, F , Litz, B , Keane, T , et al. The PTSD Checklist for DSM-5 (PCL-5). Published 2013. 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