Weisaeth L
Division of Disaster Psychiatry, Institute of Psychiatry, Gaustad.
Acta Psychiatr Scand Suppl. 1989;355:63-72.
During the summer of 1984, 14 seamen, the entire crew of a Norwegian ship, were seized upon arrival in Libya. They were kept under arrest for 67 days and subjected to psychological and physical torture because they were suspected of being enemies of the Libyan state. Within the first few days of imprisonment one seaman had been murdered, another had been abducted and was believed to be dead, and a third had been severely physically maltreated. The immediate reactions to the extreme stress were fear, depression and rage. Not a single seaman gave in to the torture. Shortly after their release, all the seamen underwent thorough medical examinations. Six of them suffered from clear-cut post-traumatic stress disorder (PTSD) and one more seaman developed the disorder two months later. In spite of comprehensive treatment, the same seven sailors, or 54% of the crew, still suffered from post-traumatic stress disorder six months after their release. Used in conjunction with clinical interview, general mental status rating scales (GHQ 20, STAI, State Anxiety Inventory), and specific post-traumatic rating scales (Amnesty Score, IES intrusion subscale, PTSS-10) had a high sensitivity and specificity in discriminating between cases and non-cases.
1984年夏天，一艘挪威船只的全体船员，即14名海员，在抵达利比亚时被扣押。他们被逮捕关押了67天，并遭受了心理和身体上的折磨，因为他们被怀疑是利比亚国家的敌人。在监禁的头几天里，一名海员被谋杀，另一名被绑架，据信已经死亡，第三名受到了严重的身体虐待。对这种极端压力的即时反应是恐惧、抑郁和愤怒。没有一名海员屈服于折磨。获释后不久，所有海员都接受了全面的医学检查。其中6人患有明显的创伤后应激障碍（PTSD），另有一名海员在两个月后患上了这种疾病。尽管进行了全面治疗，但在获释六个月后，这七名海员，即全体船员的54%，仍然患有创伤后应激障碍。与临床访谈相结合使用时，一般精神状态评定量表（GHQ 20、STAI，状态焦虑量表）和特定的创伤后评定量表（大赦评分、IES侵入性子量表、PTSS - 10）在区分病例和非病例方面具有很高的敏感性和特异性。
