Adolescents Struggle with Disaster

Two years after the fact, Dutch teens are still overcoming the trauma. On New Years Day, 2001, a fire in a cafe in Volendam, Netherlands, killed 14 teenagers and wounded 250. The teens connected to the disaster have shown signs of greater anxiety, aggression and alcohol abuse, according to a study that has tracked their ability to cope.

Before the fire, the students from Volendam had enrolled in a study investigating the effectiveness of a school health program designed to identify and prevent behavioral and emotional problems. Five months after the fire, three quarters of the students involved with the disaster agreed to be reevaluated.

The students reported three times more depression, anxiety, incoherent thinking and aggression, than students not involved with the fire. The Volendam students were four times more likely to abuse alcohol, and girls showed more mental trauma than boys.

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Head researcher Sijmen Reijneveld explains that after such a disaster, teens may need mental health care to overcome traumatic situations. Without help they may be unable cope to with the complex emotions associated with posttraumatic stress disorder -- depression, anxiety and stress. "Adolescents are inclined to react to severe stressful events with excessive use of alcohol, " he writes.

The study was published in this week's issue of The Lancet.

Tags: depression, emotional problems, five months, head researcher, lancet, mental health care, new years day, stress disorder, stressful events, three quarters, three times