A refugee population exposed to aerial bombing was assessed for psycho
social sequelae within two months. Forty-three members over 15 years w
ere interviewed using a structured questionnaire. Seventy-four percent
had experienced an immediate but transient stress reaction. Subsequen
tly, PTSD, anxiety, depressive and somatic symptoms were common. Forty
-four percent met the DSM III diagnostic criteria for PTSD. In additio
n, social withdrawal, irritability and hostility, interpersonal relati
onship problems and functional disability were found. Although a varie
ty of psychosocial symptoms were seen, it is suggested that part of th
is response be considered as manifestation of a healthy, normal attemp
t to cope with a severely traumatizing experience. The effects of coll
ective trauma and social methods of treatment are also described. (C)
1996 Elsevier Science Ltd