Your new experience awaits. Try the new design now and help us make it even better

ORIGINAL RESEARCH article

Front. Psychiatry

Sec. Anxiety and Stress Disorders

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1654552

Predictors of acute stress disorder following a military maritime accident

Provisionally accepted
  • University of Bergen, Bergen, Norway

The final, formatted version of the article will be published soon.

The present study examines the prevalence and predictors of symptoms of acute stress disorder (ASD) in crew members of Norwegian frigate HNoMS Helge Ingstad (n = 118) following the November 8th, 2018, collision with civilian oil tanker Sola TS, which led to grounding and total loss of the frigate. Collected six months prior to the accident (T1), pre-deployment scores on the General Health Questionnaire (GHQ-12), Hopkins Symptom Checklist 25 (HSCL-25) depression items, HSCL-25 anxiety items and professional self-efficacy were examined as predictors of scores on the Acute Stress Disorder Scale (ASDS) measured three weeks post-accident (T2), along with sex, personnel category, operational experience, and peri-traumatic perceived control and perceived coping, also collected at T2. Results show 28 % of participants obtained scores indicating clinically significant symptoms of ASD. Baseline HSCL-25 anxiety, HSCL-25 depression and female sex were positively related to ASDS scores. Perceived control in the situation was negatively related to ASDS scores. Other factors were not predictive. Findings demonstrate that even slight elevations in pre-incident scores on symptoms of anxiety and depression increase risk for significant symptoms of ASD in military populations and suggest pre-deployment screening could help identify subgroups at higher risk of developing ASD after maritime accidents.

Keywords: acute stress (disorder), screening, Maritime, navy, Military Personnel, Accident & Emergency

Received: 26 Jun 2025; Accepted: 08 Oct 2025.

Copyright: © 2025 Sanden, Eid and Hystad. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Sverre Sanden, sverresanden@gmail.com

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.