Posttraumatic stress disorder following traumatic injury at 6 months

Abstract

Prognostic study, level III.

Exploring the Longitudinal Trajectories of Posttraumatic Stress Disorder in Injured Trauma Survivors

“…A more thorough inspection of additional risk factors would be useful to gain a greater understanding of the factors that affect trajectory patterns. Assessment of an increased number of risk factors-specifically those listed in the meta-analyses by Brewin, Andrews, and Valentine (2000) and Ozer, Best, Lipsey, and Weiss (2003) that were found to be significant to PTSD outcomes, which were not available in the data subset (e.g., general childhood adversity, lack of social support, prior psychological adjustment, posttrauma social support, physical health, and peritraumatic dissociation)-would be useful in providing additional information about the comorbidities of trauma and posttraumatic stress (Warren et al, 2014). Moreover, study of the SGBA outcome trajectories for all trauma survivors, without restriction to injured hospitalized patients, would be of great value.…”

Validation of a brief, two-question depression screen in trauma patients

“…7 Depression has been associated with negative outcomes after injury, including a reduction in quality of life, increased risk of substance use 8 and high correlation with PTSD. 4,9 In a national study of 2,707 patients hospitalized after injury, depression at 12 months was associated with not returning to previous activities of daily living, such as work, as well as inferior physical and emotional well-being. 6 Similar results were seen in a study with patients who sustained minor injuries who were treated and released from the emergency department.…”

“…Although much of the research on psychological consequence of injury has focused on acute stress disorder and posttraumatic stress disorder (PTSD), depression, either premorbid or following injury, in the trauma population has become increasingly recognized as a long-lasting complication after injury. [3][4][5][6] Criteria for a major depressive episode include a 2-week period of symptoms that interfere with social, occupation, or educational functioning. At least one of these symptoms must include depressed mood or anhedonia, which is loss of interest in previously pleasurable activities, lasting most of the day.…”

Post-traumatic Stress Symptoms in a Violently Injured Civilian Population: A Need for Hospital Identification and Resources

“…3 Individuals who have been violently injured experience PTSD at a much higher estimated rate at 20% or higher. [4][5][6] This is particular significance for urban trauma centers who treat a high volume of violently injured patients. We sought to evaluate the prevalence of posttraumatic stress symptoms in violently injured patients discharged from a level 1 trauma center.…”