Predicting Posttraumatic Distress in Hospitalized Trauma Survivors With Acute Injuries

Zatzick, Douglas; Kang, Sun Mee; Müller, H. G.; Russo, Joan; Rivara, Frederick P.; Katon, Wayne; Jurkovich, Gregory J.; Roy‐Byrne, Peter

doi:10.1176/appi.ajp.159.6.941

Cited by 183 publications

(140 citation statements)

References 42 publications

Supporting

Mentioning

124

Contrasting

Unclassified

Order By: Relevance

“…In a study on subjects after motor vehicle accidents or violent assault by Zatzick et al (Zatzick et al, 2002) PD did not significantly explain the development of PTSD severity over 1 year over and above other variables in a random coefficient regression model.…”

Section: Studies With Negative Outcomesmentioning

confidence: 83%

See 1 more Smart Citation

The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: A systematic review of prospective studies

Velden

Wittmann

2008

Clinical Psychology Review

112

View full text Add to dashboard Cite

The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: a systematic review of prospective studies van der Velden, P G; Wittmann, L van der Velden, P G; Wittmann, L (2008). The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: a systematic review of prospective studies. The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: a systematic review of prospective studies AbstractWe conducted a systematic review of prospective studies examining the independent predictive value of peritraumatic dissociation (PD) for posttraumatic stress disorder (PTSD) symptomatology following single traumatic events. Insight into the independent predictive value may help to identify victims at risk for PTSD symptomatology. For this purpose a literature search was carried out using the online databases PsycINFO, Medline/Pubmed, and PILOTS. Studies were included if they were published in peer-reviewed journals (before 2007), focused on more or less single traumatic events (Type I trauma), assessed PD within 1 month, had follow-ups 3 months or later, and which controlled for mental health problems at the time PD was assessed. The majority of the 17 identified studies showed no or only weak indications of an independent predictive value of PD for PTSD symptomatology following type I traumas. Only 3 of the 6 studies with positive results reported a strong independent predictive value of PD. Although bivariately associated with PTSD symptomatology, there is no general consensus across prospective Type I trauma studies that PD qualifies as an important independent predictor of PTSD symptomatology. AbstractWe conducted a systematic review of prospective studies examining the independent predictive value of peritraumatic dissociation (PD) for posttraumatic stress disorder (PTSD) symptomatology following single traumatic events. Insight into the independent predictive value may help to identify victims at risk for PTSD symptomatology. For this purpose a literature search was carried out using the online databases PsycINFO, Medline/Pubmed, and PILOTS.Studies were included if they were published in peer-reviewed journals (before 2007), focused on more or less single traumatic events (Type I trauma), assessed PD within 1 month, had followups 3 months or later, and which controlled for mental health problems at the time PD was assessed. The majority of the 17 identified studies showed no or only weak indications of an independent predictive value of PD for PTSD symptomatology following type I traumas. Only 3 of the 6 studies with positive results reported a strong independent predictive value of PD.Although bivariately associated with PTSD symptomatology, there is no general consensus across prospective Type I trauma studies that PD qualifies as an important independent predictor of PTSD symptomatology. Results indicate that initial mental health problems, among other factors, are better pre...

show abstract

Section: Studies With Negative Outcomesmentioning

confidence: 83%

“…Two studies utilized an observer-rated version (Wittmann et al, 2006;Zatzick, Kang, Muller, Russo, Rivara, Katon, Jurkovich, & Roy-Byrne, 2002). Assessments of PD occurred within a week of the trauma in 10 studies.…”

Section: General Characteristics Of the Studiesmentioning

confidence: 99%

The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: A systematic review of prospective studies

Velden

Wittmann

2008

Clinical Psychology Review

112

View full text Add to dashboard Cite

show abstract

“…The present study is one of a few that address comorbidity between AUD and PTSD symptoms over time in acute trauma samples (Acierno et al, 1999;Zatzick et al, 2002). Guided by previous work indicating increased risk for PTSD in women who had previous AUD (Acierno et al, 1999;Cottler et al, 1992), we focused our analyses on whether lifetime AUD and alcohol problems were related to chronicity of PTSD symptoms.…”

Section: Discussionmentioning

confidence: 99%

Alcohol problems and posttraumatic stress disorder in female crime victims

et al. 2006

View full text Add to dashboard Cite

Comorbidity between alcohol use and posttraumatic stress disorder (PTSD) has been well documented. However, there are few longitudinal studies with acute trauma samples. The present study examined symptoms of alcohol use disorders (AUDs) and PTSD longitudinally after assault. Female sexual (n = 69) and physical assault victims (n = 39) were assessed 2 to 4 weeks and 3 months post trauma. Women who had lifetime AUD had higher intrusive and avoidance symptoms than those who did not have AUD. Women who had any alcohol problems had higher PTSD symptoms. Participants who had alcohol problems had the same pattern of symptom recovery as those who did not have alcohol problems but remained more symptomatic over the 3 months. These findings suggest that early intervention strategies for women who have previous histories of alcohol problems and seek medical attention early post trauma may be indicated.Exposure to traumatic stressors has been associated with development of posttraumatic stress disorder (PTSD), elevated rates of alcohol use disorders (AUDs) (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), and frequent comorbidity of the two disorders (Breslau, Davis, Peterson, & Schultz, 1997;Stewart, Pihl, Conrod, & Dongier, 1998). AUDs have been associated with more severe PTSD symptoms, such as elevated avoidance and hyperarousal symptoms (Back, Sonne, Killeen, Dansky, & Brady, 2003;Stewart, Conrod, Pihl, & Dongier, 1999) and more reexperiencing symptoms (Read, Brown, & Kahler, 2004).Research examining temporal relationships between AUD and PTSD has yielded mixed results (Acierno, Resnick, Kilpatrick, Saunders, & Best, 1999;Breslau et al., 1997;Cottler, Compton, Mager, Spitznagel, & Janca, 1992;Darves-Bornoz et al., 1998;Sonne, Back, Zuniga, Randall, & Brady, 2003). Several studies have found PTSD increases risk of first onset of AUD in women Stewart et al., 1999) (Brady, Back, & Coffey, 2004;Stewart, 1996). Other studies have found AUD may increase risk of development of PTSD or be associated with a more severe and chronic course of symptoms (Acierno et al., 1999;Conrod & Stewart, 2003;Cottler et al., 1992). Additionally, women appear more vulnerable to alcohol-related consequences at lower levels of alcohol exposure than men (Nolen-Hoeksema, 2004). However, the impact of this vulnerability on the course of PTSD in women has not been examined to date.Despite general consensus that the combination of PTSD and AUD is associated with worse outcomes for both disorders (Stewart et al., 1998), few longitudinal studies have been conducted soon after trauma exposure. Because the impact of previous AUD on development of PTSD has been relatively understudied, the purpose of this study is to examine the impact of AUD on the course of PTSD symptoms in female crime victims early post trauma. Our results represent a secondary set of analyses from a larger study designed to examine postassault changes in functioning and factors affecting recovery (Kaysen, Scher, Mastnak, & Resick, 2005). For the present study we hypothesize...

show abstract

“…2,24,33 Physical injury as the result of a traumatic event increases the risk for experiencing psychiatric symptoms, including depression and post-traumatic stress disorder (PTSD), as well as other psychosomatic symptoms, or those without any known medical cause. 6,8,10,11,18,13,20,22,43,48,51,52,54,49 In analysis of data from the National Study on the Costs and Outcomes of Trauma (NSCOT), the largest study to date assessing functional and work outcomes after an injury, researchers found that 23 percent of injury survivors were continuing to experience PTSD symptoms a year post-injury. 55 In addition, research indicates between 20-50% of trauma patients on surgical wards fit criteria for current or long term substance abuse.…”

Section: Introductionmentioning

confidence: 99%

Collaborative Care Interventions in General Trauma Patients

Petrie

Zatzick

2011

Perioperative Nursing Clinics

View full text Add to dashboard Cite

Predicting Posttraumatic Distress in Hospitalized Trauma Survivors With Acute Injuries

Abstract: Clinical and demographic characteristics readily identifiable at the time of surgical inpatient hospitalization predict PTSD symptoms over the year after injury. Effectiveness trials that test screening and intervention procedures for at-risk inpatients should be developed.

Cited by 183 publications

References 42 publications

The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: A systematic review of prospective studies

The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: A systematic review of prospective studies

Alcohol problems and posttraumatic stress disorder in female crime victims

Collaborative Care Interventions in General Trauma Patients

Contact Info

Product

Resources

About