Psychiatric consequences of road traffic accidents.

Mayou, Richard; Bryant, Bridget; Duthie, Robert B.

doi:10.1136/bmj.307.6905.647

Cited by 574 publications

(354 citation statements)

References 13 publications

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“…But in contrast to this, previous studies with TCI of other patient groups, such as migraine [32] and fibromyalgia [1], which can be suspected to be psychosomatic diseases, show opposite results with higher and significantly higher HA (Harm avoidance), respectively, compared with controls; however, in recent studies neuropsychological findings correlated with cognitive dysfunction have been demonstrated after whiplash injury [19,23]. Still, our findings indicate that whiplash patients do not differ from normal controls, contrary to other studies which have described whiplash patients as neurasthenic [3], anxious, and depressed [25], and more neurotic [28], whereas another study [16] found no differences between whiplash patients and normal controls.…”

Section: Discussioncontrasting

confidence: 99%

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Temperament and character: prognostic factors in whiplash patients?

et al. 2004

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Section: Discussioncontrasting

confidence: 99%

“…More recently, Mayou et al 1993 [28] concluded that whiplash patients scored significantly higher on the neurotic scale of the Eysneck personality inventory. Contrary to this, Gargan et al [16] and Versteegen et al [54] stated that whiplash patients' personality profiles do not differ from the population in general.…”

Section: Introductionmentioning

confidence: 99%

Temperament and character: prognostic factors in whiplash patients?

et al. 2004

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“…There is also some evidence that psychosocial factors, unrelated to the WAD, play a significant role in the course of the whiplash syndrome (Mayou et al, 1993;Smed, 1997). For example, Mayou et al (1993) reported that social and emotional problems that preceded the accident predicted emotional disorders in 18% of the WAD patients.…”

Section: Introductionmentioning

confidence: 99%

Daily hassles and stress vulnerability in patients with a whiplash-associated disorder

Blokhorst¹,

Lousberg²,

Vingerhoets³

et al. 2002

International Journal of Rehabilitation Research

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Daily hassles and stress vulnerability in patients with a whiplash-associated disorderBlokhorst, M.G.B.G.; Lousberg, R.; Vingerhoets, Ad; Winter, F.A.M.; Zilvold, G. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. The objectives of this study were to examine the self-reported, daily problems of patients with a whiplash-associated disorder (WAD) and a healthy control group, with the hypothesis that WAD patients would report more persondependent hassles and perceive them as more serious than the healthy control group, due to the prior experience of a whiplash injury. In addition, it was expected that the person-independent seriousness rating would be elevated, reflecting the increased vulnerability of WAD patients to common stressors. Finally, a strong relationship was expected between frequency or seriousness of daily problems on the one hand and level of distress on the other. Forty-seven WAD patients seeking treatment and 47 matched healthy control participants completed the everyday problem checklist (EPCL). The level of distress was measured by the symptom checklist (SCL-90). As expected, most EPCL-scores in the WAD group were higher than the scores of the healthy participants. Regression analysis further revealed that 61% of the variance in general distress in the WAD group could be explained by EPCL scores and educational background. Chronic WAD patients report a high stress load, which is related specifically to personal functioning after the whiplash injury. In addition, WAD patients (especially those with a low educational level) appear to be more vulnerable and react with more distress than healthy people to all kinds of stressors. Stress responses probably play an important role in the maintenance or deterioration of whiplash-associated complaints.

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“…Recent longitudinal studies of PTSD have included many different groups of subjects, such as exposed disaster workers (1), refugees (2), a community sample (3), survivors of terrorists attacks (4), soldiers hospitalized following serious combat injury (5), patients with myocardial infarction (6), and victims of sexual and physical assault (7). Above all, longitudinal studies of patients following severe injury, especially those involved in motor vehicle accidents (MVAs), comprise one of the largest number of population samples studied (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Section: Objectives Of the Studymentioning

confidence: 99%

Are patients after severe injury who drop out of a longitudinal study at high risk of mental disorder?

Nishi

Matsuoka

Nakajima

et al. 2008

Comprehensive Psychiatry

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Are patients after severe injury who drop out of a longitudinal study at high risk of mental disorder? Are patients after severe injury who drop out of a longitudinal study at high risk of mental disorder? AbstractIn longitudinal studies of traumatic stress, it is particularly important to examine the data for any differences between those who drop out and those who continue to participate, because reluctance to participate might reflect symptoms of avoidance frequently seen in posttraumatic stress disorder (PTSD). However, whether those who drop out are at high risk of PTSD remains unclear. Over a 25-month period, 188 consecutive patients with motor vehicle accident (MVA)-related injuries admitted emergently were enrolled and followed for 4 to 6 weeks. Baseline characteristics were compared between subjects who did and did not participate in the follow-up study. At 4 to 6 weeks, 66 (35.1%) of the participants had dropped out. Bivariate analyses revealed that those who dropped out were likely to be men, alcohol drinkers, smokers, and unconscious just after MVA and to have fewer years of education, less severe injuries, less posttraumatic symptoms, and lower cooperativeness as assessed by the Temperament and Character Inventory. Logistic regression analysis revealed that male sex, unconsciousness during MVA, low cooperativeness, and less severe injuries were significant predictors of dropout. The literature says that male sex and unconsciousness just after MVA might be protective factors against MVA-related PTSD, whereas low cooperativeness is a risk factor for general mental problems. To summarize, it is expected that those who drop from the follow-up are unlikely to have MVA-related PTSD, but might have mental problems independent of injury. In longitudinal studies of traumatic stress, it is particularly important to examine the data for any differences between those who drop out and those who continue to participate, because reluctance to participate might reflect symptoms of avoidance frequently seen in posttraumatic stress disorder (PTSD). However, whether or not those who drop out are at high risk for PTSD remains unclear. Over a 25-month period, 188 TITLE:consecutive patients with motor vehicle accident (MVA)-related injuries admitted emergently were enrolled and followed for 4-6 weeks. Baseline characteristics were compared between subjects who did and did not participate in the follow-up study. At 4-6 weeks, 66 (35.1%) of the participants had dropped out. Bivariate analyses revealed those who dropped out were likely to be men, alcohol drinkers, smokers, unconscious just after MVA, to have fewer years of education, less severe injuries, less posttraumatic symptoms, and lower cooperativeness as assessed by the Temperament and Cognitive

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Psychiatric consequences of road traffic accidents.

Cited by 574 publications

References 13 publications

Temperament and character: prognostic factors in whiplash patients?

Temperament and character: prognostic factors in whiplash patients?

Daily hassles and stress vulnerability in patients with a whiplash-associated disorder

Are patients after severe injury who drop out of a longitudinal study at high risk of mental disorder?

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