Psychosocial consequences of road accidents

Malt, UF; Blikra, G

doi:10.1017/s0924933800002972

Cited by 19 publications

(9 citation statements)

References 3 publications

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“…In a retrospective study of 51 children and 183 adults injured in MVAs, Malt, Hoivik, and Blikra (1993) found that mental problems (including possibly F'TSD) after the MVA was associated with greater age, severity of injury measured by the AIS, and pre-MVA disability programs. Unfortunately, it does not speak to factors related to remission of problems.…”

mentioning

confidence: 97%

Prediction of remission of acute posttraumatic stress disorder in motor vehicle accident victims

Blanchard

Hickling

Forneris

et al. 1997

Journal of Traumatic Stress

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One hundred forty five individuals who sought medical attention as a result of a motor vehicle accident (MVA), and who were initially assessed 1 to 4 months post-MVA, were followed up prospectively for 6 months to determine how many of the 55 with posttraumatic stress disorder (PTSD) and the 43 with sub-syndromal PTSD would remit and what variables would predict remission. Thirty (55%) of those with initial PTSD had remitted at least in part by 6 months while 67% of those with sub-syndromal PTSD had remitted (and 5% had worsened). Four variables, including severity of initial symptoms, degree of initial physical injury, relative degree of physical recovery by 4 months and whether a close family member suffered a trauma during the follow-up interval, combined to classify 6-month clinical status of 84% of those with initial PTSD secondary to MVAs.

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confidence: 97%

Prediction of remission of acute posttraumatic stress disorder in motor vehicle accident victims

Blanchard

Hickling

Forneris

et al. 1997

Journal of Traumatic Stress

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“…In this study, 15% of the sample evidenced overt signs of PTSD at least 90 days post-MVA event. Although this rate appears somewhat high, it is not unlike rates reported in other studies following MVA that range from 8% to 46% [Malt and Blikra, 1993;Mayou et al, 1993]. This rate is in addition to the 26% of subjects diagnosed with PTSD-PR and the 8% who had previous PTSD following the event.…”

Section: Discussionmentioning

confidence: 48%

Demographic and clinical characteristics of motor vehicle accident victims in the community general health outpatient clinic: a comparison of PTSD and non-PTSD subjects

Kupchik¹,

Strous

Erez

et al. 2007

Depress. Anxiety

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Motor vehicle accidents (MVAs) are the leading cause of posttraumatic stress disorder (PTSD) in the general population, often with enduring symptomatology. This study details epidemiological and clinical features that characterize PTSD among MVA victims living in a nonhospitalized community setting long after the MVA event, and includes exploration of premorbid and peritraumatic factors. MVA victims (n=60; 23 males, 37 females) identified from the registry of a community general health outpatient clinic during a 7-year period were administered an extensive structured battery of epidemiological, diagnostic and clinical ratings. Results indicated that 30 subjects (50%; 12 males, 18 females) had MVA-related PTSD (MVAR-PTSD). Among those with PTSD, 16 individuals exhibited PTSD in partial remission, and six, in full remission. There were no significant demographic or occupational function differences between PTSD and non-PTSD groups. The most common comorbid conditions with MVAR-PTSD were social phobia (20%), generalized anxiety disorder (7.8%) and obsessive-compulsive disorder (0.5%). Previous MVA's were not predictive of PTSD. Subjects with MVAR-PTSD scored worse on the Clinician-Administered Posttraumatic Stress Disorder Scale, Part 2 (CAPS-2), Impact of Event Scale, Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, Impulsivity Scale, and Toronto Alexithymia Rating Scale. Study observations indicate a relatively high rate of PTSD following an MVA in a community-based sample. The relatively high rate of partially remitted MVAR-PTSD (N=16) underscores the importance of subsyndromal forms of illness. Alexithymia may be an adaptive method of coping with event stress. The development of PTSD appears not to be associated with the severity of MVA-related physical injury.

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“…Although the majority of injuries sustained were not severe or life threatening, psychological distress in this sample was substantially higher at 3-months than found in other populations of recently injured patients. For example, 37 % were identified as cases in a 3 year follow-up study of the psychosocial consequences of road accidents (Malt et al 1993) and 33 % were identified as such in a recent retrospective study of the psychiatric and psychological sequelae of ocular trauma (Alexander et al 2001). In relation to normative data, the prevalence of caseness in this study was three times that to be found in the normal population (Hardy et al 1997).…”

Section: Prevalence Of Psychopathology At 3 Monthsmentioning

confidence: 54%

The Aberdeen Trauma Screening Index: an instrument to predict post-accident psychopathology

et al. 2002

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Psychosocial consequences of road accidents

Cited by 19 publications

References 3 publications

Prediction of remission of acute posttraumatic stress disorder in motor vehicle accident victims

Prediction of remission of acute posttraumatic stress disorder in motor vehicle accident victims

Demographic and clinical characteristics of motor vehicle accident victims in the community general health outpatient clinic: a comparison of PTSD and non-PTSD subjects

The Aberdeen Trauma Screening Index: an instrument to predict post-accident psychopathology

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