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

Klein, Susan; Alexander, David; Hutchinson, J. D.; Simpson, John; Simpson, Jane; Bell, Jo

doi:10.1017/s0033291702005809

Cited by 22 publications

(21 citation statements)

References 35 publications

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“…Furthermore, it is not clear how strong these risk factors are and whether it would be possible to put together a PTSD risk profile that could accurately place individuals within a spectrum of risk for psychiatric disorders following traumatic injury. One research team has begun to assign post-accident psychopathology risk scores to traumatized subjects, and this promising line of research should be further evaluated (Klein et al, 2002).…”

Section: Discussionmentioning

confidence: 99%

Pharmacotherapy to prevent PTSD: Results from a randomized controlled proof‐of‐concept trial in physically injured patients

Stein

Kerridge

Dimsdale

et al. 2007

Journal of Traumatic Stress

210

130

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Acute physical injury is frequently associated with mental health sequelae, which then accentuate disability and worsen functional outcomes. A pharmacological prevention approach to this problem has been proposed. This proof-of-concept study was a double-blind, randomized controlled trial of 14 days of the beta-blocker propranolol (n = 17), the anxiolytic anticonvulsant gabapentin (n = 14), or placebo (n = 17), administered within 48 hours of injury to patients admitted to a surgical trauma center. Of 569 accessible, potentially eligible subjects, 48 (8%) participated. Outcomes assessments were conducted at 1, 4, and 8 months postinjury. Although well tolerated, neither study drug showed a significant benefit over placebo on depressive or posttraumatic stress symptoms. Implications are discussed for future pharmacological prevention studies in survivors of acute traumatic injury.

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Section: Discussionmentioning

confidence: 99%

Pharmacotherapy to prevent PTSD: Results from a randomized controlled proof‐of‐concept trial in physically injured patients

Stein

Kerridge

Dimsdale

et al. 2007

Journal of Traumatic Stress

210

130

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“…As the nonselective implementation of intervention is neither cost-effective nor efficient, 38 the evaluation of early prophylactic interventions would also be advanced if there were available a brief but valid and reliable method of identifying those at risk. 39 …”

Section: Discussionmentioning

confidence: 99%

The emotional burden of miscarriage for women and their partners: trajectories of anxiety and depression over 13 months

Cumming¹,

Klein²,

Bolsover³

et al. 2007

BJOG

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Objective To identify the trajectories of anxiety and depression in women and in their partners over 13 months after miscarriage.Design A prospective study with follow up at 6 and 13 months after miscarriage.Setting Three Scottish Early Pregnancy Assessment Units.Sample Of the 1443 eligible individuals approached, 686 (48.3%) consented to participate (432 women; 254 men). Complete data were obtained from 273 women and 133 men at baseline, 6, and 13 months.Methods On completion of the management of the index miscarriage, eligible and consenting women and men underwent an initial assessment comprising a semi-structured interview and a standardised self-report questionnaire. The latter was readministered at the follow-up assessments.Main outcome measures The hospital anxiety and depression scale (HADS), a reliable and valid measure of general psychopathology for use in nonpsychiatric samples.Results Compared with depression, anxiety was overall the greater clinical burden. Over the 13-month period, women reported higher levels of anxiety and depression than men. Over time, a significantly greater level of adjustment was reported by women particularly with regards to the resolution of anxiety symptoms. The effect of time on HADS scores in either gender was similar between subgroups of socio-demographic and clinical factors.Conclusions These findings verify that early pregnancy loss represents a significant emotional burden for women, and to some extent for men, especially with regards to anxiety. For many, the detrimental effects of miscarriage are enduring and display a complex course of resolution. These findings are discussed in terms of their clinical implications for early identification and management.

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“…Prevention of trauma sequelae is highly desirable. As the authors [Klein et al, 2002] of this study point out, however, no single traumatic event is guaranteed to trigger psychopathological reaction in all those exposed to this traumatic event. Prevention and early intervention are used non-selectively as it is not clear who among the injured is at risk to develop posttraumatic psychopathology.…”

Section: Aberdeen Trauma Screening Index: An Instrument To Predict Pomentioning

confidence: 77%

“…This article describes the development of a simple and brief screening tool, The Aberdeen Trauma Screening Index (ATSI) [Klein et al, 2002]. The authors studied 150 victims of accidental injury (31% 5 motor vehicle accidents, 22% 5 falls, 21% 5 industrial, 21% 5 sports, and 5% 5 other accidents) consecutively admitted to the Orthopaedic Trauma Unit and the Accident and Emergency Department of the Aberdeen Royal Infirmary, Aberdeen, Scotland.…”

Section: Aberdeen Trauma Screening Index: An Instrument To Predict Pomentioning

confidence: 99%

“…This review presents a selection of articles discussing various scales for measuring anxiety and different aspects of anxiety disorders [Caci et al, 2003;Fresco et al, 2001;Klein et al, 2002;Masia-Warner et al, 2003;Mataix-Cols, 2004;Newman et al, 2003;Salkovskis et al, 2002;Turner et al, 2003;van Zelst et al, 2003;Zaider et al, 2003]. The field of psychiatry and neurosciences has been, unfortunately, plagued by the everlasting and, at times, seemingly purposeless development of new scales and assessment instruments.…”

Section: Introductionmentioning

confidence: 99%

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Measuring anxiety: are we getting what we need?

Balon

2005

Depress. Anxiety

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This article discusses several studies describing either the reevaluation and validation of existing scales for measuring anxiety (i.e., the Spielberger Trait Anxiety Inventory, the Liebowitz Social Anxiety Scale for adults and for children and adolescents, the Clinical Global Impression Scale, the Self-Rating Inventory for Posttraumatic Stress Disorder, and the Yale-Brown Obsessive Compulsive Scale Symptom Checklist), or the development and validation of new scales (i.e., the Social Thoughts and Beliefs Scale, the Social Phobia Diagnostic Questionnaire, the Aberdeen Trauma Screening Index and the Health Anxiety Inventory). As an increasing number of rating scales have been developed over the past several years, a critical review of their usefulness and psychometric properties seems pertinent and prudent.

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

Cited by 22 publications

References 35 publications

Pharmacotherapy to prevent PTSD: Results from a randomized controlled proof‐of‐concept trial in physically injured patients

Pharmacotherapy to prevent PTSD: Results from a randomized controlled proof‐of‐concept trial in physically injured patients

The emotional burden of miscarriage for women and their partners: trajectories of anxiety and depression over 13 months

Measuring anxiety: are we getting what we need?

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