Incidence of posttraumatic stress disorder after traffic accidents in Germany.

نویسندگان

  • Stephan Brand
  • Dietmar Otte
  • Maximilian Petri
  • Sebastian Decker
  • Timo Stübig
  • Christian Krettek
  • Christian W Müller
چکیده

Posttraumatic stress disorder (PTSD) is possibly an overlooked diagnosis of victims suffering from traffic accidents sustaining serious to severe injuries. This paper investigates the incidence of PTSD after traffic accidents in Germany. Data from an accident research unit were analyzed in regard to collision details, and preclinical and clinical data. Preclinical data included details on crash circumstances and estimated injury severity as well as data on victims' conditions (e.g. heart rate, blood pressure, consciousness, breath rate). Clinical data included initial assessment in the emergency department, radiographic diagnoses, and basic life parameters comparable to the preclinical data as well as follow-up data on the daily ward. Data were collected in the German-In-Depth Accident Research study, and included gender, type of accident (e.g. type of vehicle, road conditions, rural or urban area), mental disorder, and AIS (Abbreviated Injury Scale) head score. AIS represent a scoring system to measure the injury severity of traffic accident victims. A total 258 out of 32807 data sets were included in this analysis. Data on accident and victims was collected on scene by specialized teams following established algorithms. Besides higher AIS Head scores for male motorcyclists compared to all other subgroups, no significant correlation was found between the mean maximum AIS score and the occurrence of PTSD. Furthermore, there was no correlation between higher AIS head scores, gender, or involvement in road traffic accidents and PTSD. In our study the overall incidence of PTSD after road traffic accidents was very low (0.78% in a total of 32.807 collected data sets) when compared to other published studies. The reason for this very low incidence of PTSD in our patient sample could be seen in an underestimation of the psychophysiological impact of traffic accidents on patients. Patients suffering from direct experiences of traumatic events such as a traffic accident and presenting with signs of clinically significant distress or impairment in social interactions should be treated in a team approach including not only trauma surgeons and surgical skilled staff but also psychophysiological experienced physicians.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Impact of personality and social support on posttraumatic stress disorder after traffic accidents

This study aims to investigate the relationships of personality and social support with posttraumatic stress disorder (PTSD) after traffic accidents.The 90 Symptom Checklist (SCL-90) and Eysenck Personality Questionnaire (EPQ) were completed 1 week after trauma. The Checklist-Civilian Version (PCL-C) was surveyed 3 months after discharge.PCL-C score of 38 was used as cutoff point. The older age...

متن کامل

O9: The Impact of Neuroscience in Understanding Posttraumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a disorder which might occur in subjects after experiencing a traumatic life event. The underlying etiology of this disorder is still unknown but malfunction of the brain’s anxiety network is discussed. Therefore, neuroscience research might give new insights about the neurobiological mechanisms of PTSD. The talk will give a systematic overview abo...

متن کامل

Predictors of children's sleep onset and maintenance problems after road traffic accidents

BACKGROUND Sleep onset and maintenance problems are a frequent complaint after traumatic events in children. However, the association of traumatic experiences and disturbed sleep remains to be explained. OBJECTIVE To examine the incidence of sleep onset and maintenance problems in children after road traffic accidents and identify potential predictors of sleep onset and maintenance problems, ...

متن کامل

O3: Review of Evidence-Based and Experimental Treatment of Posttraumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a distressing condition, which is often treated with psychological and/or pharmacological therapies. The talk will give information about current treatment regimes in PTSD which haven proven evidence in reviews and meta-analysis. Furthermore, new and somewhat experimental treatments will be presented to provide insights into new treatment approaches.

متن کامل

Related factors to onset of post-traumatic stress disorder after road accidents

  Introduction: Traffic accidents are one of the most common causes of mental disorders associated to trauma, According to the prevalence, importance and complications of post traumatic stress disorder after the accident, examining the related factors can be a useful aid in screening and treatment of people at risk.   Objective: This study aimed to determine some variables related ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • International journal of emergency mental health

دوره 16 1  شماره 

صفحات  -

تاریخ انتشار 2014