Citation

Meyer C, Dittrich U, Küster S, Markgraf E, Hofmann GO, Strauss B. Unfallchirurg 2005; 108(12): 1065-1071.

Vernacular Title

Psychoreaktive Storungen nach Verkehrsunfallen. Ist eine Pradiktion der

Affiliation

Institut fur Medizinische Psychologie, Klinikum der Friedrich-Schiller-Universitat, Jena. christina.meyer@med.uni-jena.de

Copyright

(Copyright © 2005, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00113-005-0994-0

PMID

16328208

Abstract

The aim of this study was to assess common risk factors for the early development of psychoreactive disorders during traumatological treatment and to estimate their predictive potential. The sample consisted of 126 consecutive patients with accidental injuries recruited in an emergency room of the university hospital. We assessed this population 1 week (T1) and-on average-8 months following the accident (T2). At T1 34.5% of all patients indicated moderate and 26.4% strong symptoms of an acute stress disorder; 26.7% of all patients assessed at T2 suffered from severe post-traumatic symptoms. Linear regression analysis, using morbidity status at T2 as the dependent variable, allowed the explanation of 46.2% of the variance. The degree of early acute stress symptoms, injury, and pain intensity contributed significantly to the predictive model. We conclude that a substantial proportion of severely injured accident victims that will develop PTSD can be screened to some degree by the assessment of early stress disorder, the degree of their injury, and pain intensity, enabling secondary prevention of trauma-dependent symptomatology.

Language: de