TY - JOUR PY - 2012// TI - Predictors of Chronic Trauma-Related Symptoms in a Community Sample of New Zealand Motor Vehicle Accident Survivors JO - Culture, medicine, and psychiatry A1 - Kazantzis, Nikolaos A1 - Kennedy-Moffat, James A1 - Flett, Ross A. A1 - Petrik, Alexandra M. A1 - Long, Nigel R. A1 - Castell, Bronwyn SP - 442 EP - 464 VL - 36 IS - 3 N2 - This study examined 1,500 New Zealand community-residing adults for involvement in serious motor vehicle accident (MVA) and the development of trauma-related symptomatology. The incidence of MVA was 11 %. More than 50 % of the accident victim sub-sample reported hyperarousal, with exaggerated startle, intrusive recollections, situational avoidance, emotional reactivity, and cognitive avoidance. The high incidence of trauma-related symptoms is noteworthy given 59 % of victims reported sustaining no or mild accident injury, and only 27 % were admitted to hospital for severe injury. Trauma-related symptoms were related to measures of injury severity, psychological and social functioning, and persistent medical problems. Pre- and post-accident factors, that is, experience of additional trauma, experience of stressful life events and post-accident social contact were the most important predictors of trauma-related symptoms severity. This study discusses the importance of examining trauma-related symptoms rather than using categorical diagnostic criteria (i.e., post-traumatic stress disorder, PTSD) as a sole means of characterizing the psychological impact of MVA.

Language: en

LA - en SN - 0165-005X UR - http://dx.doi.org/10.1007/s11013-012-9265-z ID - ref1 ER -