Posttraumatic stress disorder following road traffic accidents

Author(s):  
Paul Stallard ◽  
Emma Salter ◽  
Richard Velleman
2008 ◽  
Vol 25 (5) ◽  
pp. E16-E23 ◽  
Author(s):  
Ramón Coronas ◽  
Gemma García-Parés ◽  
Carme Viladrich ◽  
Josep Manel Santos ◽  
Josep Manel Menchón

2011 ◽  
Vol 24 (4) ◽  
pp. 414-421 ◽  
Author(s):  
Gerasimos Kolaitis ◽  
George Giannakopoulos ◽  
Magda Liakopoulou ◽  
Panagiota Pervanidou ◽  
Stella Charitaki ◽  
...  

1995 ◽  
Vol 23 (3) ◽  
pp. 217-249 ◽  
Author(s):  
Anke Ehlers ◽  
Regina Steil

Intrusive recollections are very common immediately after traumatic events and are considered necessary aspects of emotional processing. However, if these intrusive recollections persist over a long time, they are linked to long-term psychiatric disorder, especially Posttraumatic Stress Disorder (PTSD). This paper discusses the need to investigate factors involved in the maintenance of intrusive traumatic recollections. It is suggested that the idiosyncratic meaning of the intrusive recollections predicts the distress caused by them, and the degree to which the individual engages in strategies to control the intrusions. These control strategies maintain the intrusive recollections by preventing a change in the meaning of the trauma and of the traumatic memories. It is further suggested that what is needed is a comprehensive assessment of the processes that prevent change in meaning, going beyond the assessment of avoidance. In particular, safety behaviours, dissociation and numbing, suppression of memories and thoughts about trauma, rumination, activation of other emotions such as anger and guilt and corresponding cognitions, and selective information processing (attentional and memory biases) may be involved in the maintenance of intrusive recollections. Preliminary data supporting these suggestions from studies of individuals involved in road traffic accidents and survivors of child sexual abuse are described.


2018 ◽  
Vol 63 (12) ◽  
pp. 798-808 ◽  
Author(s):  
Wenjie Dai ◽  
Aizhong Liu ◽  
Atipatsa C. Kaminga ◽  
Jing Deng ◽  
Zhiwei Lai ◽  
...  

Objective: Children and adolescents are among the most vulnerable road users, and road traffic accidents (RTAs) can lead to not only physical injuries but also adverse psychological outcomes, particularly posttraumatic stress disorder (PTSD). However, estimates of the prevalence of PTSD among children and adolescents following RTAs varied considerably across studies. Therefore, this study aimed to estimate the pooled prevalence of PTSD among this population. Methods: A systematic search for literature was performed in the electronic databases of PubMed, Web of Science, PsycINFO, and Embase. Heterogeneity was assessed using the Cochran’s chi-square test and quantified by the I2 value. Meta-regression analyses were carried out to identify the effects of some potential moderators on the overall heterogeneity. Subgroup analyses were performed to estimate the pooled prevalence of PTSD according to some sample characteristics. Results: Eleven eligible studies with a total of 1532 children and adolescents who were involved in RTAs were included. The overall heterogeneity ( I2 = 89.7, P < 0.001) was high across the eligible studies, and the pooled prevalence of PTSD was 19.95% (95% confidence interval, 13.63% to 27.09%) by a random-effects model. No significant moderators of the overall heterogeneity were identified using meta-regression analyses. Subgroup analyses showed that the pooled prevalence of PTSD differed significantly according to the study location and gender ( P < 0.05). Conclusions: One-fifth of children and adolescents developed PTSD in the aftermath of RTAs, indicating the need for regular assessment of PTSD and timely and effective psychological interventions among this population. Furthermore, more population-based studies with a large sample size are warranted. The protocol was registered in the PROSPERO database (No. CRD42018087941).


Author(s):  
Jelena Kovacevic ◽  
Ivica Fotez ◽  
Ivan Miskulin ◽  
Davor Lesic ◽  
Maja Miskulin ◽  
...  

This study aimed to investigate factors associated with the symptoms of mental disorders following a road traffic crash (RTC). A prospective cohort of 200 people was followed for 6 months after experiencing an RTC. The cohort was comprised of uninjured survivors and injured victims with all levels of road traffic injury (RTI) severity. Multivariable logistic regression analyses were performed to evaluate the associations between the symptoms of depression, posttraumatic stress disorder and anxiety one and six months after the RTC, along with sociodemographic factors, health status before and after the RTC, factors related to the RTI and factors related to the RTC. The results showed associations of depression, anxiety, and posttraumatic stress disorder symptoms with sociodemographic factors, factors related to the health status before and after the RTC and factors related to the RTC. Factors related to the RTI showed associations only with depression and posttraumatic stress disorder symptoms. Identifying factors associated with mental disorders following an RTC is essential for establishing screening of vulnerable individuals at risk of poor mental health outcomes after an RTC. All RTC survivors, regardless of their RTI status, should be screened for factors associated with mental disorders in order to successfully prevent them.


2012 ◽  
Vol 46 (6) ◽  
pp. 790-796 ◽  
Author(s):  
Abeer Shaikh al arab ◽  
Laurence Guédon-Moreau ◽  
François Ducrocq ◽  
Sylvie Molenda ◽  
Stéphane Duhem ◽  
...  

2004 ◽  
Vol 34 (2) ◽  
pp. 335-346 ◽  
Author(s):  
B. BRYANT ◽  
R. MAYOU ◽  
L. WIGGS ◽  
A. EHLERS ◽  
G. STORES

Background. Little is known about the psychological and behavioural consequences of road traffic accidents for children. The study aimed to determine the outcome of road traffic accidents on children and their mothers.Method. A 1-year cohort study of consecutive child attenders aged 5–16 years at an Accident and Emergency Department. Data were extracted from medical notes and from interview and self-report at baseline, 3 months and 6 months.Results. The children had an excellent physical outcome. Fifteen per cent suffered acute stress disorder; 25% suffered post-traumatic stress disorder at 3 months and 18% at 6 months. Travel anxiety was frequent. Post-traumatic consequences for mothers were common.Conclusion. Psychological outcome was poor for a minority of children and associated with disability, especially for travel. There were significant family consequences. There is a need for changes in clinical care to prevent, identify and treat distressing and disabling problems.


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