Acute stress response: a comparison of head injured and non-head injured patients

1995 ◽  
Vol 25 (4) ◽  
pp. 869-873 ◽  
Author(s):  
Richard A. Bryant ◽  
Allison G. Harvey
Keyword(s):  
Stress Responses ◽  
Motor Vehicle ◽  
Acute Stress ◽  
Motor Vehicle Accident ◽  
Traumatic Event ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Head Injured ◽  
Post Traumatic ◽  
Injured Patients

SYNOPSISAcute stress responses were investigated in head injured (N = 38) and non-head injured (N = 38) motor vehicle accident victims immediately following their trauma. Results indicated that amnesia of the traumatic event was associated with less acute post-traumatic stress, intrusive symptoms, perceived injury, and fear of future risk. A proportion of head injured patients reported intrusive and avoidance symptoms despite being amnesic of their trauma. Findings are discussed in terms of the differential post-traumatic adjustment of head injured and non-head injured traumatized patients.

COGNITIVE BEHAVIOURAL TREATMENT OF POST TRAUMATIC STRESS DISORDER AFTER MOTOR VEHICLE ACCIDENT

1999 ◽  
Vol 27 (3) ◽  
pp. 201-214 ◽  
Author(s):  
Gary Fecteau ◽  
Richard Nicki
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Self Report ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Cognitive Behavioural ◽  
Post Traumatic

Post traumatic stress disorder (PTSD) and other reactions including driving phobias and depression have in recent years been clearly identified as common motor vehicle accident (MVA) sequelae. To date, no treatment outcome data exist for PTSD following MVA beyond case study reports and one pilot investigation. The present study reports on the first randomized control trial for PTSD following MVA. Twenty volunteer participants who had motor vehicle accidents resulting in physical injury requiring medical attention and PTSD were recruited through rehabilitation service providers, other psychologists, community physicians, and lawyers. Assessments included a structured interview for diagnosis of post traumatic stress disorder (Clinician Administered PTSD Scale) by an independent rater, a range of self-report symptom questionnaires and a behavioural test wherein they had their heart rate and subjective distress measured in reaction to idiosyncratic audio descriptions of their accident. Participants were randomly assigned to eight to ten hours of individual cognitive-behavioural therapy (n=10) or to a wait list control group (n=10). Treatment included education about post-trauma reactions, relaxation training, exposure therapy with cognitive restructuring and instruction for self-directed graduated behaviour practice. Results demonstrated statistically and clinically significant treatment effects across structured interviews, self-report questionnaires and the behavioural test. Treatment gains were maintained over a 6 month follow-up using self-report questionnaires.

Short-term follow-up of post-traumatic stress symptoms in motor vehicle accident victims

1995 ◽  
Vol 33 (4) ◽  
pp. 369-377 ◽  
Author(s):  
Edward B. Blanchard ◽  
Edward J. Hickling ◽  
Alisa J. Vollmer ◽  
Warren R. Loos ◽  
Todd C. Buckley ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Post Traumatic Stress ◽  
Short Term ◽  
Vehicle Accident ◽  
Stress Symptoms ◽  
Post Traumatic

scholarly journals Assessment of sleep quality, post-traumatic stress disorder, and locus of control in motor vehicle accident survivors

2020 ◽  
Vol 13 (3) ◽  
Author(s):  
Ali Mesfer Alshardan ◽  
Hassan Mudayni AlShuqaybi ◽  
Sajida Agha ◽  
Emad Masuadi ◽  
Ibrahim AlBabtain ◽  
...  
Keyword(s):  
Locus Of Control ◽  
Sleep Quality ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Post Traumatic

Post-traumatic stress symptoms and cognition in children exposed to motor vehicle accident trauma

2019 ◽  
Vol 26 (4) ◽  
pp. 560-575 ◽  
Author(s):  
Stephanie T. Malarbi ◽  
Frank Muscara ◽  
Peter L. J. Barnett ◽  
Cameron S. Palmer ◽  
Robyn Stargatt
Keyword(s):  
Traumatic Stress ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Stress Symptoms ◽  
Post Traumatic

Heart rate measured in the acute aftermath of trauma can predict post-traumatic stress disorder: A prospective study in motor vehicle accident survivors

2011 ◽  
Vol 26 (8) ◽  
pp. 508-512 ◽  
Author(s):  
R. Coronas ◽  
O. Gallardo ◽  
M.J. Moreno ◽  
D. Suárez ◽  
G. García-Parés ◽  
...  
Keyword(s):  
Heart Rate ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Physical Injuries ◽  
Post Traumatic

AbstractObjectiveTo determine whether increased physiological arousal immediately after trauma or at emergency admission can predict post-traumatic stress disorder (PTSD) in motor vehicle accident (MVA) survivors with physical injuries.MethodsWe included 119 MVA survivors with physical injuries. In this prospective cohort study, heart rate (HR) and blood pressure (BP) were assessed during ambulance transport (T1) and at hospital admission (T2). One and four months after the accident, we assessed patients for PTSD (Davidson trauma scale, confirmed with the structured clinical interview for DSM-IV axis I disorders). Multivariate logistic regression models assessed the relationship between HR or BP and PTSD.ResultsPTSD was diagnosed in 54 (45.4%) patients at 1 month and in 39 (32.8%) at 4 months. In the multivariate analysis, HR at T1 or at T2 predicted PTSD at 1 month (OR=1.156, 95% CI [1.094;1.221] p < 0.0001). Only HR at T1 (not at T2) predicted PTSD at 4 months (OR=1.059, 95% CI [1.013; 1.108] p = 0.012). Injury severity predicted PTSD at 4 months (OR=1.207, 95% CI [1.085; 1.342] p = 0.001). A cut-off of 84 beats per minute yielded a sensitivity of 62.5% and a specificity of 75.0% for PTSD.ConclusionsHR measured at the scene of MVA and severity of injury predicted PTSD 4 months later.

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