Post-Traumatic Stress Is High in Children After Road Traffic Accidents

1999 ◽  
Vol 5 (1) ◽  
pp. 2
Author(s):  
&NA;
Keyword(s):  
Traumatic Stress ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Post Traumatic

Post-Traumatic Stress Impacts on Quality of Life in Children After Road Traffic Accidents: Prospective Study

2009 ◽  
Vol 43 (8) ◽  
pp. 746-753 ◽  
Author(s):  
Markus A. Landolt ◽  
Margarete E. Vollrath ◽  
Hanspeter E. Gnehm ◽  
Felix H. Sennhauser
Keyword(s):  
Quality Of Life ◽  
Traumatic Stress ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Related Quality ◽  
Health Related ◽  
Post Traumatic

Objective: There is little knowledge on health-related quality of life (HRQOL) of injured children and adolescents after road traffic accidents (RTA). Although findings in injured adults suggest that post-traumatic stress symptoms (PTSS) may be important predictors of HRQOL, this issue has never been prospectively examined in children. The aim of the present study was therefore to prospectively assess HRQOL in children after RTA and specifically examine the impact of PTSS on HRQOL. Method: Sixty-eight children (aged 6.5–14.5 years) were interviewed 1 month and 1 year after an RTA using the Child PTSD Reaction Index and the Toegepast Natuurwetenschappelijk Onderzoek-Academisch Ziekenhuis Leiden (TNO-AZL) Questionnaire for Children's Health-Related Quality of Life. Parents and physicians were assessed with questionnaires. Results: Eleven children (16.2%) showed moderate to severe post-traumatic stress reactions at 1 month, and 12 children (17.6%) at 1 year. At 1 month, patients reported reduced motor functioning and autonomy and impairments in some parts of emotional functioning compared to a community sample. At 1 year all dimensions of HRQOL were within or above normal ranges. Multivariate analysis indicated that PTSS at 1 month significantly predicted HRQOL at 1 year. Conclusions: This prospective study provides evidence for a long-term negative influence of early PTSS on HRQOL in injured children. The return of injured children to pre-injury HRQOL may therefore not only depend on optimal medical care but also on awareness and timely interventions regarding PTSS.

scholarly journals Post-traumatic stress reactions in young victims of road traffic accidents

2017 ◽  
Vol 8 (sup4) ◽  
pp. 1351163 ◽  
Author(s):  
Stella Charitaki ◽  
Panagiota Pervanidou ◽  
John Tsiantis ◽  
George Chrousos ◽  
Gerasimos Kolaitis
Keyword(s):  
Traumatic Stress ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Stress Reactions ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Post Traumatic

Post-traumatic stress disorder in children and adolescents following road traffic accidents

1998 ◽  
Vol 172 (5) ◽  
pp. 443-447 ◽  
Author(s):  
K. A. H. Mirza ◽  
B. R. Bhadrinath ◽  
Ian M. Goodyer ◽  
Carol Gilmour
Keyword(s):  
Children And Adolescents ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Traffic Accidents ◽  
Stress Disorder ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Accident And Emergency ◽  
Post Traumatic

BackgroundPost-traumatic stress disorder (PTSD) can be a persistent and disabling psychiatric disorder. There is little systematic research into the psychiatric consequences of road traffic accidents (RTAs) in children and adolescents.MethodA consecutive sample of 8–16-year-olds attending an accident and emergency department following RTAs were screened for PTSD. Potential cases and their parent(s) were interviewed with semi-structured research instruments about six weeks and six months after the accident.ResultsFifty-three (45%) of the 119 subjects fell above PTSD cut-off on the Frederick's Reaction Index. Thirty-three (75%) of the 44 cases met DSM–IV criteria for PTSD. In half of these other psychiatric disorders were present, including major depressive disorder and anxiety disorders. Being female, involvement in car accidents and pre-existing depression and anxiety were associated with developing PTSD. Seventeen per cent of the sample continued to be symptomatic six months after the accident.ConclusionsPTSD is a common consequence of RTAs. Liaison with accident and emergency departments would enhance the early detection and follow-up of children at risk of developing PTSD.

Road traffic accidents: Early psychological consequences in children and adolescents

1997 ◽  
Vol 170 (4) ◽  
pp. 358-362 ◽  
Author(s):  
Alain Dl Gallo ◽  
Joanne Barton ◽  
William Li. Parry-Jones
Keyword(s):  
Children And Adolescents ◽  
Traumatic Stress ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Case Reports ◽  
Psychological Consequences ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

BackgroundAlthough road traffic accidents are a major cause of injury and death in children and adolescents, research into their psychological consequences consists mainly of case reports.MethodA prospective study was made of young road traffic accident victims; 57 subjects, aged 5–18 years, who had been injured in road traffic accidents, and their parents, were interviewed 2–16 days post-accident and re-examined after 12–15 weeks.ResultsPost-accident stress symptoms occurred at both times. There was a decrease of symptom severity between the two interviews, but at the later time, 14% still suffered from moderate or severe post-traumatic stress disorder, 17% from serious traffic-related fears, and parents reported increased mood disturbance in their children compared with the pre-accident period. High levels of distress during and immediately after the accident were associated with severe post-traumatic stress symptoms.ConclusionsThere is an urgent need for healthcare staff working with children and adolescents involved in road traffic accidents to be aware of the potential psychological consequences and the importance of the immediate accident experience on subsequent coping.

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