scholarly journals Psychological consequences of traumatic injury

2002 ◽  
Vol 180 (5) ◽  
pp. 392-393 ◽  
Author(s):  
Christopher S. Thomas

Whiplash injuries commonly occur in road traffic accidents, although early descriptions of railway spine following rail accidents would appear to be similar (Trimble, 1981). Initial acute symptoms include neck pain, restricted mobility in the cervical spine, headache, pain in the thoracic spine, radiating pain, paraesthesiae and/or weakness in the arms or legs (Spitzer et al, 1995). These somatic symptoms often are accompanied by psychological symptoms such as initial ‘shock’, a ‘dazed’ feeling, anxiety, anger, depression, difficulty concentrating, insomnia, lassitude, loss of libido, altered appetite and weight and, in some cases, feelings of helplessness, horror, despair and reliving experiences (Mayou & Radanov, 1996).

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Kovacevic ◽  
M Miskulin ◽  
D Degmecic ◽  
A Vcev ◽  
H Palenkic ◽  
...  

Abstract Background Mental health outcomes of road traffic accidents (RTAs) are always investigated amongst the injured. The aim of this study was to investigate psychological consequences and associated factors in all RTA survivors irrelevant of their injury status. Methods A cohort of 200 Croatian RTA survivors was assessed one month after experiencing a RTA using the posttraumatic stress disorder (PTSD) Checklist for civilians, the Beck Depression Inventory and the Beck Anxiety Inventory. The New Injury Severity Scale was used for the injury severity assessment. Results RTA survivors reported substantial rates of PTSD (35.5%) and depression (20.0%) symptoms, and low rates of anxiety (4.5%). Symptoms of depression were associated with under-average self-perceived economic status (SES) (P = 0.001), irreligiousness (P = 0.001), medication use (P < 0.001), injury severity (P < 0.001), self-perceived threat to life (P < 0.022), hospitalization (P = 0.003), hospitalization duration (P = 0.004), surgical treatment of the injury (P < 0.001), unconsciousness in the RTA (P = 0.033) and post-RTA amnesia (0.039). PTSD symptoms were associated with unemployment (P = 0.034), under average SES (P = 0.004), lack of previous RTA experience (P = 0.025), previous psychiatric illness (P = 0.001), medication use (P = 0.001), psychiatric medication use (P < 0.001), injury affliction (P = 0.001), injury severity (P < 0.001), self-perceived threat to life (P < 0.001), pain after RTA (P = 0.009), hospitalization duration (P = 0.017) and claiming compensation (P = 0.008). Anxiety symptoms were associated with previous chronic (P = 0.037) or psychiatric illness (P = 0.010), previous permanent pain (P < 0.001), psychiatric medication use (P = 0.013) and rehabilitation after injury (P = 0.032). Conclusions A RTA is a traumatic event that can result in physical injuries, but also with psychological consequences depending on pre-RTA survivor's characteristics. Psychological support to those at risk may prevent psychological disorders after a RTA. Key messages Along with evaluation and treatment of road traffic accidents injuries, health care providers should evaluate pre-accident health status of all road traffic accidents victims. Understanding factors that present risk for poor mental health outcomes after the road traffic accidents is the key step in planning and organizing recovery of accidents survivors.


2017 ◽  
Vol 07 (01) ◽  
pp. 043-045
Author(s):  
Sushilkumar Shinde ◽  
Rajesh Sharma ◽  
S. Bhaskar ◽  
Ajay Chaudhary

AbstractRoad traffic accidents are a major cause of head injury. Direct head-on collision, hit by vehicle, and overturning of vehicle are some of the modes of road traffic accidents leading to head injury. A dupatta is an accessory worn by many females in the Indian subcontinent. It is wrapped around the neck like a scarf. It can get entangled in the vehicle leading to skidding of vehicle and consequent traumatic injury. There are many reported cases of cervical spine injury by this mechanism. However, this can also result in head injury due to direct impact. In this article we report two cases of head injury caused by entanglement of dupatta in the tire of a two-wheeler vehicle. In both cases the dupatta got entangled in the tire of vehicle leading to skidding of bike and then leading to head injury.


2021 ◽  
Vol 3 (1) ◽  
pp. 037-040
Author(s):  
Omar Fadili ◽  
Yassir El Andaloussi ◽  
Mustapha Fadili

Road Traffic Accident (RTA) are a major health problem in Morocco. Those involving rear cargo tricycles for passenger transport or mixed transport use require special attention. An 18-month continuous retrospective study was performed. It included all victims of RTA involving at least one tricycle, admitted to emergency department with a documented traumatic injury. The data collected was analyzed by statistical software (SPSS v18.0). The aim of this study was to assess the epidemiological, lesional and therapeutic characteristics of stroke’s victims involving tricycles in the region of Grand Casablanca in Morocco. It also highlights the frequency and severity of injuries related to motorized tricycles accidents and the interest of regulatory enforcement to reduce the incidence of these accidents.


1997 ◽  
Vol 170 (4) ◽  
pp. 358-362 ◽  
Author(s):  
Alain Dl Gallo ◽  
Joanne Barton ◽  
William Li. Parry-Jones

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.


2018 ◽  
Vol 9 (08) ◽  
pp. 20531-20536
Author(s):  
Nusrat Shamima Nur ◽  
M. S. l. Mullick ◽  
Ahmed Hossain

Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.


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