Document Detail

Posttraumatic stress disorder following accidental injury: rule or exception in Switzerland?
MedLine Citation:
PMID:  18230944     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There is still marked variability in the findings concerning psychiatric disorders associated with traumatic injury. The aim of this study was to determine the incidence of acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) following accidental injuries, and to predict the PTSD symptom level at 6 months, taking into particular consideration the role of pre-existing psychiatric morbidity and insufficient command of the local language. METHOD: A total of 255 accident survivors who were hospitalized for at least 2 consecutive nights at a Swiss university hospital for treatment of recently acquired physical injuries were interviewed within 2 weeks of the trauma and 6 months after the accident. Patients who did not have a good command of German but were fluent in Italian, Spanish, Portuguese, Serbo-Croatian or Albanian were assessed using interpreters. The main outcome measure was the Clinician-Administered PTSD Scale. RESULTS: Ten patients (3.9%) were diagnosed as having ASD. At 6 months, 8 patients (3.1%) had PTSD. A regression model using 12 potential predictor variables explained 40% of the variance of PTSD symptoms; mild traumatic brain injury (p < 0.001), pain (p < 0.05), ASD symptom level (p < 0.001) and emotional coping (p = 0.001) predicted higher PTSD symptom levels, while high Sense of Coherence (p < 0.05) and perceived responsibility for the accident (p < 0.01) were associated with lower PTSD symptom levels at follow-up. CONCLUSIONS: ASD and PTSD seem to occur less frequently following accidental injuries than previously reported in the literature. Pre-existing psychiatric morbidity and lack of proficiency in the locally spoken language do not appear to play an important role in the development of PTSD.
Ulrich Schnyder; Lutz Wittmann; Josefina Friedrich-Perez; Urs Hepp; Hanspeter Moergeli
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-01-25
Journal Detail:
Title:  Psychotherapy and psychosomatics     Volume:  77     ISSN:  1423-0348     ISO Abbreviation:  Psychother Psychosom     Publication Date:  2008  
Date Detail:
Created Date:  2008-01-30     Completed Date:  2008-04-01     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0024046     Medline TA:  Psychother Psychosom     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  111-8     Citation Subset:  IM    
Department of Psychiatry, University Hospital, Zurich, Switzerland.
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MeSH Terms
Accidents / psychology*,  statistics & numerical data*
Brain Injuries / epidemiology,  psychology
Mental Disorders / epidemiology
Middle Aged
Stress Disorders, Post-Traumatic / diagnosis,  epidemiology*,  etiology*
Wounds and Injuries / epidemiology*,  psychology*

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