Post-traumatic stress disorder in serious accidental injury: 3-year follow-up study.
Br J Psychiatry
; 192(5): 376-83, 2008 May.
Article
em En
| MEDLINE
| ID: mdl-18450664
ABSTRACT
BACKGROUND:
Long-term data on post-traumatic stress disorder (PTSD) following accidents are scarce.AIMS:
To assess and predict PTSD in people 3 years after severe accidental injury.METHOD:
Severely injured patients were recruited consecutively from the intensive care unit (n=121) and assessed within 1 month of the trauma. Follow-up interviews were conducted 6 months, 12 months and 36 months later; 90 patients participated in all four interviews. Symptoms were assessed using the Clinician-Administered PTSD Scale.RESULTS:
Post-traumatic stress disorder was diagnosed in 6% of patients 2 weeks after the accident, in 2% after 1 year and in 4% after 3 years. Robust predictors of later PTSD symptom level were intrusive symptoms shortly after the accident and biographical risk factors. There were individual changes over time between the categories PTSD, sub-threshold PTSD and no PTSD. Whereas PTSD symptom severity was low or decreased for most of the patients, some of them showed an increase or a delayed onset. Patients with persisting PTSD symptoms at 6 months and patients with delayed onset of symptoms are at risk of long-term PTSD.CONCLUSIONS:
The prevalence of PTSD was low over the whole period of 3 years.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos de Estresse Pós-Traumáticos
/
Acidentes
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Qualitative_research
/
Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Br J Psychiatry
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Suíça