Posttraumatic Stress Among Hospitalized and Nonhospitalized Survivors of Serious Car Crashes: A Population-Based Study
Posttraumatic Stress Among Hospitalized and Nonhospitalized Survivors of Serious Car Crashes: A Population-Based Study
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DOI：
10.1176/appi.ps.60.3.402
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发表时间：
2009-03-01
影响因子：
3.8
通讯作者：
Norton, Robyn
中科院分区：
文献类型：
--
作者：
Ameratunga, Shanthi;Tin, Sandar Tin;Norton, Robyn
目的：本研究调查了严重造成伤害的车祸幸存者中创伤后应激障碍的患病率。方法：这项在新西兰进行的基于人群的前瞻性队列研究招募了住院的汽车乘员（乘客和司机）以及在至少一名乘员住院的车祸后未住院的司机。 59 名住院乘客 (62%) 和 209 名司机 (72%) 完成了为期 5 个月和 18 个月的访谈。事件影响量表评估了创伤后应激的症状。结果：五个月时，28% 的住院乘客、24% 的住院司机和 24% 的非住院司机报告出现了与创伤后应激障碍一致的症状。 18 个月时，23% 的住院乘客、11% 的住院司机和 7% 的非住院司机报告存在显着的压力。结论：预防车祸致残后遗症的策略必须满足住院和非住院幸存者的需求。 （精神科服务 60：402-404，2009 年）
Objective: This study investigated the prevalence of posttraumatic stress among survivors of serious injury-producing car crashes. Methods: This population-based prospective cohort study, conducted in New Zealand, recruited hospitalized car occupants ( passengers and drivers) as well as nonhospitalized drivers after a crash in which at least one occupant was hospitalized. Fifty-nine hospitalized passengers (62%) and 209 drivers (72%) completed five- and 18-month interviews. The Impact of Event Scale assessed symptoms of posttraumatic stress. Results: At five months 28% of hospitalized passengers, 24% of hospitalized drivers, and 24% of nonhospitalized drivers reported symptoms consistent with posttraumatic stress disorder. At 18 months, 23% of hospitalized passengers, 11% of hospitalized drivers, and 7% of nonhospitalized drivers reported significant levels of stress. Conclusions: Strategies to prevent disabling sequelae of crashes must address the needs of hospitalized and nonhospitalized survivors. (Psychiatric Services 60: 402-404, 2009)