Predictors of posttraumatic stress among victims of motor vehicle accidents
Predictors of posttraumatic stress among victims of motor vehicle accidents
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DOI：
10.1097/00006842-200105000-00009
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发表时间：
2001-05-01
影响因子：
3.3
通讯作者：
Baum, A
中科院分区：
文献类型：
--
作者：
Dougall, AL;Ursano, RJ;Baum, A
目的：本研究通过考察严重机动车事故（MVA）后1、6和12个月的创伤后应激障碍（PTSD）症状与情境和个人变量之间的关系，确定预测个体心理创伤易感性的因素。方法：采用背景特征(暴露变量（领带，伤害严重程度和事故特征）和心理社会变量（领带，感知失控，社会支持和应对）预测115名MVA伤者的PTSD症状和康复。所有参与者都在MVA期间受伤，并在事故发生后的一年内提供前瞻性数据。结果：与背景和暴露变量一起，一厢情愿应对的使用区分了有和没有创伤后应激障碍症状的受害者。结论：社会心理变量，如一厢情愿的应对，可以用来识别MVA受害者是否有发展为慢性创伤后应激的风险，值得进一步调查。
Objective: This study identified factors that predict individual vulnerability to psychological trauma by examining the relationships among situation and person variables and symptoms of posttraumatic stress disorder (PTSD) 1, 6, and 12 months after a serious motor vehicle accident (MVA). Methods: Background characteristics, exposure variables tie, injury severity and accident characteristics), and psychosocial variables tie, perceived loss of control, social support, and coping) were used to predict symptoms of PTSD and recovery in 115 injured MVA victims. All participants were injured during the MVA and provided data prospectively over the course of a year after their accidents. Results: Along with background and exposure variables, use of wishful thinking coping distinguished between victims with and without symptoms of PTSD. Conclusions: Psychosocial variables such as wishful thinking coping can be used to identify MVA victims who are at risk of developing chronic posttraumatic stress and warrant further investigation.