Who develops PTSD from motor vehicle accidents?
Who develops PTSD from motor vehicle accidents?
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DOI：
10.1016/0005-7967(95)00058-6
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发表时间：
1996-01-01
影响因子：
4.1
通讯作者：
Jaccard, J
中科院分区：
文献类型：
--
作者：
Blanchard, EB;Hickling, EJ;Jaccard, J
在机动车事故（MVA）发生后的1至4个月内，我们评估了158名因机动车事故而寻求医疗救助的机动车事故受害者。使用临床医生管理的PTSD量表（CAPS：Blake，Weathers，Nagy，Kaloupek，Klauminzer，Charney & Keane，1990.国家创伤后应激障碍中心，波士顿，MA），我们发现62例（39%）符合DSM-III-R（美国精神病学协会，1987。华盛顿，DC：美国精神病学出版社）创伤后应激障碍的标准。使用变量从受害者的帐户的事故及其后遗症，前MVA的社会心理功能，人口统计学变量，前MVA的精神病理学和身体伤害的程度，我们发现，70%的科目可以被归类为PTSD或没有4个变量：以前的严重抑郁症，死亡的恐惧，在MVA，身体伤害的程度和诉讼是否已经启动。使用多元回归预测的连续变量的总CAPS评分，作为衡量创伤后应激症状，我们发现，8个变量相结合，预测38.1%的方差（多个R = 0.617）。
Within 1 to 4 months of their motor vehicle accident (MVA), we assessed 158 MVA victims who sought medical attention as a result of the MVA. Using the Clinician-Administered PTSD Scale (CAPS: Blake, Weathers, Nagy, Kaloupek, Klauminzer, Charney & Keane, 1990. National Center for Post-Traumatic Stress Disorder, Boston, MA)., we found that 62 (39%) met DSM-III-R (American Psychiatric Association, 1987. Washington, DC: American Psychiatric Press) criteria for Post-Traumatic Stress Disorder. Using variables from the victim's account of the accident and its sequelae, pre-MVA psychosocial functioning, demographic variables, pre-MVA psychopathology and degree of physical injury, we found that 70% of the subjects could be classified as PTSD or not with 4 variables: prior major depression, fear of dying in the MVA, extent of physical injury and whether litigation had been initiated. Using multiple regression to predict the continuous variable of total CAPS score, as a measure of post-traumatic stress symptoms, we found that 8 variables combined to predict 38.1% of variance (Multiple R = 0.617).