MOTOR VEHICLE ACCIDENTS & POST-TRAUMATIC STRESS DISORDER

这项研究试图获得有关影响因素的一般知识。 创伤后应激障碍的病因和自然病史 (PTSD)通过对在机动车中受伤的个人进行检查 意外(MVA)，其中一些人随后患上创伤后应激障碍。两百元 (200)参与MVA并随后寻求 将仔细评估因MVA而引起的医疗护理 大约在MVA术后1个月。除了关于以下方面的细节 MVA和受试者对它的反应，患者将被评估 现代精神病理学，尤其是创伤后应激障碍或亚综合征的存在 创伤后应激障碍，使用ADIS-R，用于先前可诊断的精神病理学使用 L焦虑自评量表，以及目前的心理状态和心理生理 对线索的反应让人想起MVA。一百(100)岁，性别， SES匹配--最近没有接受过MVA检查的对照组也将 评估过了。所有MVA受害者将使用LIFE进行跟踪 Keller等人的方法(18)，至少一年，最多两年 最初创伤后应激障碍或亚综合征创伤后应激障碍阳性的年份。 与创伤后应激障碍的发展、缓解(伴或不伴)有关的因素 治疗)及其复发将被确定为意志因素 与延迟发病的创伤后应激障碍有关。此外，描述性的 关于MVA相关创伤后应激障碍的信息，使用最先进的评估 程序，将可用。

This research seek to gain general knowledge about factors contributing to the etiology and natural history of Post-Traumatic Stress Disorder (PTSD) through an examination of individuals injured in motor vehicle accidents (MVAs), some of whom subsequently develop PTSD. Two-hundred (200) individuals who are involved in a MVA and subsequently seek medical attention because of the MVA will be carefully assessed approximately 1 month after the MVA. In addition to details concerning the MVA and the subject's reactions to it, patients will be assessed for current psychopathology, especially presence of PTSD or sub-syndromal PTSD, using the ADIS-R, for previous diagnosable psychopathology using the SADS-L, and for current psychological state and psychophysiological reactivity to cues reminiscent of the MVA. One-hundred (100) age, sex, SES matched-controls who have not had a recent MVA will also be assessed. All MVA victims will be followed up using the LIFE methodology of Keller et al (18) for at least one year, and up to 2 years when initially positive for PTSD or sub-syndromal PTSD. Factors related to development of PTSD, its remission (with or without treatment) and its recurrence will be identified as will factors associated with delayed onset of PTSD. In addition, descriptive information on MVA-related PTSD, using state-of-the-art assessment procedures, will become available.