MOTOR VEHICLE ACCIDENTS & POST-TRAUMATIC STRESS DISORDER

本研究试图获得有关因素的一般知识 创伤后应激障碍的病因和自然史 （PTSD）通过检查机动车受伤的人 事故（MVA），其中一些人随后发展为PTSD。 两百 (200)参与MVA并随后寻求 将仔细评估因MVA引起的医疗护理 在MVA后一个月左右。 除了细节， MVA和受试者对MVA的反应，将评估患者的 目前的精神病理学，特别是PTSD或亚综合征的存在 PTSD，使用ADIS-R，用于先前可诊断的精神病理学，使用 SADS-L，以及当前心理状态和心理生理 对MVA线索的反应。 一百（100）岁，性别， SES匹配对照组中最近没有MVA的人也将 评估。 将使用LIFE对所有MVA受害者进行随访 Keller等人（18）的方法至少一年，最多2年 年时，最初积极的创伤后应激障碍或亚综合征创伤后应激障碍。 与创伤后应激障碍的发展，其缓解（有或无）相关的因素 治疗）及其复发将被确定为影响因素 与创伤后应激障碍延迟发作有关 此外，描述性 使用最先进的评估方法，了解MVA相关的PTSD信息 程序，将成为可用。

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.