PMID- 16675367
OWN - NLM
STAT- MEDLINE
DCOM- 20061031
LR  - 20220316
IS  - 0163-8343 (Print)
IS  - 0163-8343 (Linking)
VI  - 28
IP  - 3
DP  - 2006 May-Jun
TI  - Acute stress disorder and posttraumatic stress disorder symptoms among patients 
      severely injured in motor vehicle accidents in Japan.
PG  - 234-41
AB  - OBJECTIVE: The prevalence of acute stress disorder (ASD) and posttraumatic stress 
      disorder (PTSD) in seriously injured survivors of motor vehicle accidents (MVAs) 
      in Japan was investigated. Furthermore, predictive factors in the early stage for 
      development of PTSD were evaluated. METHOD: Subjects were consecutive samples 
      (N=100) of patients hospitalized with severe MVA injuries surveyed at two time 
      points: within 1 month after the MVA and then 6 months later. In the first 
      survey, we conducted the Acute Stress Disorder Interview and compiled results of 
      a self-rating questionnaire; in the second survey, we conducted a structured 
      clinical interview via telephone. RESULTS: The prevalence of ASD and PTSD were 
      9.0% and 8.5%, respectively. The shift from ASD to PTSD was more pronounced when 
      we included partial diagnoses of ASD and PTSD. Three predictive factors for PTSD 
      were identified through multiple logistic analysis: ASD-positive, presence of 
      persistent physical disability and physical injury severity. CONCLUSIONS: Even 
      among severely injured MVA survivors, most acute stress symptoms subside over 
      time. However, having ASD or partial ASD in the early stage, and the presence of 
      physical disability as an aftereffect are strong predictive factors for PTSD. 
      These findings validate the importance of evidence-based intervention for ASD to 
      forestall PTSD.
FAU - Hamanaka, Satoko
AU  - Hamanaka S
AD  - Department of Psychiatry, Kitasato University School of Medicine, Sagamihara 
      228-8520, Japan. satokohamanaka@ybb.ne.jp
FAU - Asukai, Nozomu
AU  - Asukai N
FAU - Kamijo, Yoshito
AU  - Kamijo Y
FAU - Hatta, Kotaro
AU  - Hatta K
FAU - Kishimoto, Junji
AU  - Kishimoto J
FAU - Miyaoka, Hitoshi
AU  - Miyaoka H
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Gen Hosp Psychiatry
JT  - General hospital psychiatry
JID - 7905527
SB  - IM
MH  - Accidents, Traffic/*psychology
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Interviews as Topic
MH  - Japan/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Stress Disorders, Post-Traumatic/*diagnosis/epidemiology
MH  - Stress Disorders, Traumatic, Acute/*diagnosis/epidemiology
EDAT- 2006/05/06 09:00
MHDA- 2006/11/01 09:00
CRDT- 2006/05/06 09:00
PHST- 2005/11/26 00:00 [received]
PHST- 2006/02/20 00:00 [revised]
PHST- 2006/02/22 00:00 [accepted]
PHST- 2006/05/06 09:00 [pubmed]
PHST- 2006/11/01 09:00 [medline]
PHST- 2006/05/06 09:00 [entrez]
AID - S0163-8343(06)00038-7 [pii]
AID - 10.1016/j.genhosppsych.2006.02.007 [doi]
PST - ppublish
SO  - Gen Hosp Psychiatry. 2006 May-Jun;28(3):234-41. doi: 
      10.1016/j.genhosppsych.2006.02.007.