PMID- 17001628
OWN - NLM
STAT- MEDLINE
DCOM- 20070830
LR  - 20070619
IS  - 1091-4269 (Print)
IS  - 1091-4269 (Linking)
VI  - 24
IP  - 4
DP  - 2007
TI  - Demographic and clinical characteristics of motor vehicle accident victims in the 
      community general health outpatient clinic: a comparison of PTSD and non-PTSD 
      subjects.
PG  - 244-50
AB  - Motor vehicle accidents (MVAs) are the leading cause of posttraumatic stress 
      disorder (PTSD) in the general population, often with enduring symptomatology. 
      This study details epidemiological and clinical features that characterize PTSD 
      among MVA victims living in a nonhospitalized community setting long after the 
      MVA event, and includes exploration of premorbid and peritraumatic factors. MVA 
      victims (n=60; 23 males, 37 females) identified from the registry of a community 
      general health outpatient clinic during a 7-year period were administered an 
      extensive structured battery of epidemiological, diagnostic and clinical ratings. 
      Results indicated that 30 subjects (50%; 12 males, 18 females) had MVA-related 
      PTSD (MVAR-PTSD). Among those with PTSD, 16 individuals exhibited PTSD in partial 
      remission, and six, in full remission. There were no significant demographic or 
      occupational function differences between PTSD and non-PTSD groups. The most 
      common comorbid conditions with MVAR-PTSD were social phobia (20%), generalized 
      anxiety disorder (7.8%) and obsessive-compulsive disorder (0.5%). Previous MVA's 
      were not predictive of PTSD. Subjects with MVAR-PTSD scored worse on the 
      Clinician-Administered Posttraumatic Stress Disorder Scale, Part 2 (CAPS-2), 
      Impact of Event Scale, Hamilton Depression Rating Scale, Hamilton Anxiety Rating 
      Scale, Impulsivity Scale, and Toronto Alexithymia Rating Scale. Study 
      observations indicate a relatively high rate of PTSD following an MVA in a 
      community-based sample. The relatively high rate of partially remitted MVAR-PTSD 
      (N=16) underscores the importance of subsyndromal forms of illness. Alexithymia 
      may be an adaptive method of coping with event stress. The development of PTSD 
      appears not to be associated with the severity of MVA-related physical injury.
FAU - Kupchik, Marina
AU  - Kupchik M
AD  - Ness-Ziona Mental Health Center, Ness-Ziona, Israel.
FAU - Strous, Rael D
AU  - Strous RD
FAU - Erez, Rina
AU  - Erez R
FAU - Gonen, Noach
AU  - Gonen N
FAU - Weizman, Abraham
AU  - Weizman A
FAU - Spivak, Baruch
AU  - Spivak B
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Depress Anxiety
JT  - Depression and anxiety
JID - 9708816
SB  - IM
MH  - Accidents, Traffic/*psychology
MH  - Adaptation, Psychological
MH  - Adult
MH  - Ambulatory Care Facilities/*statistics & numerical data
MH  - Anxiety Disorders/diagnosis/epidemiology
MH  - Community Health Services/*statistics & numerical data
MH  - Comorbidity
MH  - Data Collection
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Humans
MH  - Life Change Events
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Obsessive-Compulsive Disorder/diagnosis/epidemiology
MH  - Phobic Disorders/diagnosis/epidemiology
MH  - Psychiatric Status Rating Scales/statistics & numerical data
MH  - Stress Disorders, Post-Traumatic/*diagnosis/*epidemiology/psychology
EDAT- 2006/09/27 09:00
MHDA- 2007/08/31 09:00
CRDT- 2006/09/27 09:00
PHST- 2006/09/27 09:00 [pubmed]
PHST- 2007/08/31 09:00 [medline]
PHST- 2006/09/27 09:00 [entrez]
AID - 10.1002/da.20189 [doi]
PST - ppublish
SO  - Depress Anxiety. 2007;24(4):244-50. doi: 10.1002/da.20189.