PMID- 34211218
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220424
IS  - 0019-5545 (Print)
IS  - 1998-3794 (Electronic)
IS  - 0019-5545 (Linking)
VI  - 63
IP  - 3
DP  - 2021 May-Jun
TI  - Prevalence and determinants of posttraumatic stress disorder and depression among 
      survivors of motor vehicle accidents from a hilly Indian state.
PG  - 250-257
LID - 10.4103/psychiatry.IndianJPsychiatry_1059_20 [doi]
AB  - BACKGROUND: Motor vehicle accidents (MVAs) are the leading cause of death and 
      have also been proven debilitating for their survivors. In India, with poor road 
      infrastructure and low maintenance, MVAs are quite apparent. With a significant 
      focus of treatment on physical health, psychological consequences linked to these 
      traumas are often neglected. AIM: The aim of this study was to estimate the 
      prevalence of posttraumatic stress disorder and depression, as well as the 
      determinants of these disorders among survivors of MVAs. MATERIALS AND METHODS: 
      An institution-based, cross-sectional descriptive study was conducted among 250 
      survivors of MVA visiting a tertiary care center in Uttarakhand (India) during 
      December 2019, recruited using total enumerative sampling. Data were collected 
      with standardized and validated tools that consisted of sociodemographic 
      information, Posttraumatic Stress Disorder Checklist 5, and Zung Self-Rating 
      Depression Scale. Data were analyzed using SPSS version 23, including descriptive 
      (frequency, percentage, mean, and mean percentage) and inferential statistics 
      (Mann-Whitney, Kruskal-Wallis, and binary logistic regression). RESULTS: The 
      prevalence of posttraumatic stress disorder (PTSD) was found to be 32.4%, and 
      mild and moderate depressions were present among 14.4% and 6.4% of the study 
      population, respectively. Witnessing death (odds ratio [OR] = 5.52; 95% 
      confidence interval [CI] = 0.92-3.06), loss of valuables (OR = 2.62; 95% CI = 
      0.78-9.04), self-blame (OR = 6.06; 95% CI = 1.15-31.91), and perceived death 
      threat (OR = 9.98; 95% CI = 5.89-46.85) acted as determinants in the occurrence 
      of PTSD and depression. CONCLUSION: A considerably large proportion of the 
      population suffered from psychiatric disorders following the trauma. These must 
      be addressed with an urgent development of multidisciplinary teams incorporating 
      mental health services across all hospitals' trauma units.
CI  - Copyright: (c) 2021 Indian Journal of Psychiatry.
FAU - Arora, Deeksha
AU  - Arora D
AD  - College of Nursing, AIIMS, Rishikesh, Uttarakhand, India.
FAU - Belsiyal, C Xavier
AU  - Belsiyal CX
AD  - College of Nursing, AIIMS, Rishikesh, Uttarakhand, India.
FAU - Rawat, Vikram Singh
AU  - Rawat VS
AD  - Department of Psychiatry, AIIMS, Rishikesh, Uttarakhand, India.
LA  - eng
PT  - Journal Article
DEP - 20210617
PL  - India
TA  - Indian J Psychiatry
JT  - Indian journal of psychiatry
JID - 0013255
PMC - PMC8221207
OTO - NOTNLM
OT  - Collisions
OT  - depression
OT  - posttraumatic stress disorder
OT  - survivor
OT  - traffic accidents
COIS- There are no conflicts of interest.
EDAT- 2021/07/03 06:00
MHDA- 2021/07/03 06:01
PMCR- 2021/05/01
CRDT- 2021/07/02 06:33
PHST- 2020/09/10 00:00 [received]
PHST- 2020/10/24 00:00 [revised]
PHST- 2021/05/30 00:00 [accepted]
PHST- 2021/07/02 06:33 [entrez]
PHST- 2021/07/03 06:00 [pubmed]
PHST- 2021/07/03 06:01 [medline]
PHST- 2021/05/01 00:00 [pmc-release]
AID - IJPsy-63-250 [pii]
AID - 10.4103/psychiatry.IndianJPsychiatry_1059_20 [doi]
PST - ppublish
SO  - Indian J Psychiatry. 2021 May-Jun;63(3):250-257. doi: 
      10.4103/psychiatry.IndianJPsychiatry_1059_20. Epub 2021 Jun 17.