PMID- 7643060
OWN - NLM
STAT- MEDLINE
DCOM- 19950920
LR  - 20190724
IS  - 0022-3018 (Print)
IS  - 0022-3018 (Linking)
VI  - 183
IP  - 8
DP  - 1995 Aug
TI  - Psychiatric morbidity associated with motor vehicle accidents.
PG  - 495-504
AB  - The primary purpose of this report was to determine the extent of psychiatric 
      morbidity and comorbidity among a sample of recent victims of motor vehicle 
      accidents (MVAs) in comparison to a nonaccident control population. Victims of 
      recent MVAs (N = 158), who sought medical attention as a result of the MVA, were 
      assessed in a University-based research clinic, 1 to 4 months after the accident 
      for acute psychiatric and psychosocial consequences as well as for pre-MVA 
      psychopathology using structured clinical interviews (Clinician-Administered PTSD 
      Scale, SCID, SCID-II, LIFE Base). Age- and gender-matched controls (N = 93) who 
      had had no MVAs in the past year served as controls. Sixty-two MVA victims 
      (39.2%) met DSM-III-R criteria for posttraumatic stress disorder (PTSD), and 55 
      met DSM-IV criteria. The MVA victims who met the criteria for PTSD were more 
      subjectively distressed and had more impairment in role function (performance at 
      work/school/homemaking, relationships with family or friends) than the MVA 
      victims who did not meet the PTSD criteria or the controls. A high percentage 
      (53%) of the MVA-PTSD group also met the criteria for current major depression, 
      with most of that developing after the MVA. A prior history of major depression 
      appears to be a risk factor for developing PTSD after an MVA (p = .0004): 50% of 
      MVA victims who developed PTSD had a history of previous major depression, as 
      compared with 23% of those with a less severe reaction to the MVA. A prior 
      history of PTSD from earlier trauma also is associated with developing PTSD or a 
      subsyndromal form of it (25.2%) (p = .0012). Personal injury MVAs exact 
      substantial psychosocial costs on the victims. Early intervention, especially in 
      vulnerable populations, might prevent some of this.
FAU - Blanchard, E B
AU  - Blanchard EB
AD  - Center for Stress and Anxiety Disorders, University at Albany-SUNY 12203, USA.
FAU - Hickling, E J
AU  - Hickling EJ
FAU - Taylor, A E
AU  - Taylor AE
FAU - Loos, W
AU  - Loos W
LA  - eng
GR  - MH-48476/MH/NIMH NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Nerv Ment Dis
JT  - The Journal of nervous and mental disease
JID - 0375402
SB  - IM
MH  - *Accidents, Traffic/psychology
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Automobile Driving/psychology
MH  - Comorbidity
MH  - Depressive Disorder/diagnosis/epidemiology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Mental Disorders/diagnosis/*epidemiology
MH  - Middle Aged
MH  - Personality Inventory
MH  - Phobic Disorders/diagnosis/epidemiology/psychology
MH  - Prevalence
MH  - Psychiatric Status Rating Scales
MH  - Risk Factors
MH  - Stress Disorders, Post-Traumatic/diagnosis/*epidemiology
EDAT- 1995/08/01 00:00
MHDA- 1995/08/01 00:01
CRDT- 1995/08/01 00:00
PHST- 1995/08/01 00:00 [pubmed]
PHST- 1995/08/01 00:01 [medline]
PHST- 1995/08/01 00:00 [entrez]
AID - 10.1097/00005053-199508000-00001 [doi]
PST - ppublish
SO  - J Nerv Ment Dis. 1995 Aug;183(8):495-504. doi: 10.1097/00005053-199508000-00001.