Psychological morbidity associated with motor vehicle accidents

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Abstract

Fifty victims of recent motor vehicle accidents (MVAs), who had sought medical attention after their accidents, were assessed for possible psychological morbidity as a result of the accident. Forty age, gender-matched controls were also assessed with the same instruments. Forty-six percent of the MVA victims met the criteria for current post-traumatic stress disorders (PTSD) as a result of the accident while 20% showed a sub-syndromal version (the reexperiencing symptom cluster plus either the avoidance/numbing cluster or the over-arousal cluster) of PTSD. Although all MVA victims showed some form of driving reluctance, only 1 S met the criteria for driving phobia. Those MVA victims who met the criteria for PTSD or sub-syndromal PTSD were significantly more likely to have experienced previous trauma, other than a serious MVA, and were more likely (P = 0.008) to have previously met the criteria for PTSD as a result of that trauma. Forty-eight percent of MVA victims who met the criteria for current PTSD also met the criteria for current major depression. Significantly more current MVA-PTSDs had suffered previous major depressive episodes.

References (15)

  • J.R. Hodge

    The WIPLASH neurosis. Psychosomatics

    (1971)
  • D.J. Munjack

    The onset of driving phobias

    Behavior Therapy and Experimental Psychiatry

    (1984)
  • American Psychiatric Association

    Diagnostic and Statistical Manual of Mental Disorders

    (1987)
  • D. Blake et al.

    Clinician Administered PTSD Scale (CAPS)

    (1990)
  • N. Breslau et al.

    Traumatic events and post-traumatic stress disorder in an urban population of young adults

    Archives of General Psychiatry

    (1991)
  • J. Castelli

    Traffic deaths reached thirty-year low

    Traffic Safety

    (1993)
  • G. Gilliam et al.

    Fatal Moments

    (1991)
There are more references available in the full text version of this article.

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