OBJECTIVE: Motor vehicle accidents (MVA) may result in intractable disability. This paper investigates posttraumatic stress disorder (PTSD) as a potential cause. METHOD: The literature was reviewed for recent studies on prevalence, symptom profile, and outcome of PTSD. RESULTS: PTSD is prevalent in roughly 10% of survivors of MVAs during the first year. Comorbid depression and pain are common. Medical complications, psychophysiological reactivity, and possibly litigation may slow remission. Phobic symptoms can persist for years. Mood disturbance may augment the impact of pain on daily living and on self-perceived disability. CONCLUSION: Recently developed screening instrument, structured interviews, and behavioural approach tests yield quantitative and reliable assessments of symptom severity. Cognitive-behavioural intervention and antidepressants may improve coping, ease fear, and reduce the impact of pain.
OBJECTIVE: Motor vehicle accidents (MVA) may result in intractable disability. This paper investigates posttraumatic stress disorder (PTSD) as a potential cause. METHOD: The literature was reviewed for recent studies on prevalence, symptom profile, and outcome of PTSD. RESULTS:PTSD is prevalent in roughly 10% of survivors of MVAs during the first year. Comorbid depression and pain are common. Medical complications, psychophysiological reactivity, and possibly litigation may slow remission. Phobic symptoms can persist for years. Mood disturbance may augment the impact of pain on daily living and on self-perceived disability. CONCLUSION: Recently developed screening instrument, structured interviews, and behavioural approach tests yield quantitative and reliable assessments of symptom severity. Cognitive-behavioural intervention and antidepressants may improve coping, ease fear, and reduce the impact of pain.
Authors: Gemma C Lewis; Timothy F Platts-Mills; Israel Liberzon; Eric Bair; Robert Swor; David Peak; Jeffrey Jones; Niels Rathlev; David Lee; Robert Domeier; Phyllis Hendry; Samuel A McLean Journal: J Trauma Dissociation Date: 2014
Authors: Shan Yu; Constance Chen; Yue Pan; Michael C Kurz; Elizabeth Datner; Phyllis L Hendry; Marc-Anthony Velilla; Christopher Lewandowski; Claire Pearson; Robert Domeier; Samuel A McLean; Sarah D Linnstaedt Journal: Am J Med Genet B Neuropsychiatr Genet Date: 2018-12-11 Impact factor: 3.568
Authors: Sarah E Valentine; Monica W Gerber; Carrie J Nobles; Derri L Shtasel; Luana Marques Journal: Health Psychol Date: 2016-03-21 Impact factor: 4.267