Psychiatric morbidity associated with motor vehicle accidents.

摘要: The primary purpose of this report was to determine the extent psychiatric morbidity and comorbidity among a sample recent victims motor vehicle accidents (MVAs) in comparison nonaccident control population. Victims MVAs (N = 158), who sought medical attention as result MVA, were assessed University-based research clinic, 1 4 months after accident for acute psychosocial consequences well pre-MVA psychopathology using structured clinical interviews (Clinician-Administered PTSD Scale, SCID, SCID-II, LIFE Base). Age- gender-matched controls 93) had no past year served controls. Sixty-two MVA (39.2%) met DSM-III-R criteria posttraumatic stress disorder (PTSD), 55 DSM-IV criteria. more subjectively distressed impairment role function (performance at work/school/homemaking, relationships with family or friends) than did not meet A high percentage (53%) MVA-PTSD group also current major depression, most that developing MVA. prior history depression appears be risk factor an (p .0004): 50% developed previous compared 23% those less severe reaction from earlier trauma is associated subsyndromal form it (25.2%) .0012). Personal injury exact substantial costs on victims. Early intervention, especially vulnerable populations, might prevent some this.