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European Journal of Trauma and Emergency Surgery

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01.06.2011 | Original Article

Characteristics of polytrauma patients with posttraumatic stress disorder in a level 1 trauma center

verfasst von: B. E. Kreis, N. J. Y. Castano, W. E. Tuinebreijer, L. C. A. Hoogenboom, S. A. G. Meylaerts, S. J. Rhemrev

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 3/2011

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Abstract

Aims

The aims of this study were to determine if the severity of injury is related to the prevalence of posttraumatic stress disorder (PTSD) in polytrauma patients and to review the personality traits of patients with PTSD.

Methods

During 2006 and 2007, 252 polytrauma patients were treated at the Medical Centre Haaglanden in The Hague, The Netherlands. Of the 174 survivors, 53 adult patients were traced and sent questionnaires. They were screened for PTSD and personality traits, coping styles, and negative cognitions, and their level of social support were assessed.

Results

PTSD was demonstrated in 22.6% of the patients.

Conclusions

An increased level of neuroticism, negative cognitions regarding themselves, and active dealing were found to be significant predictors of PTSD. However, we found no relation between the injury severity score and the prevalence of PTSD

American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders (DSM-IV-TR). 4th ed. Washington DC: APA; 2000.

Trimbos Instituut. http://www.trimbos.nl (2010).

de Vries GJ, Olff M. The lifetime prevalence of traumatic events and posttraumatic stress disorder in the Netherlands. J Trauma Stress. 2009;22:259–67. PubMedCrossRef

Breslau N, Kessler RC, Chilcoat HD, Schultz LR, Davis GC, Andreski P. Trauma and posttraumatic stress disorder in the community: the 1996 Detroit Area Survey of Trauma. Arch Gen Psychiatry. 1998;55:626–32. PubMedCrossRef

Zatzick D, Jurkovich G, Russo J, Roy-Byrne P, Katon W, Wagner A, Dunn C, Uehara E, Wisner D, Rivara F. Posttraumatic distress, alcohol disorders, and recurrent trauma across level 1 trauma centers. J Trauma. 2004;57:360–6. PubMedCrossRef

Koren D, Norman D, Cohen A, Berman J, Klein EM. Increased PTSD risk with combat-related injury: a matched comparison study of injured and uninjured soldiers experiencing the same combat events. Am J Psychiatry. 2005;162:276–82. PubMedCrossRef

Verger P, Dab W, Lamping DL, Loze JY, Deschaseaux-Voinet C, Abenhaim L, Rouillon F. The psychological impact of terrorism: an epidemiologic study of posttraumatic stress disorder and associated factors in victims of the 1995–1996 bombings in France. Am J Psychiatry. 2004;161:1384–9. PubMedCrossRef

Barth J, Kopfmann S, Nyberg E, Angenendt J, Frommberger U. Posttraumatic stress disorders and extent of psychosocial impairments five years after a traffic accident. Psychosoc Med. 2005;:2:Doc09. PubMed

Wang CH, Tsay SL, Bond AE. Post-traumatic stress disorder, depression, anxiety and quality of life in patients with traffic-related injuries. J Adv Nurs. 2005;52:22–30. PubMedCrossRef

10.

Seethalakshmi R, Dhavale HS, Gawande S, Dewan M. Psychiatric morbidity following motor vehicle crashes: a pilot study from India. J Psychiatr Pract. 2006;12:415–8. PubMedCrossRef

11.

Brasel KJ, deRoon-Cassini T, Bradley CT. Injury severity and quality of life: whose perspective is important? J Trauma. 2010;68:263–8. PubMedCrossRef

12.

Ponsford J, Hill B, Karamitsios M, Bahar-Fuchs A. Factors influencing outcome after orthopedic trauma. J Trauma. 2008;64:1001–9. PubMedCrossRef

13.

Roberts NP, Kitchiner NJ, Kenardy J, Bisson J. Multiple session early psychological interventions for the prevention of post-traumatic stress disorder. Cochrane Database Syst Rev. 2009;(3):CD006869.

14.

Pfeifer R, Tarkin IS, Rocos B, Pape HC. Patterns of mortality and causes of death in polytrauma patients—has anything changed? Injury. 2009;40:907–11. PubMedCrossRef

15.

Hyer L, Braswell L, Albrecht B, Boyd S, Boudewyns P, Talbert S. Relationship of NEO-PI to personality styles and severity of trauma in chronic PTSD victims. J Clin Psychol. 1994;50:699–707. PubMedCrossRef

16.

Lee KA, Vaillant GE, Torrey WC, Elder GH. A 50-year prospective study of the psychological sequelae of World War II combat. Am J Psychiatry. 1995;152:516–22. PubMed

17.

McFarlane AC. The longitudinal course of posttraumatic morbidity. The range of outcomes and their predictors. J Nerv Ment Dis. 1988;176:30–9. PubMedCrossRef

18.

Talbert FS, Braswell LC, Albrecht JW, Hyer LA, Boudewyns PA. NEO-PI profiles in PTSD as a function of trauma level. J Clin Psychol. 1993;49:663–9. PubMedCrossRef

19.

Olff M, Langeland W, Gersons BPR. The psychobiology of PTSD: coping with trauma. Psychoneuroendocrinology. 2005;30:974–82. PubMedCrossRef

20.

Biro M, Novović Z, Gavrilov V. Coping strategies in PTSD. Behav Cogn Psychother. 1997;25:365–9. CrossRef

21.

Lauterbach D, Vrana S. The relationship among personality variables, exposure to traumatic events, and severity of posttraumatic stress symptoms. J Traum Stress. 2001;14:29–45. CrossRef

22.

Amir M, Kaplan Z, Efroni R, Levine Y, Benjamin J, Kotler M. Coping styles in post-traumatic stress disorder (PTSD) patients. Pers Individ Differ. 1997;23:399–405.

23.

Davidson JR, Hughes D, Blazer DG, George LK. Post-traumatic stress disorder in the community: an epidemiological study. Psychol Med. 1991;21:713–21. PubMedCrossRef

24.

Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68:748–66. PubMedCrossRef

25.

Holeva V, Tarrier N, Wells A. Prevalence and predictors of acute stress disorder and PTSD following road traffic accidents: thought control strategies and social support. Behav Ther. 2001;32:65–83. CrossRef

26.

Connor-Smith JK, Flachsbart C. Relations between personality and coping: a meta-analysis. J Pers Soc Psychol. 2007;93(6):1080–107. PubMedCrossRef

27.

Jobson L, O’Kearney RT. Impact of cultural differences in self on cognitive appraisals in posttraumatic stress disorder. Behav Cogn Psychother. 2009;37(3):249–66. PubMedCrossRef

28.

Knight BG, Sayegh P. Cultural values and caregiving: the updated sociocultural stress and coping model. J Gerontol B Psychol Sci Soc Sci. 2010;65B:5–13. PubMed

29.

Taylor SE, Welch WT, Kim HS, Sherman DK. Cultural differences in the impact of social support on psychological and biological stress responses. Psychol Sci. 2007;18:831–7. PubMedCrossRef

30.

Wang SW, Shih JH, Hu AW, Louie JY, Lau AS. Cultural differences in daily support experiences. Cultur Divers Ethnic Minor Psychol. 2010;16:413–20. PubMedCrossRef

31.

Ditlevsen DN, Elklit A. The combined effect of gender and age on post traumatic stress disorder: do men and women show differences in the lifespan distribution of the disorder? Ann Gen Psychiatry. 2010;9:32. PubMedCrossRef

32.

Petrie M, Zatzick D. Collaborative care interventions in general trauma patients. Oral Maxillofac Surg Clin North Am. 2010;22:261–7. PubMedCrossRef

33.

Harris IA, Young JM, Rae H, Jalaludin BB, Solomon MJ. Predictors of general health after major trauma. J Trauma. 2008;64:969–74. PubMedCrossRef

Titel: Characteristics of polytrauma patients with posttraumatic stress disorder in a level 1 trauma center
verfasst von: B. E. Kreis
N. J. Y. Castano
W. E. Tuinebreijer
L. C. A. Hoogenboom
S. A. G. Meylaerts
S. J. Rhemrev
Publikationsdatum: 01.06.2011
Verlag: Springer-Verlag
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 3/2011
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-011-0109-2

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Characteristics of polytrauma patients with posttraumatic stress disorder in a level 1 trauma center

Abstract

Aims

Methods

Results

Conclusions

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Springer Medizin

Abstract

Aims

Methods

Results

Conclusions

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