Buitenhuis Jan, de Jong Peter J, Jaspers Jan P C, Groothoff Johan W
Medical Department, Univé Insurance The Netherlands.
J Psychosom Res. 2006 Nov;61(5):681-9. doi: 10.1016/j.jpsychores.2006.07.008.
This study investigates the relationship between posttraumatic stress disorder (PTSD) symptoms (avoidance, reexperiencing, and hyperarousal) and the presence, severity, and duration of neck complaints after motor vehicle accidents.
Individuals who had been involved in traffic accidents and had initiated compensation claim procedures with a Dutch insurance company were sent questionnaires (Q1) containing complaint-related questions and the Self-Rating Scale for PTSD. Of the 997 questionnaires that were dispatched, 617 (62%) were returned. Only car accident victims were included in this study (n=240). Complaints were monitored using additional questionnaires that were administered 6 months (Q2) and 12 months (Q3) after the accident.
PTSD was related to the presence and severity of concurrent post-whiplash syndrome. More specifically, the intensity of hyperarousal symptoms that were related to PTSD at Q1 was found to have predictive validity for the persistence and severity of post-whiplash syndrome at 6 and 12 months follow-up.
Results are consistent with the idea that PTSD hyperarousal symptoms have a detrimental influence on the recovery and severity of whiplash complaints following car accidents.
本研究调查创伤后应激障碍（PTSD）症状（回避、重新体验和过度警觉）与机动车事故后颈部不适的存在、严重程度及持续时间之间的关系。
向那些遭遇交通事故并已向一家荷兰保险公司启动赔偿申请程序的个体发送问卷（Q1），问卷包含与不适相关的问题以及PTSD自评量表。在发放的997份问卷中，617份（62%）被返还。本研究仅纳入了汽车事故受害者（n = 240）。使用事故发生后6个月（Q2）和12个月（Q3）发放的额外问卷对不适情况进行监测。
PTSD与同时存在的挥鞭样综合征的存在及严重程度相关。更具体地说，在Q1时与PTSD相关的过度警觉症状强度，被发现对6个月和12个月随访时挥鞭样综合征的持续存在及严重程度具有预测效度。
研究结果与以下观点一致，即PTSD的过度警觉症状对交通事故后挥鞭样不适的恢复及严重程度具有不利影响。
