严重车祸住院及非住院幸存者的创伤后应激障碍：一项基于人群的研究。
Posttraumatic stress among hospitalized and nonhospitalized survivors of serious car crashes: a population-based study.
作者信息
Ameratunga Shanthi, Tin Tin Sandar, Coverdale John, Connor Jennie, Norton Robyn
机构信息
Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag, Auckland Mail Centre, Auckland, New Zealand.
出版信息
Psychiatr Serv. 2009 Mar;60(3):402-4. doi: 10.1176/ps.2009.60.3.402.
OBJECTIVE
This study investigated the prevalence of posttraumatic stress among survivors of serious injury-producing car crashes.
METHODS
This population-based prospective cohort study, conducted in New Zealand, recruited hospitalized car occupants (passengers and drivers) as well as nonhospitalized drivers after a crash in which at least one occupant was hospitalized. Fifty-nine hospitalized passengers (62%) and 209 drivers (72%) completed five- and 18-month interviews. The Impact of Event Scale assessed symptoms of posttraumatic stress.
RESULTS
At five months 28% of hospitalized passengers, 24% of hospitalized drivers, and 24% of nonhospitalized drivers reported symptoms consistent with posttraumatic stress disorder. At 18 months, 23% of hospitalized passengers, 11% of hospitalized drivers, and 7% of nonhospitalized drivers reported significant levels of stress.
CONCLUSIONS
Strategies to prevent disabling sequelae of crashes must address the needs of hospitalized and nonhospitalized survivors.
目的
本研究调查了严重致伤车祸幸存者中创伤后应激障碍的患病率。
方法
这项基于人群的前瞻性队列研究在新西兰开展，招募了因车祸住院的车内乘客（乘客和司机）以及车祸发生后未住院的司机，此次车祸中至少有一名乘客住院。59名住院乘客（62%）和209名司机（72%）完成了5个月和18个月的访谈。事件影响量表用于评估创伤后应激症状。
结果
在5个月时，28%的住院乘客、24%的住院司机和24%的未住院司机报告有与创伤后应激障碍相符的症状。在18个月时，23%的住院乘客、11%的住院司机和7%的未住院司机报告有显著程度的应激反应。
结论
预防车祸致残后遗症的策略必须满足住院和未住院幸存者的需求。
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