Department of Psychosomatic Medicine and Psychotherapy, Clinic for Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany.
University of Applied Sciences Darmstadt, Adelungstr. 51, 64283, Darmstadt, Germany.
Scand J Trauma Resusc Emerg Med. 2021 Jan 28;29(1):22. doi: 10.1186/s13049-021-00830-4.
The aim of the present study was to investigate the incidence of psychological distress and posttraumatic stress symptoms in trauma patients who have been recruited from the resuscitation room. Further, we wanted to explore risk factors for posttraumatic stress symptoms, taking different accident types into account.
Our sample consisted of 45 patients who have been treated in the resuscitation room and were interviewed within the first ten days after treatment. Type of accident, third party fault, previous mental health problems and pretraumatic stress were examined. Patients were interviewed with respect to their currently felt distress regarding the accident. Posttraumatic stress symptoms were measured with the German version of the Impact of Event Scale. Injury severity was assessed by means of the Injury Severity Score.
Our exploratory and cross-sectional project reveals that more severe injuries were associated with higher distress. However, posttraumatic stress symptoms were predicted by high distress and being involved in a car accident, but not by injury severity.
We identified two potential risk factors for the development of posttraumatic stress in trauma patients recruited from the resuscitation room: Being involved in a car accident and high distress.
The project has been registered at the Study Center of Mental Disorders (SPE) at the University Medical Center Mainz (No: 92072014 ).
本研究旨在调查从复苏室招募的创伤患者的心理困扰和创伤后应激症状的发生率。此外，我们还想探讨不同事故类型下创伤后应激症状的危险因素。
我们的样本包括 45 名在复苏室接受治疗并在治疗后十天内接受采访的患者。研究考察了事故类型、第三方责任、先前的心理健康问题和创伤前应激。患者就事故发生后目前的困扰程度接受了访谈。创伤后应激症状采用德国版事件影响量表进行测量。损伤严重程度采用损伤严重程度评分进行评估。
我们的探索性和横断面研究表明，更严重的损伤与更高的痛苦相关。然而，创伤后应激症状是由高痛苦和车祸引起的，而不是由损伤严重程度引起的。
我们确定了从复苏室招募的创伤患者发生创伤后应激的两个潜在危险因素：车祸和高痛苦。
该项目已在美因茨大学医学中心精神障碍研究中心（SPE）注册（编号：92072014）。
