Kuch K, Swinson R P, Kirby M
Can J Psychiatry. 1985 Oct;30(6):426-7. doi: 10.1177/070674378503000610.
Survivors of car crashes often suffer from a post-traumatic fear of driving, generalized anxiety and depression. Unremitting pains are also common. As part of a pilot study 30 referred subjects were exposed to imagery of driving and accidents. Seventy-seven percent were phobic of driving. Fifty-three percent responded with increased anxiety to the imagery. Twelve treatment referrals received exposure therapy and six improved markedly. An additional four improved when a Benzodiazepine was added temporarily. Four out of eight subjects lost their unremitting pains along with their fears. When guided imagery evoked intense anxiety this seemed to predict a favourable outcome. A resumption of pleasure trips was a reliable criterion of recovery. The frequency of phobic symptomatology and it's importance to the understanding and management of post-traumatic anxiety states is discussed.
车祸幸存者常常遭受创伤后驾驶恐惧、广泛性焦虑和抑郁。持续不断的疼痛也很常见。作为一项试点研究的一部分，30名转诊患者接触了驾驶和事故的影像。77%的人害怕驾驶。53%的人对影像表现出焦虑增加。12名接受治疗转诊的患者接受了暴露疗法，其中6人有明显改善。另外4人在临时添加苯二氮䓬类药物后有所改善。8名患者中有4人消除了持续不断的疼痛和恐惧。当引导性意象引发强烈焦虑时，这似乎预示着良好的结果。恢复愉快旅行是康复的可靠标准。文中讨论了恐惧症状的发生率及其对理解和管理创伤后焦虑状态的重要性。
