Kuch K, Cox B J, Evans R J
University of Toronto, Ontario.
Can J Psychiatry. 1996 Sep;41(7):429-34. doi: 10.1177/070674379604100707.
Motor vehicle accidents (MVA) may result in intractable disability. This paper investigates posttraumatic stress disorder (PTSD) as a potential cause.
The literature was reviewed for recent studies on prevalence, symptom profile, and outcome of PTSD.
PTSD is prevalent in roughly 10% of survivors of MVAs during the first year. Comorbid depression and pain are common. Medical complications, psychophysiological reactivity, and possibly litigation may slow remission. Phobic symptoms can persist for years. Mood disturbance may augment the impact of pain on daily living and on self-perceived disability.
Recently developed screening instrument, structured interviews, and behavioural approach tests yield quantitative and reliable assessments of symptom severity. Cognitive-behavioural intervention and antidepressants may improve coping, ease fear, and reduce the impact of pain.
机动车事故（MVA）可能导致难以治愈的残疾。本文调查创伤后应激障碍（PTSD）作为一个潜在原因。
回顾文献，查找关于PTSD患病率、症状特征及转归的近期研究。
在MVA幸存者的第一年中，PTSD患病率约为10%。共病抑郁和疼痛很常见。医学并发症、心理生理反应性以及可能的诉讼可能会延缓康复。恐惧症状可能持续数年。情绪障碍可能会增强疼痛对日常生活和自我感知残疾的影响。
最近开发的筛查工具、结构化访谈和行为方法测试可对症状严重程度进行定量且可靠的评估。认知行为干预和抗抑郁药可能会改善应对能力、减轻恐惧并减少疼痛的影响。
