One-year prospective follow-up of motor vehicle accident victims.

One-hundred and thirty-two victims of motor vehicle accidents (MVAs), who sought medical attention as a result of the MVA, were assessed at three points in time: 1-4 months post-MVA, 6 months later, and 12 months later. Of the 48 who met the full criteria for Post-Traumatic Stress Disorder (PTSD) initially, half had remitted at least in part by the 6-month follow-up point and two-thirds had remitted by the 1-yr follow-up. Using logistic regression, 3 variables combined to correctly identify 79% of remitters and non-remitters at the 12-month follow-up point: initial scores on the irritability and foreshortened future symptoms of PTSD and the initial degree of vulnerability the subject felt in a motor vehicle after the MVA. Four variables combined to predict 64% of the variance in the degree of post-traumatic stress symptoms at 12 months: presence of alcohol abuse and/or an Axis-II disorder at the time of the initial assessment as well as the total scores on the hyperarousal and on avoidance symptoms of PTSD present at the initial post-MVA assessment.

[1]  J. Guilford.  Fundamental statistics in psychology and education , 1943 .

[2]  R. Priest.  Measurement and Classification of Psychiatric Symptoms , 1975 .

[3]  B. Green,et al.  Psychosocial research in traumatic stress: an update. , 1994, Journal of traumatic stress.

[4]  C. Spielberger,et al.  STAI manual for the State-trait anxiety inventory ("self-evaluation questionnaire") , 1970 .

[5]  N. Andreasen,et al.  The Longitudinal Interval Follow-up Evaluation. A comprehensive method for assessing outcome in prospective longitudinal studies. , 1987, Archives of general psychiatry.

[6]  Richard Mayou,et al.  Psychiatric consequences of road traffic accidents. , 1993, BMJ.

[7]  R. Dolan,et al.  Predictors of post-traumatic stress disorder following physical trauma: an examination of the stressor criterion , 1991, Psychological Medicine.

[8]  A. McFarlane.  The Longitudinal Course of Posttraumatic Morbidity The Range of Outcomes and Their Predictors , 1988, The Journal of nervous and mental disease.

[9]  N. Breslau,et al.  Traumatic events and posttraumatic stress disorder in an urban population of young adults. , 1991, Archives of general psychiatry.

[10]  D. Brom,et al.  Victims of traffic accidents: incidence and prevention of post-traumatic stress disorder. , 1993, Journal of clinical psychology.

[11]  E. Blanchard,et al.  Short-term follow-up of post-traumatic stress symptoms in motor vehicle accident victims. , 1995, Behaviour research and therapy.

[12]  C A Forneris,et al.  Who develops PTSD from motor vehicle accidents? , 1996, Behaviour research and therapy.

[13]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[14]  R. Kessler,et al.  Posttraumatic stress disorder in the National Comorbidity Survey. , 1995, Archives of general psychiatry.

[15]  B. Green.  Psychosocial research in traumatic stress: An update , 1994 .

[16]  A. Leonard,et al.  Buffalo Creek survivors in the second decade: stability of stress symptoms. , 1990, The American journal of orthopsychiatry.

[17]  J. Davidson,et al.  Posttraumatic stress disorder : DSM-IV and beyond , 1993 .

[18]  M. Horowitz,et al.  Impact of Event Scale: A Measure of Subjective Stress , 1979, Psychosomatic medicine.

[19]  C. Spielberger,et al.  Manual for the State-Trait Anxiety Inventory , 1970 .

[20]  B. Litz,et al.  PSYCHOMETRIC PROPERTIES OF THE CLINICIAN-ADMINISTERED PTSD SCALE, CAPS-1 , 1994 .

[21]  G. Mezey.  Post traumatic stress disorder: DSM-IV and beyond: Edited by Davidson J.R.T., Foa E.B. Washington DC: American Psychiatric Press, 1992. 262 pp , 1993 .

[22]  A prospective examination of delayed onset PTSD secondary to motor vehicle accidents. , 1996 .

[23]  A C McFarlane,et al.  Undiagnosed post‐traumatic stress disorder following motor vehicle accidents , 1993, The Medical journal of Australia.