Incidence of Post-Traumatic Stress Disorder After Road Traffic Accident

Dados Bibliográficos

ID15519153
AutoresWubalem Fekadu (0000-0001-7418-4955, Bahir Dar University, autor correspondente), Tesfa Mekonen (Bahir Dar University), Habte Belete (0000-0003-0208-9144, Bahir Dar University), Amsalu Belete (0000-0002-4554-8008, Debre Tabor University), Kalkidan Yohannes (0000-0002-1849-6732, Dilla University)
Ano2019
Volume10
Páginas519-519
Data de publicação2019-07-19
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00519
PMID31379631
OpenAlexW2963547060
IdiomaEN
Citações recebidas5
Referências citadas11

Background: Post-traumatic stress disorder (PTSD) occurs after exposure to actual or threatened death, serious injury, or sexual violence. Road traffic accident (RTA) is one of the traumatic experiences, which may result in PTSD. But treatment is mainly concentrated on physical health. This may be due to a lack of evidence in low-income countries. Aim: To determine the incidence level and identify risk factors of PTSD after RTA. Methods: Longitudinal panel study was done to assess the incidence of PTSD after RTA. The study was conducted in three orthopedic settings of Bahir Dar town Northwest, Ethiopia. The study was on 299 adult car accident survivors. PTSD Checklist (PCL) civilian version, Sheehan disability assessment scale, Patient Health Question (PHQ-2), and Alcohol Use Disorder Identification Test (AUDIT) were instruments to assess the outcome and associated factors. The generalized linear model with Poisson log-linear method was applied to identify associated factors. Ethical clearance was obtained from Bahir Dar University. Individuals with PTSD symptoms were linked to the psychiatric clinic. Result: One hundred thirty-nine (46.5%) participants had at least three extremely severe symptoms that fulfil criteria B, C, and D of Diagnostic Statistical Manual IV of PTSD. The most frequent severe symptoms were having repeated, disturbing memories, thoughts, or images. Two hundred ten (70.2%) participants reported the extreme impact of the accident on work or schooling and 156 (51.9%) reported extreme problems in social functioning. Alcohol dependence, hazardous alcohol consumption, and harmful use were reported by 7.9%, 15.1%, and 4.7% of the participants, respectively. In the final model witnessing death, severe sleep problem and severe impairment in family functioning were significantly associated with PTSD. Conclusion: Nearly half of RTA survivors develop PTSD. Clinicians need to link these patients to the psychiatry clinic. Special attention should be given to patients who witnessed death, with a serious disability, and previous psychiatric history

Acute Stress Disorder · Alcohol · Alcohol use disorder · Alcohol Use Disorders Identification Test · Environmental health · Incidence (geometry · Injury prevention · Mental health · Occupational safety and health · Poison control · Poisson regression · Population · Posttraumatic stress · Psychiatry · Traumatic stress · Medicine · Migration, Health and Trauma · Posttraumatic Stress Disorder Research · Resilience and Mental Health · Emergency Medicine