scholarly journals Cognitive therapy prevented onset of chronic post-traumatic stress disorder after a motor vehicle accident

2004 ◽  
Vol 9 (3) ◽  
pp. 84-84
Author(s):  
J. I Bisson
Keyword(s):  
Cognitive Therapy ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Post Traumatic

COGNITIVE BEHAVIOURAL TREATMENT OF POST TRAUMATIC STRESS DISORDER AFTER MOTOR VEHICLE ACCIDENT

1999 ◽  
Vol 27 (3) ◽  
pp. 201-214 ◽  
Author(s):  
Gary Fecteau ◽  
Richard Nicki
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Self Report ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Cognitive Behavioural ◽  
Post Traumatic

Post traumatic stress disorder (PTSD) and other reactions including driving phobias and depression have in recent years been clearly identified as common motor vehicle accident (MVA) sequelae. To date, no treatment outcome data exist for PTSD following MVA beyond case study reports and one pilot investigation. The present study reports on the first randomized control trial for PTSD following MVA. Twenty volunteer participants who had motor vehicle accidents resulting in physical injury requiring medical attention and PTSD were recruited through rehabilitation service providers, other psychologists, community physicians, and lawyers. Assessments included a structured interview for diagnosis of post traumatic stress disorder (Clinician Administered PTSD Scale) by an independent rater, a range of self-report symptom questionnaires and a behavioural test wherein they had their heart rate and subjective distress measured in reaction to idiosyncratic audio descriptions of their accident. Participants were randomly assigned to eight to ten hours of individual cognitive-behavioural therapy (n=10) or to a wait list control group (n=10). Treatment included education about post-trauma reactions, relaxation training, exposure therapy with cognitive restructuring and instruction for self-directed graduated behaviour practice. Results demonstrated statistically and clinically significant treatment effects across structured interviews, self-report questionnaires and the behavioural test. Treatment gains were maintained over a 6 month follow-up using self-report questionnaires.

scholarly journals Assessment of sleep quality, post-traumatic stress disorder, and locus of control in motor vehicle accident survivors

2020 ◽  
Vol 13 (3) ◽  
Author(s):  
Ali Mesfer Alshardan ◽  
Hassan Mudayni AlShuqaybi ◽  
Sajida Agha ◽  
Emad Masuadi ◽  
Ibrahim AlBabtain ◽  
...  
Keyword(s):  
Locus Of Control ◽  
Sleep Quality ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Post Traumatic

Heart rate measured in the acute aftermath of trauma can predict post-traumatic stress disorder: A prospective study in motor vehicle accident survivors

2011 ◽  
Vol 26 (8) ◽  
pp. 508-512 ◽  
Author(s):  
R. Coronas ◽  
O. Gallardo ◽  
M.J. Moreno ◽  
D. Suárez ◽  
G. García-Parés ◽  
...  
Keyword(s):  
Heart Rate ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Post Traumatic Stress ◽  
Vehicle Accident ◽  
Physical Injuries ◽  
Post Traumatic

AbstractObjectiveTo determine whether increased physiological arousal immediately after trauma or at emergency admission can predict post-traumatic stress disorder (PTSD) in motor vehicle accident (MVA) survivors with physical injuries.MethodsWe included 119 MVA survivors with physical injuries. In this prospective cohort study, heart rate (HR) and blood pressure (BP) were assessed during ambulance transport (T1) and at hospital admission (T2). One and four months after the accident, we assessed patients for PTSD (Davidson trauma scale, confirmed with the structured clinical interview for DSM-IV axis I disorders). Multivariate logistic regression models assessed the relationship between HR or BP and PTSD.ResultsPTSD was diagnosed in 54 (45.4%) patients at 1 month and in 39 (32.8%) at 4 months. In the multivariate analysis, HR at T1 or at T2 predicted PTSD at 1 month (OR=1.156, 95% CI [1.094;1.221] p < 0.0001). Only HR at T1 (not at T2) predicted PTSD at 4 months (OR=1.059, 95% CI [1.013; 1.108] p = 0.012). Injury severity predicted PTSD at 4 months (OR=1.207, 95% CI [1.085; 1.342] p = 0.001). A cut-off of 84 beats per minute yielded a sensitivity of 62.5% and a specificity of 75.0% for PTSD.ConclusionsHR measured at the scene of MVA and severity of injury predicted PTSD 4 months later.

Cortical surface area reduction in identification of subjects at high risk for post-traumatic stress disorder: A pilot study

2018 ◽  
Vol 52 (11) ◽  
pp. 1084-1091 ◽  
Author(s):  
Hao Hu ◽  
Yawen Sun ◽  
Shanshan Su ◽  
Yao Wang ◽  
Yongming Qiu ◽  
...  
Keyword(s):  
High Risk ◽  
Surface Area ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Anterior Cingulate ◽  
Post Traumatic Stress ◽  
Post Traumatic

Objective: Victims of motor vehicle accidents often develop post-traumatic stress disorder, which causes significant social function loss. For the difficulty in treating post-traumatic stress disorder, identification of subjects at high risk for post-traumatic stress disorder is essential for providing possible intervention. This paper aims to examine the cortical structural traits related to susceptibility to post-traumatic stress disorder. Methods: To address this issue, we performed structural magnetic resonance imaging study in motor vehicle accident victims within 48 hours from the accidents. A total of 70 victims, available for both clinical and magnetic resonance imaging data, enrolled in our study. Upon completion of 6-month follow-up, 29 of them developed post-traumatic stress disorder, while 41 of them didn’t. At baseline, voxelwise comparisons of cortical thickness, cortical area and cortical volume were conducted between post-traumatic stress disorder group and trauma control group. Results: As expected, several reduced cortical volume within frontal-temporal loop were observed in post-traumatic stress disorder. For cortical thickness, no between-group differences were observed. There were three clusters in left hemisphere and one cluster in right hemisphere showing decreased cortical area in post-traumatic stress disorder patients, compared with trauma controls. Peak voxels of the three clusters in left hemisphere were separately located in superior parietal cortex, insula and rostral anterior cingulate cortex. Conclusion: The finding of reduced surface area of left insula and left rostral anterior cingulate cortex suggests that shrinked surface area in motor vehicle accident victims could act as potential biomarker of subjects at high risk for post-traumatic stress disorder.

Sign in / Sign up

Export Citation Format

Share Document