scholarly journals Psychological consequences of road traffic accidents in children and adolescents

1997 ◽  
Vol 171 (4) ◽  
pp. 393-393 ◽  
Author(s):  
D. Fearnley
Keyword(s):  
Children And Adolescents ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Psychological Consequences ◽  
Road Traffic Accidents

Road traffic accidents: Early psychological consequences in children and adolescents

1997 ◽  
Vol 170 (4) ◽  
pp. 358-362 ◽  
Author(s):  
Alain Dl Gallo ◽  
Joanne Barton ◽  
William Li. Parry-Jones
Keyword(s):  
Children And Adolescents ◽  
Traumatic Stress ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Case Reports ◽  
Psychological Consequences ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

BackgroundAlthough road traffic accidents are a major cause of injury and death in children and adolescents, research into their psychological consequences consists mainly of case reports.MethodA prospective study was made of young road traffic accident victims; 57 subjects, aged 5–18 years, who had been injured in road traffic accidents, and their parents, were interviewed 2–16 days post-accident and re-examined after 12–15 weeks.ResultsPost-accident stress symptoms occurred at both times. There was a decrease of symptom severity between the two interviews, but at the later time, 14% still suffered from moderate or severe post-traumatic stress disorder, 17% from serious traffic-related fears, and parents reported increased mood disturbance in their children compared with the pre-accident period. High levels of distress during and immediately after the accident were associated with severe post-traumatic stress symptoms.ConclusionsThere is an urgent need for healthcare staff working with children and adolescents involved in road traffic accidents to be aware of the potential psychological consequences and the importance of the immediate accident experience on subsequent coping.

A Pilot Study to Explore the Effect of Symptom Monitoring in Children and Adolescents with Posttraumatic Stress Reactions following Road Traffic Accidents

2008 ◽  
Vol 36 (4) ◽  
pp. 431-435 ◽  
Author(s):  
Emma Hardy ◽  
Paul Stallard
Keyword(s):  
Pilot Study ◽  
Young People ◽  
Children And Adolescents ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Stress Reactions ◽  
Road Traffic Accidents ◽  
Symptom Monitoring ◽  
Number Of Children ◽  
Posttraumatic Symptoms

AbstractEach year a large number of children and adolescents develop significant posttraumatic symptoms after being involved in road traffic accidents (RTA). Consequently there is a need to develop effective interventions to prevent or minimize such reactions. The use of symptom monitoring with adults has found promising results. This pilot study explores the use of symptom monitoring with children and young people involved in RTAs. Twelve young people who met criteria on screening questionnaires for significant posttraumatic symptoms completed symptom monitoring diaries. Following completion of a diary once a day for 3 weeks, 3/12 children (25%) fell below criteria, suggesting significant posttraumatic symptoms. Feedback about self-monitoring was generally positive and suggests that symptom monitoring may be a helpful yet simple intervention for use with child trauma victims.

scholarly journals Mental health outcomes in road traffic accident survivors: prospective cohort study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Kovacevic ◽  
M Miskulin ◽  
D Degmecic ◽  
A Vcev ◽  
H Palenkic ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Medication Use ◽  
Mental Health Outcomes ◽  
Psychiatric Medication ◽  
Psychological Consequences ◽  
Road Traffic Accidents

Abstract Background Mental health outcomes of road traffic accidents (RTAs) are always investigated amongst the injured. The aim of this study was to investigate psychological consequences and associated factors in all RTA survivors irrelevant of their injury status. Methods A cohort of 200 Croatian RTA survivors was assessed one month after experiencing a RTA using the posttraumatic stress disorder (PTSD) Checklist for civilians, the Beck Depression Inventory and the Beck Anxiety Inventory. The New Injury Severity Scale was used for the injury severity assessment. Results RTA survivors reported substantial rates of PTSD (35.5%) and depression (20.0%) symptoms, and low rates of anxiety (4.5%). Symptoms of depression were associated with under-average self-perceived economic status (SES) (P = 0.001), irreligiousness (P = 0.001), medication use (P < 0.001), injury severity (P < 0.001), self-perceived threat to life (P < 0.022), hospitalization (P = 0.003), hospitalization duration (P = 0.004), surgical treatment of the injury (P < 0.001), unconsciousness in the RTA (P = 0.033) and post-RTA amnesia (0.039). PTSD symptoms were associated with unemployment (P = 0.034), under average SES (P = 0.004), lack of previous RTA experience (P = 0.025), previous psychiatric illness (P = 0.001), medication use (P = 0.001), psychiatric medication use (P < 0.001), injury affliction (P = 0.001), injury severity (P < 0.001), self-perceived threat to life (P < 0.001), pain after RTA (P = 0.009), hospitalization duration (P = 0.017) and claiming compensation (P = 0.008). Anxiety symptoms were associated with previous chronic (P = 0.037) or psychiatric illness (P = 0.010), previous permanent pain (P < 0.001), psychiatric medication use (P = 0.013) and rehabilitation after injury (P = 0.032). Conclusions A RTA is a traumatic event that can result in physical injuries, but also with psychological consequences depending on pre-RTA survivor's characteristics. Psychological support to those at risk may prevent psychological disorders after a RTA. Key messages Along with evaluation and treatment of road traffic accidents injuries, health care providers should evaluate pre-accident health status of all road traffic accidents victims. Understanding factors that present risk for poor mental health outcomes after the road traffic accidents is the key step in planning and organizing recovery of accidents survivors.

scholarly journals Prevalence of Posttraumatic Stress Disorder among Children and Adolescents following Road Traffic Accidents: A Meta-Analysis

2018 ◽  
Vol 63 (12) ◽  
pp. 798-808 ◽  
Author(s):  
Wenjie Dai ◽  
Aizhong Liu ◽  
Atipatsa C. Kaminga ◽  
Jing Deng ◽  
Zhiwei Lai ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Children And Adolescents ◽  
Traffic Accidents ◽  
Stress Disorder ◽  
Road Traffic ◽  
Regression Analyses ◽  
Road Traffic Accidents ◽  
Pooled Prevalence ◽  
Subgroup Analyses ◽  
Meta Regression

Objective: Children and adolescents are among the most vulnerable road users, and road traffic accidents (RTAs) can lead to not only physical injuries but also adverse psychological outcomes, particularly posttraumatic stress disorder (PTSD). However, estimates of the prevalence of PTSD among children and adolescents following RTAs varied considerably across studies. Therefore, this study aimed to estimate the pooled prevalence of PTSD among this population. Methods: A systematic search for literature was performed in the electronic databases of PubMed, Web of Science, PsycINFO, and Embase. Heterogeneity was assessed using the Cochran’s chi-square test and quantified by the I2 value. Meta-regression analyses were carried out to identify the effects of some potential moderators on the overall heterogeneity. Subgroup analyses were performed to estimate the pooled prevalence of PTSD according to some sample characteristics. Results: Eleven eligible studies with a total of 1532 children and adolescents who were involved in RTAs were included. The overall heterogeneity ( I2 = 89.7, P < 0.001) was high across the eligible studies, and the pooled prevalence of PTSD was 19.95% (95% confidence interval, 13.63% to 27.09%) by a random-effects model. No significant moderators of the overall heterogeneity were identified using meta-regression analyses. Subgroup analyses showed that the pooled prevalence of PTSD differed significantly according to the study location and gender ( P < 0.05). Conclusions: One-fifth of children and adolescents developed PTSD in the aftermath of RTAs, indicating the need for regular assessment of PTSD and timely and effective psychological interventions among this population. Furthermore, more population-based studies with a large sample size are warranted. The protocol was registered in the PROSPERO database (No. CRD42018087941).

scholarly journals Psychological consequences of traumatic injury

2002 ◽  
Vol 180 (5) ◽  
pp. 392-393 ◽  
Author(s):  
Christopher S. Thomas
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Psychological Symptoms ◽  
Traumatic Injury ◽  
Psychological Consequences ◽  
Road Traffic Accidents ◽  
Initial Shock ◽  
Loss Of Libido ◽  
Headache Pain ◽  
Restricted Mobility

Whiplash injuries commonly occur in road traffic accidents, although early descriptions of railway spine following rail accidents would appear to be similar (Trimble, 1981). Initial acute symptoms include neck pain, restricted mobility in the cervical spine, headache, pain in the thoracic spine, radiating pain, paraesthesiae and/or weakness in the arms or legs (Spitzer et al, 1995). These somatic symptoms often are accompanied by psychological symptoms such as initial ‘shock’, a ‘dazed’ feeling, anxiety, anger, depression, difficulty concentrating, insomnia, lassitude, loss of libido, altered appetite and weight and, in some cases, feelings of helplessness, horror, despair and reliving experiences (Mayou & Radanov, 1996).

scholarly journals Presentation and outcome of femoral infected non-unions in children and adolescents

2020 ◽  
Vol 37 (1) ◽  
Author(s):  
Karim Bakhsh ◽  
Faridullah Khan Zimri ◽  
Eid Mohammad ◽  
Atiq -Ur-Rehman ◽  
Muhammad Saaiq
Keyword(s):  
Children And Adolescents ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Transport ◽  
Ilizarov Method ◽  
Road Traffic Accidents ◽  
Metabolic Bone Diseases ◽  
Case Series Study ◽  
Segmental Bone Transport ◽  
Segmental Bone

Objectives: To document the presentation of infected non-unions of femur in pediatric and adolescent population and evaluate the outcome of segmental bone transport with the Ilizarov method. Methods: This prospective case series study was carried out over a period of five years, from January 01, 2015 to December 31, 2019. The study included all children and adolescent patients who presented with femoral infected non unions. The study excluded patients above the age of 16 years and those who had pathological fractures secondary to bone pathologies such as cysts, tumors or metabolic bone diseases. Results: Out of 31 patients, 27(87.09%) were males and 4(12.90%) were females. The mean age was 13.48±1.98 years. The underlying mechanisms that lead to the causation of fractures included road traffic accidents (n=23;74.19%), fall from height (n=7;22.58%) and firearm injuries (n=1;3.22%). The bone gaps ranged from 3-5 cm with a mean of 4.00± 0.856 cm. Bone union was achieved among 28(90.32%) patients. Infection was eradicated among 27(87.09%) patients whereas the remaining patients continued to suffer persistent infection. The most common complications included pin tract inflammation/ infection among (n=31;100%) patients and stiffness of knee joint among (n=19;61.29%) patients. Conclusion: Majority of the patients were males, aged 9-16 years. Road traffic accidents were the commonest cause of the fractures. The Ilizarov method of segmental bone transport was effective in treating the majority of infected non-unions. doi: https://doi.org/10.12669/pjms.37.1.3354 How to cite this:Bakhsh K, Zimri FK, Mohammad E, Atiq-Ur-Rehman, Saaiq M. Presentation and outcome of femoral infected non-unions in children and adolescents. Pak J Med Sci. 2021;37(1):201-205. doi: https://doi.org/10.12669/pjms.37.1.3354 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Post-traumatic stress disorder in children and adolescents following road traffic accidents

1998 ◽  
Vol 172 (5) ◽  
pp. 443-447 ◽  
Author(s):  
K. A. H. Mirza ◽  
B. R. Bhadrinath ◽  
Ian M. Goodyer ◽  
Carol Gilmour
Keyword(s):  
Children And Adolescents ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Traffic Accidents ◽  
Stress Disorder ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Accident And Emergency ◽  
Post Traumatic

BackgroundPost-traumatic stress disorder (PTSD) can be a persistent and disabling psychiatric disorder. There is little systematic research into the psychiatric consequences of road traffic accidents (RTAs) in children and adolescents.MethodA consecutive sample of 8–16-year-olds attending an accident and emergency department following RTAs were screened for PTSD. Potential cases and their parent(s) were interviewed with semi-structured research instruments about six weeks and six months after the accident.ResultsFifty-three (45%) of the 119 subjects fell above PTSD cut-off on the Frederick's Reaction Index. Thirty-three (75%) of the 44 cases met DSM–IV criteria for PTSD. In half of these other psychiatric disorders were present, including major depressive disorder and anxiety disorders. Being female, involvement in car accidents and pre-existing depression and anxiety were associated with developing PTSD. Seventeen per cent of the sample continued to be symptomatic six months after the accident.ConclusionsPTSD is a common consequence of RTAs. Liaison with accident and emergency departments would enhance the early detection and follow-up of children at risk of developing PTSD.

Posttraumatic Syndromes in Children and Adolescents after Road Traffic Accidents – A Prospective Cohort Study

2006 ◽  
Vol 39 (4) ◽  
pp. 159-164 ◽  
Author(s):  
Ingo Schäfer ◽  
Claus Barkmann ◽  
Peter Riedesser ◽  
Michael Schulte-Markwort
Keyword(s):  
Cohort Study ◽  
Children And Adolescents ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents
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