A Follow-up Study of Accident Neurosis

Tarsh, Michael J.; Royston, Claire

doi:10.1192/bjp.146.1.18

Cited by 85 publications

(22 citation statements)

References 14 publications

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“…At least, according to Grunert et al, PTSD is not significantly potentiated or sustained by concomitant litigation if the patient has had early psychological intervention [21]. On the other hand, it has been shown quite clearly that "accident neurosis" or "post-traumatic psychoneurosis" [64] cannot be cured by financial compensation: patients suffering from chronic post-accident somatic symptoms without demonstrable organic pathology have a very poor prognosis, and particularly immigrants seem to be at risk for an unfavorable longterm outcome [62]. Last but not least, Cohen and Pfeffer point out that "there is little evidence to support the view that the majority of (accideent neurosis) cases result from malingering" [13].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial aspects of accidental injuries ? an overview

Schnyder¹,

Buddeberg²

1996

Langenbecks Arch Chir

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This paper reviews the current "state of the art" with regard to psycho-traumatological issues in accidentally injured patients. A MEDLINE search (1985-1995) yielded a total of 135 references, out of which 60 publications were selected and reviewed. The body of knowledge about the psycho-social effects of serious injuries caused by accidents seems to be still limited. There are indications that accidents leave many patients suffering from not only the physical consequences but also considerable psychological problems. A frequent clinical manifestation of such problems is post-traumatic stress disorder (PTSD), but depression, anxiety and the somatoform disorder have also been observed, possibly even more frequently. There have been substantial discrepancies in epidemiological data in the literature, partially because the samples analyzed so far have not been homogeneous enough. It is also obvious that studies have been devoted almost exclusively to disorders and handicaps following (and occasionally prior to) the traumatic event. Seldom has the study focused on patient resources: practically no studies exist on the effects of protective psycho-social factors on the healing process following accidental injuries. More research is needed in order to be able to make predictions on the expected healing of patients during the acute stage of treatment following an accident. These future studies should deliver information on identifying high-risk patients who would require specific psycho-social intervention.

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Section: Discussionmentioning

confidence: 99%

Psychosocial aspects of accidental injuries ? an overview

Schnyder¹,

Buddeberg²

1996

Langenbecks Arch Chir

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“…The study by Miller (1961) encouraged the suspicion that the prospect of a financial settlement might initiate or at least maintain posttraumatic symptoms. However, subsequent research has not generally supported this sceptical view or the oxymoron 'compensation neurosis' (Tarsh & Royston, 1985;Blanchard et al, 1998).…”

Section: Discussionmentioning

confidence: 98%

Personal injury compensation: no claim without pain?

Alexander¹,

Badial

Klein³

2006

Psychiatr. bull.

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Aims and MethodTo identify the experiences of patients pursuing a personal injury claim, we carried out a retrospective questionnaire survey.ResultsSixty-one patients from a regional traumatic stress clinic took part. Most were satisfied with the conduct of legal, medical and psychiatric personnel. Thirty-two (53%) reported that the legal proceedings had had an adverse effect on their health/well-being, and about a third reported an adverse effect on domestic relationships. Twenty-four patients (40%) were dissatisfied with the provision of information. More information about the whole legal process would have been welcomed by means of an information leaflet (n=57, 93%), a helpline (n=48, 79%), or a videotape (n=42, 68%).Clinical ImplicationsAlthough seeking redress may contribute to the patient's adjustment, this survey demonstrates that it is not a step to be taken without consideration. As part of their therapeutic management, mental health professionals should consider the implications of such a step with their patients.

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“…Miller (196 I ) claimed that many of the compensation patients will lose their psychological symptoms and return to work shortly after settlement. Other authors have disputed this view (Mendelson 1982, Tarsh andRoyston 1985).…”

Section: Introductionmentioning

confidence: 85%

Recovery from low back pain

Greenough

1993

Acta Orthopaedica Scandinavica

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A Follow-up Study of Accident Neurosis

Cited by 85 publications

References 14 publications

Psychosocial aspects of accidental injuries ? an overview

Psychosocial aspects of accidental injuries ? an overview

Personal injury compensation: no claim without pain?

Recovery from low back pain

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