Psychiatric Morbidity Following Motor Vehicle Crashes: A Pilot Study from India

Ramanathan, Seethalakshmi; Dhavale, Hemangi S; Gawande, Sushil; Dewan, Mantosh

doi:10.1097/00131746-200611000-00012

Cited by 24 publications

(33 citation statements)

References 20 publications

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“…There had been inconsistent report on socio-demographic factors associated with developing posttraumatic stress disorder following traumatic events. Only factor of gender appeared to have been consistent in most reports, with female gender often more prone to developing symptoms of posttraumatic stress disorder after traumatic events [6-9]. …”

Section: Introductionmentioning

confidence: 85%

“…While many literatures from other parts of the world had addressed issue of posttraumatic stress disorder complicating road traffic accidents and other traumas, such information are largely unavailable in sub-Saharan Africa. In other parts of the world, the prevalence of posttraumatic stress disorder after road traffic accidents range between 8.5% and 39% [6-9]. There had been inconsistent report on socio-demographic factors associated with developing posttraumatic stress disorder following traumatic events.…”

Section: Introductionmentioning

confidence: 99%

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Road traffic accidents and posttraumatic stress disorder in an orthopedic setting in south-eastern Nigeria: a controlled study

Iteke

Bakare

Agomoh

et al. 2011

Scand J Trauma Resusc Emerg Med

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BackgroundPsychiatric liaison services are rare in trauma units of various hospitals in Nigeria and other sub-Saharan African countries. The occurrence of road traffic accidents (RTAs) resulting from low standard of road construction and inadequate maintenance have been on the increase in Nigeria. While the physical consequences of such RTAs are obvious, the psychological consequences are often not apparent. This study assessed the prevalence of posttraumatic stress disorder (PTSD) among victims of RTAs and compared same with controls drawn from a population who have not experienced RTAs. It also assessed the associated socio-demographic variables.MethodStudy population consisted of one hundred and fifty RTA victims and two different control groups drawn from the population consisting of staffs of Federal Neuropsychiatric Hospital, Enugu, Nigeria and that of National Orthopedic Hospital, Enugu, Nigeria, 150 people in each control group were matched for age and sex with the RTA victims and they were interviewed with PTSD module of Mini International Neuropsychiatric Interview (MINI) and their socio-demographic variables obtained with socio-demographic questionnaire.ResultsThe prevalence of PTSD among RTA victims and the two control groups were 26.7%, 8.0% and 8.7% respectively. The difference in prevalence was statistically significant with RTA victims more likely to experience PTSD compared to the two control groups (X2 = 27.23, df = 2, p = 0.001). Gender influenced the prevalence of PTSD among victims of RTAs and the controls, with females more likely to experience PTSD when compared to the males. Among victims of RTAs, being gainfully employed prior to the accidents increased the likelihood of developing PTSD and this was statistically significant (X2 = 20.09, df = 1, p = 0.000).ConclusionsThere is urgent need to pay more attention to developing consultation-liaison psychiatry services in trauma units of Nigerian hospitals, including orthopedic hospitals located in different geographical zones of the country.

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Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Road traffic accidents and posttraumatic stress disorder in an orthopedic setting in south-eastern Nigeria: a controlled study

Iteke

Bakare

Agomoh

et al. 2011

Scand J Trauma Resusc Emerg Med

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“…These conditions can be assumed to increase the risk of exposure to potentially traumatizing events. However, only few studies on PTSD have been conducted in India, and these are mostly about specific trauma events like vehicle accidents [23], intimate partner violence [24], and natural disasters [25]. As such, general knowledge on potentially traumatizing events and the specific impact on adolescents is lacking.…”

Section: The Indian Perspective and The Present Studymentioning

confidence: 99%

Victimization and PTSD in an Indian youth sample from Pune City

Rasmussen

Karsberg²,

Karstoft

et al. 2013

OJEpi

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Background: Indian adolescents are presumably exposed to a range of potentially traumatizing and negative life events. However, the knowledge on this area is relatively sparse. The present study aims to investigate the prevalence of exposure to potentially traumatizing and negative life events and the occurrence of Posttraumatic Stress Disorder (PTSD) among a specific sample of Indian adolescents. Method: A sample of 411 Indian 9th graders (M = 14.15 years), from two private schools in Pune City answered a questionnaire about 1) socio-demographical background and 2) the direct or indirect exposure to 20 specific, potentially traumatizing and negative life events. Also, they filled out Part IV of the Harvard Trauma Questionnaire (HTQ-IV) to assess their level of PTSD-symptoms. Results: 70% of the females and 85% of the males had been exposed to or witnessed at least one traumatizing or negative life event. The mean number of experienced events was 2.5. The most common events were: death of someone close, traffic accidents, serious illness, witnessing the injury or killing of others, and coming close to being injured or killed. The prevalence of PTSD was 10%. Males reported higher direct as well as indirect exposure than females to all events, while no significant gender difference was found in the prevalence of PTSD. Living in a single-parent household meant increased risk of developing PTSD. Conclusion: Exposure to potentially traumatizing events was comparable to that seen in similar studies in Western European youth samples. Prevalence of PTSD was also in the same range. This may be attributable to a number of protective factors associated with the specific sample. Males were exposed to more potentially traumatizing events than females, but contradictory to most other studies, no gender difference in prevalence of PTSD was seen. These differences in comparison to earlier studies might reflect cultural and national circumstances that distinguish this Indian sample from Western European countries previously investigated.

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“…Secondly, much of the available data about PTSD reflects victims of war or specific traffic accidents [8][9][10]. Data about a more general polytrauma population is much more limited.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of polytrauma patients with posttraumatic stress disorder in a level 1 trauma center

Kreis

Castano

Tuinebreijer

et al. 2011

Eur J Trauma Emerg Surg

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Aims The aims of this study were to determine if the severity of injury is related to the prevalence of posttraumatic stress disorder (PTSD) in polytrauma patients and to review the personality traits of patients with PTSD. Results PTSD was demonstrated in 22.6% of the patients. Methods ConclusionsAn increased level of neuroticism, negative cognitions regarding themselves, and active dealing were found to be significant predictors of PTSD. However, we found no relation between the injury severity score and the prevalence of PTSD.

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Psychiatric Morbidity Following Motor Vehicle Crashes: A Pilot Study from India

Cited by 24 publications

References 20 publications

Road traffic accidents and posttraumatic stress disorder in an orthopedic setting in south-eastern Nigeria: a controlled study

Road traffic accidents and posttraumatic stress disorder in an orthopedic setting in south-eastern Nigeria: a controlled study

Victimization and PTSD in an Indian youth sample from Pune City

Characteristics of polytrauma patients with posttraumatic stress disorder in a level 1 trauma center

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