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Titolo:
Prevalence and predictors of acute stress disorder and PTSD following roadtraffic accidents: Thought control strategies and social support
Autore:
Holeva, V; Tarrier, N; Wells, A;
Indirizzi:
Univ Manchester, Acad Div Clin Psychol, Withington Hosp, Manchester M20 8LR, Lancs, England Univ Manchester Manchester Lancs England M20 8LR M20 8LR, Lancs, England
Titolo Testata:
BEHAVIOR THERAPY
fascicolo: 1, volume: 32, anno: 2001,
pagine: 65 - 83
SICI:
0005-7894(200124)32:1<65:PAPOAS>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
MOTOR-VEHICLE ACCIDENTS; MALE VIETNAM VETERANS; RANDOMIZED CONTROLLED TRIAL; POSTTRAUMATIC-STRESS; EXPRESSED EMOTION; CONTROL QUESTIONNAIRE; MARITAL DISTRESS; VICTIMS; RELATIVES; TRAUMA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
69
Recensione:
Indirizzi per estratti:
Indirizzo: Tarrier, N Univ Manchester, Acad Div Clin Psychol, Withington Hosp, Manchester M20 8LR, Lancs, England Univ Manchester Manchester Lancs England M20 8LR ancs, England
Citazione:
V. Holeva et al., "Prevalence and predictors of acute stress disorder and PTSD following roadtraffic accidents: Thought control strategies and social support", BEHAV THER, 32(1), 2001, pp. 65-83

Abstract

The study examined the prevalence of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) following road traffic accidents (RTAs), and cross-sectional and prospective relationships with thought-control strategies and perceived social support and criticism from a key significant other. Four hundred and thirty-four consecutive admissions to accident and emergency clinics following an RTA were assessed within 4 weeks of the accident, and 265 reassessed within 6 months. Twenty-one percent met symptom criteria for ASD at initial assessment, and 23% met criteria for PTSD at 4 to 6 months post-accident. These results agree closely with other studies recruiting similar populations in a similar manner. Subjects classified as suffering ASD at initial assessment were 20 times (odds ratio = 20.04) more likely to be classified as suffering PTSD at follow-up. Of the ASD cases assessed at Time 1, 72% were PTSD cases at Time 2. Loss, individual differences inthought-control strategies, and perceived negative quality of social support independently predicted ASD at Time 1 and PTSD at Time 2 in cross-sectional analyses. Analysis of prospective predictors of PTSD at Time 2 indicated that ASD at Time 1, the use of worry to control thoughts at Time 1, a change in perceived social support from Time 1 to Time 2, and an interaction between perceived social support and the use of social control as a coping strategy at Time 1 significantly predicted subsequent PTSD. Those who rated highly on the use of social control and on perceived negative social support had greater probability of subsequently developing PTSD (odds ratio = 8.2). The results were mainly as predicted and conform to models of trauma in which persistent disorders are associated with inhibition of emotional processing.

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Documento generato il 20/01/20 alle ore 07:35:36