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Tytuł:
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A prospective study of the onset of PTSD symptoms in the first month after trauma exposure.
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Autorzy:
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Whitman JB; Department of Psychiatry/Division of Crisis and Disaster Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA. />North CS
Downs DL
Spitznagel EL
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Źródło:
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Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists [Ann Clin Psychiatry] 2013 Aug; Vol. 25 (3), pp. 163-72. Date of Electronic Publication: 2013 May 01.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Parsippany, NJ : Frontline Medical Communications
Original Publication: New York, NY : Elsevier, c1989-
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MeSH Terms:
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Accidents, Traffic/*psychology
Stress Disorders, Post-Traumatic/*psychology
Wounds and Injuries/*psychology
Adolescent ; Adult ; Aged ; Disease Progression ; Female ; Humans ; Injury Severity Score ; Male ; Middle Aged ; Prospective Studies ; Time Factors ; Young Adult
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Entry Date(s):
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Date Created: 20130503 Date Completed: 20140311 Latest Revision: 20130808
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Update Code:
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20240104
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PMID:
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23638449
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Background: The course of posttraumatic stress disorder (PTSD) symptoms in the month after trauma exposure has not been determined adequately. Symptom group C (avoidance/numbing) has been identified retrospectively as a marker for PTSD, but prospective studies are needed to determine whether these symptoms can provide substantially earlier identification of those who will have PTSD 1 month after trauma exposure.
Methods: We evaluated 42 patients hospitalized for traumatic injuries over the first post-injury month to track development of posttraumatic symptoms.
Results: Symptoms emerged rapidly, with group B (intrusion) and group D (hyperarousal) symptoms occurring earlier than group C symptoms. At 1 week, group C criteria accurately predicted who would develop PTSD by 1 month, and by 2 weeks, group C criteria also predicted who would not develop PTSD by 1 month.
Conclusions: The findings, if replicated, may permit earlier identification of PTSD and more timely, appropriate treatment.
