Predictors of post-traumatic stress disorder following severe injury

Thomas A. Mellman, Daniella David, Victoria Bustamante, Ana I. Fins, Karin Esposito

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

The chronicity and morbidity of established post-traumatic stress disorder (PTSD) has stimulated interest in recognizing and understanding the early development of the disorder. Acute stress disorder, a new diagnosis intended to facilitate early case detection, rests on the occurrence of dissociative reactions. It remains uncertain whether dissociation is a universal or unique early predictor of subsequent PTSD. Traumatic injury is an important and relatively understudied antecedent of PTSD. The objective of this study was to preliminarily identify which previously implicated early reactions and risk factors would apply to the prediction of PTSD following severe traumatic injury. Patients admitted to a regional Level I trauma center following life threatening events who had recall of the incident and did not have signs of traumatic brain injury or recent psychopathology were enrolled. Comprehensive assessments were conducted during hospitalization and after discharge approximately 2 months after the traumatic event. At follow-up, 24% of the available 50 subjects met full criteria for PTSD and an additional 22% met criteria for two of three symptom clusters. Early symptoms of heightened arousal and coping with disengagement were independent predictors of PTSD severity at follow-up. Relationships to initial dissociative reactions and a diagnosis of ASD were not significant. These early predictors found in a setting of severe injury only partially overlap findings from previous PTSD studies.

Original languageEnglish
Pages (from-to)226-231
Number of pages6
JournalDepression and Anxiety
Volume14
Issue number4
DOIs
StatePublished - Dec 1 2001

Fingerprint

Post-Traumatic Stress Disorders
Dissociative Disorders
Wounds and Injuries
Stress Disorders, Traumatic, Acute
Trauma Centers
Arousal
Psychopathology
Hospitalization
Morbidity

Keywords

  • Arousal
  • Coping
  • Dissociation
  • Injury
  • Risk factors
  • Stress disorder, post-traumatic

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)
  • Clinical Psychology

Cite this

Mellman, T. A., David, D., Bustamante, V., Fins, A. I., & Esposito, K. (2001). Predictors of post-traumatic stress disorder following severe injury. Depression and Anxiety, 14(4), 226-231. https://doi.org/10.1002/da.1071

Predictors of post-traumatic stress disorder following severe injury. / Mellman, Thomas A.; David, Daniella; Bustamante, Victoria; Fins, Ana I.; Esposito, Karin.

In: Depression and Anxiety, Vol. 14, No. 4, 01.12.2001, p. 226-231.

Research output: Contribution to journalArticle

Mellman, TA, David, D, Bustamante, V, Fins, AI & Esposito, K 2001, 'Predictors of post-traumatic stress disorder following severe injury', Depression and Anxiety, vol. 14, no. 4, pp. 226-231. https://doi.org/10.1002/da.1071
Mellman, Thomas A. ; David, Daniella ; Bustamante, Victoria ; Fins, Ana I. ; Esposito, Karin. / Predictors of post-traumatic stress disorder following severe injury. In: Depression and Anxiety. 2001 ; Vol. 14, No. 4. pp. 226-231.
@article{6baba7e44c8c43f98b8bd5e37ae8e8f0,
title = "Predictors of post-traumatic stress disorder following severe injury",
abstract = "The chronicity and morbidity of established post-traumatic stress disorder (PTSD) has stimulated interest in recognizing and understanding the early development of the disorder. Acute stress disorder, a new diagnosis intended to facilitate early case detection, rests on the occurrence of dissociative reactions. It remains uncertain whether dissociation is a universal or unique early predictor of subsequent PTSD. Traumatic injury is an important and relatively understudied antecedent of PTSD. The objective of this study was to preliminarily identify which previously implicated early reactions and risk factors would apply to the prediction of PTSD following severe traumatic injury. Patients admitted to a regional Level I trauma center following life threatening events who had recall of the incident and did not have signs of traumatic brain injury or recent psychopathology were enrolled. Comprehensive assessments were conducted during hospitalization and after discharge approximately 2 months after the traumatic event. At follow-up, 24{\%} of the available 50 subjects met full criteria for PTSD and an additional 22{\%} met criteria for two of three symptom clusters. Early symptoms of heightened arousal and coping with disengagement were independent predictors of PTSD severity at follow-up. Relationships to initial dissociative reactions and a diagnosis of ASD were not significant. These early predictors found in a setting of severe injury only partially overlap findings from previous PTSD studies.",
keywords = "Arousal, Coping, Dissociation, Injury, Risk factors, Stress disorder, post-traumatic",
author = "Mellman, {Thomas A.} and Daniella David and Victoria Bustamante and Fins, {Ana I.} and Karin Esposito",
year = "2001",
month = "12",
day = "1",
doi = "10.1002/da.1071",
language = "English",
volume = "14",
pages = "226--231",
journal = "Depression and Anxiety",
issn = "1091-4269",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Predictors of post-traumatic stress disorder following severe injury

AU - Mellman, Thomas A.

AU - David, Daniella

AU - Bustamante, Victoria

AU - Fins, Ana I.

AU - Esposito, Karin

PY - 2001/12/1

Y1 - 2001/12/1

N2 - The chronicity and morbidity of established post-traumatic stress disorder (PTSD) has stimulated interest in recognizing and understanding the early development of the disorder. Acute stress disorder, a new diagnosis intended to facilitate early case detection, rests on the occurrence of dissociative reactions. It remains uncertain whether dissociation is a universal or unique early predictor of subsequent PTSD. Traumatic injury is an important and relatively understudied antecedent of PTSD. The objective of this study was to preliminarily identify which previously implicated early reactions and risk factors would apply to the prediction of PTSD following severe traumatic injury. Patients admitted to a regional Level I trauma center following life threatening events who had recall of the incident and did not have signs of traumatic brain injury or recent psychopathology were enrolled. Comprehensive assessments were conducted during hospitalization and after discharge approximately 2 months after the traumatic event. At follow-up, 24% of the available 50 subjects met full criteria for PTSD and an additional 22% met criteria for two of three symptom clusters. Early symptoms of heightened arousal and coping with disengagement were independent predictors of PTSD severity at follow-up. Relationships to initial dissociative reactions and a diagnosis of ASD were not significant. These early predictors found in a setting of severe injury only partially overlap findings from previous PTSD studies.

AB - The chronicity and morbidity of established post-traumatic stress disorder (PTSD) has stimulated interest in recognizing and understanding the early development of the disorder. Acute stress disorder, a new diagnosis intended to facilitate early case detection, rests on the occurrence of dissociative reactions. It remains uncertain whether dissociation is a universal or unique early predictor of subsequent PTSD. Traumatic injury is an important and relatively understudied antecedent of PTSD. The objective of this study was to preliminarily identify which previously implicated early reactions and risk factors would apply to the prediction of PTSD following severe traumatic injury. Patients admitted to a regional Level I trauma center following life threatening events who had recall of the incident and did not have signs of traumatic brain injury or recent psychopathology were enrolled. Comprehensive assessments were conducted during hospitalization and after discharge approximately 2 months after the traumatic event. At follow-up, 24% of the available 50 subjects met full criteria for PTSD and an additional 22% met criteria for two of three symptom clusters. Early symptoms of heightened arousal and coping with disengagement were independent predictors of PTSD severity at follow-up. Relationships to initial dissociative reactions and a diagnosis of ASD were not significant. These early predictors found in a setting of severe injury only partially overlap findings from previous PTSD studies.

KW - Arousal

KW - Coping

KW - Dissociation

KW - Injury

KW - Risk factors

KW - Stress disorder, post-traumatic

UR - http://www.scopus.com/inward/record.url?scp=0035668243&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035668243&partnerID=8YFLogxK

U2 - 10.1002/da.1071

DO - 10.1002/da.1071

M3 - Article

C2 - 11754130

AN - SCOPUS:0035668243

VL - 14

SP - 226

EP - 231

JO - Depression and Anxiety

JF - Depression and Anxiety

SN - 1091-4269

IS - 4

ER -