What Are the Predictors of Post-traumatic Stress Disorder Among Road Traffic Accident Survivors: A Systematic Review.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2024-02-01 DOI:10.1097/NMD.0000000000001739

Zahra Sabahi, Parham Hasani, Hanieh Salehi-Pourmehr, Rasa Beheshti, Homayoun Sadeghi-Bazargani

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引用次数: 0

Abstract

Abstract: Traffic accidents put tremendous burdens on the psychosocial aspects of communities. Post-traumatic stress disorder (PTSD), after an accident, is one of the most prevalent and incapacitating psychiatric conditions worldwide. In this systematic review, we aimed to investigate the predictors of PTSD in traffic accident victims. Primary search was conducted in November 2021 and updated in 2023. Studies were excluded if they used any analysis except regression for predictors. Cumulatively, primary and update searches retrieved 10,392 articles from databases, and of these, 87 studies were systematically reviewed. The predictors were categorized into sociodemographics, pretrauma, peritrauma, and post-trauma factors. The PTSD assessment time varied between 2 weeks and 3 years. Being a woman, having depression and having a history of road traffic accidents pretraumatically, peritraumatic dissociative experiences, acute stress disorder diagnosis, rumination, higher injury severity, and involvement in litigation or compensation after the trauma were significant predictors of PTSD.

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道路交通事故幸存者创伤后应激障碍的预测因素有哪些？系统回顾

摘要：交通事故给社会心理造成了巨大负担。事故后的创伤后应激障碍（PTSD）是全球最普遍、最令人丧失能力的精神疾病之一。在这篇系统性综述中，我们旨在调查交通事故受害者创伤后应激障碍的预测因素。初步检索于 2021 年 11 月进行，并于 2023 年更新。除回归分析外，采用其他分析方法进行预测的研究均被排除在外。初次检索和更新检索共从数据库中检索到10,392篇文章，对其中的87项研究进行了系统回顾。预测因素分为社会人口统计学因素、创伤前因素、创伤周围因素和创伤后因素。创伤后应激障碍的评估时间从 2 周到 3 年不等。女性、抑郁症患者、创伤前有道路交通事故史、创伤周解离体验、急性应激障碍诊断、反刍、受伤严重程度较高、创伤后参与诉讼或赔偿是预测创伤后应激障碍的重要因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.