Incidence and related factors of post-traumatic stress disorder in patients hospitalized due to road traffic injuries
Keywords:
incidence, post-traumatic stress disorder (PTSD), risk factor, road traffic accidentAbstract
Objective: To estimate the incidence rate of post-traumatic stress disorder (PTSD) and subthreshold PTSD, and to explore factors associated with the risk of PTSD in patients hospitalized due to road traffic injuries.
Methods: This prospective study was conducted with patients hospitalized due to road traffic accidents. Participants were interviewed by phone one month after the accidents for PTSD screening using the 2P tool and diagnostic confirmation using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). Incidence rates of PTSD and subthreshold PTSD were calculated as percentages. Factors related to being at risk of PTSD were explored using multiple logistic regression.
Results: A total of 137 participants were screened using 2P, with 11 identified as at risk of PTSD (8.0%). Of these, nine were reassessed using CAPS-5, with four meeting the criteria for PTSD (3.0%) and five having subthreshold PTSD (3.7%). The most common PTSD symptoms were re-experiencing, followed by avoidance. Being female significantly increased odds of being at risk of PTSD (AOR = 10.6, 95% CI = 2.7 - 54.5).
Conclusion: Road traffic accident survivors are at risk of developing PTSD. Even individuals with subthreshold PTSD can experience significant disturbance. Therefore, patients who have experienced road traffic accidents should be assessed for PTSD risk and provided with appropriate care to prevent potential adverse outcomes.
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