Post-Traumatic Stress Disorder among Older Adults Experiencing Motor Vehicle Collision: A Multicenter Prospective Cohort Study

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Timothy F Platts-MillsSamuel A McLean

Abstract

To characterize risk factors for and consequences of post-traumatic stress disorder (PTSD) among older adults evaluated in the emergency department (ED) following motor vehicle collision (MVC). Prospective multicenter longitudinal study (2011-2015). 9 EDs across the United States. Adults aged 65 years and older who presented to an ED after MVC without severe injuries. PTSD symptoms were assessed 6 months after the ED visit using the Impact of Event Scale-Revised. Of 223 patients, clinically significant PTSD symptoms at 6 months were observed in 21% (95% CI 16%-26%). PTSD symptoms were more common in patients who did not have a college degree, had depressive symptoms prior to the MVC, perceived the MVC as life-threatening, had severe ED pain, and expected their physical or emotional recovery time to be greater than 30 days. Three factors (ED pain severity [0-10 scale], perceived life-threatening MVC [0-10 scale], and pre-MVC depressive symptoms [yes to either of two questions]), predicted 6-month PTSD symptoms with an area under the curve of 0.76. Compared to patients without PTSD symptoms, those with PTSD symptoms were at higher risk for persistent pain (72% versus 30%), functional decline (67% versus 42%), and new disability (...Continue Reading

References

Oct 4, 2003·Psychotherapy and Psychosomatics·Willeke H van ZelstRichard van Dyck

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Citations

Jan 11, 2019·The Journal of Trauma and Acute Care Surgery·Craig D NewgardEileen Bulger
Oct 28, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jeena MossBrian W Roberts

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