Abstract
Motor vehicle accident survivors (n = 92) were assessed for acute stress disorder (ASD) within 1 month of the trauma and reassessed (n = 71) for posttraumatic stress disorder (PTSD) 6 months posttrauma. ASD was diagnosed in 13% of participants, and a further 21% had subclinical levels of ASD. At follow-up, 78% of ASD participants and 60% of subclinical ASD participants met criteria for PTSD. The strong predictive power of acute numbing, depersonalization, a sense of relieving the trauma, and motor restlessness, in contrast to the low to moderate predictive power of other symptoms, indicates that only a subset of ASD symptoms is strongly related to the development of chronic PTSD. Although these findings support the use of the ASD diagnosis, they suggest that the dissociative and arousal clusters may require revision.
Citations
Mar 23, 2004·Behaviour Research and Therapy·Edward B BlanchardMark A Sykes
Apr 13, 2002·Biological Psychiatry·Arieh Y Shalev
Jun 2, 2000·Comprehensive Psychiatry·J SeguíM Ortiz
Dec 1, 2001·Journal of Psychosomatic Research·V Holeva, N Tarrier
Apr 18, 2002·Transplantation Proceedings·M J PaniaguaA Castro-Beiras
Jun 28, 2001·General Hospital Psychiatry·D F ZatzickW Katon
Jun 10, 2004·Journal of the American Academy of Child and Adolescent Psychiatry·Nancy Kassam-Adams, Flaura Koplin Winston
Feb 24, 2007·Critical Care : the Official Journal of the Critical Care Forum·Timothy D GirardE Wesley Ely
Jun 26, 2007·Psychological Medicine·Birgit KleimEdward Glucksman
Feb 26, 2008·European Archives of Psychiatry and Clinical Neuroscience·Karestan C KoenenAnanda B Amstadter
Jun 16, 2010·Proceedings of the National Academy of Sciences of the United States of America·Patrick Sharkey
Feb 22, 2012·Memory·Michele Bedard-Gilligan, Lori A Zoellner
Nov 1, 2003·Psychological Science in the Public Interest : a Journal of the American Psychological Society·Richard J McNallyAnke Ehlers
Jun 13, 2002·Acta Psychiatrica Scandinavica·T WohlfarthW Van Den Brink
Mar 21, 2007·Journal for Specialists in Pediatric Nursing : JSPN·Wendy Ward-Begnoche
Feb 1, 2007·Early Intervention in Psychiatry·Richard A Bryant
Oct 30, 2003·Violence and Victims·Ask Elklit, Ole Brink
Dec 1, 2020·Journal of American College Health : J of ACH·Sage E HawnAnanda B Amstadter