رواج شیوع اختلال استرس حاد و PTSD جاده زیر تصادفات: راهبردهای کنترل فکر و حمایت اجتماعی
|کد مقاله||سال انتشار||تعداد صفحات مقاله انگلیسی||ترجمه فارسی|
|35660||2001||19 صفحه PDF||سفارش دهید|
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Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)
Journal : Behavior Therapy, Volume 32, Issue 1, Winter 2001, Pages 65–83
The study examined the prevalence of acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) following road traffic accidents (RTAs), and cross-sectional and prospective relationships with thought-control strategies and perceived social support and criticism from a key significant other. Four hundred and thirty-four consecutive admissions to accident and emergency clinics following an RTA were assessed within 4 weeks of the accident, and 265 reassessed within 6 months. Twenty-one percent met symptom criteria for ASD at initial assessment, and 23% met criteria for PTSD at 4 to 6 months post-accident. These results agree closely with other studies recruiting similar populations in a similar manner. Subjects classified as suffering ASD at initial assessment were 20 times (odds ratio = 20.04) more likely to be classified as suffering PTSD at follow-up. Of the ASD cases assessed at Time 1, 72% were PTSD cases at Time 2. Loss, individual differences in thought-control strategies, and perceived negative quality of social support independently predicted ASD at Time 1 and PTSD at Time 2 in cross-sectional analyses. Analysis of prospective predictors of PTSD at Time 2 indicated that ASD at Time 1, the use of worry to control thoughts at Time 1, a change in perceived social support from Time 1 to Time 2, and an interaction between perceived social support and the use of social control as a coping strategy at Time 1 significantly predicted subsequent PTSD. Those who rated highly on the use of social control and on perceived negative social support had greater probability of subsequently developing PTSD (odds ratio = 8.2). The results were mainly as predicted and conform to models of trauma in which persistent disorders are associated with inhibition of emotional processing.