Psychiatric consequences of stress after a vehicle accident

Psychiatr Danub. 2009 Dec;21(4):483-9.

Abstract

Background: Vehicle accidents are a common cause of disease and death among people over 30 years of age. Essentially, reaction to stress due to the vehicle accident does not differ from the reaction to other stress factors. There are still no uniform viewpoints about the kind of sequels and their percentage representation after vehicle accidents.

Subjects and methods: The research was provided as a prospective study, included 150 subjects who had vehicle accident minimum 2 years prior to the examination. A questionnaire adjusted to the needs of the research and a battery of psychological tests was used.

Results: Affective disorders occurred in 35.33% of subjects, 65% of persons suffer from travel anxiety, 9% of the total number of examinees doesn't drive any more, 65% have somatisational dysfunctions of the vegetative nervous system, while the posttraumatic stress disorder is present in 36% of subjects.

Conclusion: In 87.4% of persons psychiatric consequences last over two years. Long term consequences in 60% of subjects occur as a combination of multiple psychiatric disorders, so the posttraumatic stress disorder and affective disorders never occur one at a time.

MeSH terms

  • Accidents, Traffic / psychology*
  • Adaptation, Psychological
  • Adult
  • Age Factors
  • Anxiety Disorders / diagnosis*
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / psychology
  • Automobile Driving / psychology
  • Autonomic Nervous System Diseases / diagnosis*
  • Autonomic Nervous System Diseases / epidemiology
  • Autonomic Nervous System Diseases / psychology
  • Comorbidity
  • Cross-Sectional Studies
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / epidemiology
  • Depressive Disorder / psychology
  • Female
  • Follow-Up Studies
  • Humans
  • Life Change Events*
  • Male
  • Middle Aged
  • Personality Inventory
  • Prospective Studies
  • Psychophysiologic Disorders / diagnosis*
  • Psychophysiologic Disorders / epidemiology
  • Psychophysiologic Disorders / psychology
  • Serbia
  • Sex Factors
  • Social Adjustment
  • Somatoform Disorders / diagnosis*
  • Somatoform Disorders / epidemiology
  • Somatoform Disorders / psychology
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / epidemiology
  • Stress Disorders, Post-Traumatic / psychology
  • Wounds and Injuries / psychology
  • Young Adult