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Psychosomatic Medicine 63:402-411 (2001)
© 2001 American Psychosomatic Society


ORIGINAL ARTICLES

Predictors of Posttraumatic Stress Among Victims of Motor Vehicle Accidents

Angela Liegey Dougall, PhD, Robert J. Ursano, MD, Donna M. Posluszny, MS, Carol S. Fullerton, PhD and Andrew Baum, PhD

From the University of Pittsburgh (A.L.D., D.M.P., A.B.), Pittsburgh, Pennsylvania; and the Uniformed Services University of the Health Sciences (R.J.U., C.S.F.) Bethesda, Maryland.

Address requests for reprints to: Andrew Baum, PhD, University of Pittsburgh Cancer Institute, Department of Behavioral Medicine and Oncology, 3600 Forbes Ave., Suite 405, Pittsburgh, PA 15213. Email: baum{at}pcicirs.pci.pitt.edu

OBJECTIVE: This study identified factors that predict individual vulnerability to psychological trauma by examining the relationships among situation and person variables and symptoms of posttraumatic stress disorder (PTSD) 1, 6, and 12 months after a serious motor vehicle accident (MVA).

METHODS: Background characteristics, exposure variables (ie, injury severity and accident characteristics), and psychosocial variables (ie, perceived loss of control, social support, and coping) were used to predict symptoms of PTSD and recovery in 115 injured MVA victims. All participants were injured during the MVA and provided data prospectively over the course of a year after their accidents.

RESULTS: Along with background and exposure variables, use of wishful thinking coping distinguished between victims with and without symptoms of PTSD.

CONCLUSIONS: Psychosocial variables such as wishful thinking coping can be used to identify MVA victims who are at risk of developing chronic posttraumatic stress and warrant further investigation.

Key Words: posttraumatic stress disorder • social support • coping • stress • trauma.

Abbreviations: ANOVA = analysis of variance; DFA = discriminant function analysis; DSM-III-R = Diagnostic and Statistical Manual of Mental Disorders, third edition revised; MANOVA = multivariate analysis of variance; MVA = motor vehicle accident; PTSD = posttraumatic stress disorder; SCID = Structured Clinical Interview for DSM-III-R; SES = socioeconomic status.




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