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Panminerva Medica 2002 Marzo;44(1):11-7

lingua: Inglese

Investigation of psychopathological state of patients depending on specific clinical characteristics of physical trauma

Opalic P., Lesic A.

From the Institute of Psychiatry and Institute for Orthopaedics University Clinical Center, Belgrade, Yugoslavia


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Background. This arti­cle is the ret­ro­spec­tive-com­par­a­tive ­research of psy­cho­path­o­log­i­cal reac­tion of somat­i­cal­ly trau­ma­tized peo­ple. The influ­ence of the out­side cir­cum­stanc­es of inju­ry (war, job, traf­fic acci­dent, lei­sure), ­injured ­body ­part (tor­so, leg, arm) and dif­fer­ent clin­i­cal char­ac­ter­is­tics of inju­ry (sur­gery, ­mobile of ­patient, ampu­ta­tion, acute­ness of inju­ry, etc.) are ana­lyzed as poten­tial­ly fac­tors of the ­type of the psy­chi­cal reac­tions on phys­i­cal trau­ma.
Methods. The sam­ple of 70 Serb ­patients hos­pi­tal­ized in the University Orthopedic Clinic (26 fight­ers ­from Bosnia-Herzego-­vina and 44 Belgrade res­i­dents ­injured in ­peace ­time), was inves­ti­gat­ed as an experi­men­tal ­group. The con­trol ­group con­tained 105 sub­jects ­from Belgrade ­area, 45 of ­whom had men­tal trau­ma expe­ri­ence and 60 had no trau­ma expe­ri­ence what­soev­er. The sub­jects ­were test­ed ­with the fol­low­ing instru­ments: Event Effect Scale, ­PTSS-10 Scale, FHI, Brief Eysenck’s Personality Inventory, ­LEAIQ, GHQ-60, General Questionnaire for Accidents. In the sta­tis­ti­cal ­data pro­cess­ing, χ2 ­test, dis­crim­i­na­tion anal­y­sis, and cal­cu­la­tion of lin­e­ar cor­re­la­tion ­were ­used.
Results. It was deter­mined ­that the out­side cir­cum­stanc­es of inju­ry, ­injured ­part of the ­body, ampu­ta­tion, med­i­ca­tion and acute­ness of the inju­ry did not dif­fer­en­tiate any of the psy­cho­path­o­log­i­cal ­types of respons­es ana­lyzed in the ­research.
Conclusions. Difficult sur­gery and the immo­bil­ity of the ­patient cor­re­lat­ed sig­nif­i­cant­ly ­with the ­high val­ues on the ­PTSD Scale i.e. the gen­er­al neu­ro­ti­cism. The seri­ous­ness of inju­ry cor­re­lat­ed neg­a­tive­ly ­with the inten­sity of fam­i­ly cohe­sive­ness.

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