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Minerva Psichiatrica 2001 June;42(2):99-106

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: Italian

Post-traumatic psychopathological reaction to whiplash conceptualisation and ad interim preliminary study

Mantero M., Gozzini C., Fornara S., Manzone M. L., Scigliuzzo U., Prandoni P., Ferri M., Luna E., Penati G.


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Background. The neuropsychiatric sequelae of road accidents may encompass anxiety and depression, in some cases yielding to Post-Traumatic Stress Disorder (PTSD). The presence of post-traumatic psychopathology has been assessed in a group of whiplash injured patients consisting of 51 cases attending an orthopaedic clinic (mean time from accident: 58 days).
Methods. Psychopathological evaluation was made as follows: Impact of Event Scale ­ Revised (IES-R), State­Trait Anxiety Inventory (STAI), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD).
Results. Results showed moderately high anxie-ty levels (mean STAI 1 scores 37,902; DS 9,665 and mean STAI 2 scores 39,510; DS 10,657). Specific post traumatic symptoms were also detected (IES-R mean scores total 20,765; SD 14,551; Intrusion: 0,894; Avoidance: 0,853; Iperarousal 1,132). All three IES-R subscales were significantly correlated with HAMA and HAMD.
Conclusions. Hypervigilance was particularly correlated with STAI 1 and HAMD indicating a possible neurovegetative activation after the traumatic event.

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