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ORIGINAL ARTICLES
Minerva Psichiatrica 2006 June;47(2):155-63
Copyright © 2006 EDIZIONI MINERVA MEDICA
language: Italian
Post-traumatic stress disorder as a consequence of severe road traffic accidents
Bellomo A. 1, 2, De Giorgi A. 1, Petito A. 2, Cammeo C. 2, Lepore A. 1, Borrelli A. 1, Nardini M. 3
1 Dipartimento Misto di Salute Mentale AUSL FG/3, Foggia 2 Sezione di Psichiatria e Psicologia Clinica Dipartimento di Scienze Mediche e del Lavoro Università degli Studi di Foggia, Foggia 3 Sezione di Malattie Mentali Dipartimento di Scienze Neurologiche e Psichiatriche Università degli Studi di Bari, Bari
Aim. Many authors agree to indicate some psychiatric disorders (post-traumatic stress disorder, PTSDs, and adjustment disorders) as frequent consequences of severe road traffic accidents. Aim of this study is to evaluate the incidence, clinical and cognitive peculiarities of ptsd following road traffic accidents.
Methods. A group of subjects with ptsd diagnosis founded on DSM IV criteria has been individuated in a sample of 120 subjects suffering from severe road traffic accidents (with threat to life or to one’s and parental health) with consequent head injuries; subjects affected by ptsd have been evaluated with rating scales like Brief Psychiatric Rating Scale, Wechsler Adult Intelligence Scale, Disability Scale. The sample has been divided into 2 subgroups, the first with traumatic brain injuries, the second without them, to individuate probable differences.
Results. A diagnosis of ptsd has been formulated in 39 of 120 subjects (32.5%); only 14 of these (35.9%) have suffered a traumatic brain injury. The sample of subjects without a traumatic brain injury has pointed out less psychopathological symptoms, a better cognitive and global functioning pattern compared to the sample suffering a traumatic brain injury.
Conclusion. Finally, it has been concluded that ptsd can occur in subjects suffering a commotive head injury too, despite this correlation has been considered by some authors like a clinical paradox.