© 2004 BMJ Publishing Group Ltd., Royal College of Psychiatrists, & British Psychological Society
Prognosis
Acute stress disorder is of limited benefit in predicting post-traumatic stress disorder in people surviving traumatic injury
Creamer M, O’Donnell ML, Pattison P. The relationship between acute stress disorder and posttraumatic stress disorder in severely injured trauma survivors. Behav Res Therapy 2004;42:315–28.[CrossRef]
Q Does acute stress disorder after traumatic injury help identify people likely to develop post-traumatic stress disorder?
| The first 150 words of the full text of this article appear below. |
Design:
Prospective longitudinal study.
Setting:
Level 1 trauma centre, Melbourne, Australia.
Population:
363 people aged 18–70 years who were severely injured after major trauma (mean age 36 years; 75% male). Inclusion criteria: physical injury requiring admission for at least 24 hours and free from narcotic medication for 24 hours. Exclusion criteria: moderate or severe traumatic brain injury, deliberate injury, drug dependence, psychotic illness or non-English speaking.
Risk factors:
Baseline assessment for acute stress disorder and post-traumatic stress disorder (PTSD) was carried out before discharge from hospital. Follow up assessment was carried out by telephone interviews conducted by a trained mental health clinician. Logistic regression analyses were used to examine whether acute stress disorder symptoms predicted PTSD. Backward elimination multiple regression was used to examine the relation between symptom severity of acute stress disorder and PTSD symptoms.
Outcomes:
Acute stress disorder (CAPS-IV grouped into symptom clusters of dissociation, emotional numbing, avoidance
Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA,
USA
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