Predictive factors of chronic post-traumatic stress disorder 6 months after a road traffic accident
Identifieur interne : 000224 ( France/Analysis ); précédent : 000223; suivant : 000225Predictive factors of chronic post-traumatic stress disorder 6 months after a road traffic accident
Auteurs : Laetitia Chossegros [France] ; Martine Hours [France] ; Pierrette Charnay [France] ; Marlène Bernard [France] ; Emmanuel Fort [France] ; Dominique Boisson [France] ; Pierre-Olivier Sancho [France] ; Sai Nan Yao [France] ; Bernard Laumon [France]Source :
- Accident Analysis and Prevention [ 0001-4575 ] ; 2011-01-01.
Descripteurs français
Abstract
Background: This study sets out to identify risk factors for post-traumatic stress disorder (PTSD) after a road traffic accident with a view to improving prevention. Methods: The study used a prospective cohort of road traffic accident casualties. All subjects over 15 years of age were recruited in the course of an interview conducted while they were receiving care in a hospital of the Rhône area administrative département. Six months after their accident, they answered a self-administered postal questionnaire that included the Post-traumatic Check-List Scale (PCLS) in order to evaluate PTSD. Multivariate logistic regression analysis was conducted to compare those subjects with a PCLS score of 44 or over with those with a lower score, in order to identify factors that might be associated with PTSD. Results: 592 subjects (out of 1168) returned the 6-month questionnaire and 541 completed the PCLS test. One hundred subjects had a PCLS score ≥44, suggesting PTSD, and 441 subjects did not. The factors associated with PTSD were initial injury severity, post-traumatic amnesia, the feeling of not being responsible for their accident and persistent pain 6 months after it. A lower odds-ratio was associated with users of two-wheel than four-wheel motor vehicles (OR = 0.4; 0.2-0.9). Conclusion: Besides predictive factors for PTSD (injury severity, post-traumatic amnesia and the feeling of not being responsible for their accident), our study suggested a reduced risk of PTSD among two-wheel motor vehicle users.
Url:
DOI: 10.1016/j.aap.2010.10.004
Affiliations:
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CS 30122, 69361 Lyon Cedex 07</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.universite-lyon.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-222110" type="direct"><org type="institution" xml:id="struct-222110" status="OLD"> <orgName>Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux</orgName> <orgName type="acronym">IFSTTAR</orgName> <date type="end">2019-12-31</date> <desc> <address> <addrLine>14-20 Boulevard Newton - Cité Descartes, Champs sur Marne - F-77447 Marne la Vallée Cedex 2</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.ifsttar.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Lyon</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName><orgName type="university">Université Claude Bernard Lyon 1</orgName><orgName type="institution" wicri:auto="newGroup">Université de Lyon</orgName></affiliation></author><author><name sortKey="Boisson, Dominique" sort="Boisson, Dominique" uniqKey="Boisson D" first="Dominique" last="Boisson">Dominique Boisson</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-253587" status="INCOMING"> <orgName>Service de Médecine Physique et de Réadaptation</orgName> <desc> <address> <addrLine>F-69230 St Genis Laval, France</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-300074" type="direct"></relation> <relation active="#struct-360584" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-300074" type="direct"><org type="regroupinstitution" xml:id="struct-300074" status="VALID"> <idno type="IdRef">026534657</idno> <orgName>Hospices Civils de Lyon</orgName> <orgName type="acronym">HCL</orgName> <desc> <address> <addrLine>3 Quai des Célestins69002 Lyon </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-lyon.fr/fr/hospices-civils-de-lyon-hcl</ref> </desc> </org></tutelle><tutelle active="#struct-360584" type="direct"><org type="institution" xml:id="struct-360584" status="VALID"> <orgName>Hôpital Henry Gabrielle [CHU - HCL]</orgName> <desc> <address> <addrLine>20 Route de Vourles69230 Saint-Genis-Laval</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-lyon.fr/web/Hopital_Henry-Gabrielle_2344.html</ref> </desc> <listRelation> <relation active="#struct-300074" type="direct"></relation> </listRelation> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Sancho, Pierre Olivier" sort="Sancho, Pierre Olivier" uniqKey="Sancho P" first="Pierre-Olivier" last="Sancho">Pierre-Olivier Sancho</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-253587" status="INCOMING"> <orgName>Service de Médecine Physique et de Réadaptation</orgName> <desc> <address> <addrLine>F-69230 St Genis Laval, France</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-300074" type="direct"></relation> <relation active="#struct-360584" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-300074" type="direct"><org type="regroupinstitution" xml:id="struct-300074" status="VALID"> <idno type="IdRef">026534657</idno> <orgName>Hospices Civils de Lyon</orgName> <orgName type="acronym">HCL</orgName> <desc> <address> <addrLine>3 Quai des Célestins69002 Lyon </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-lyon.fr/fr/hospices-civils-de-lyon-hcl</ref> </desc> </org></tutelle><tutelle active="#struct-360584" type="direct"><org type="institution" xml:id="struct-360584" status="VALID"> <orgName>Hôpital Henry Gabrielle [CHU - HCL]</orgName> <desc> <address> <addrLine>20 Route de Vourles69230 Saint-Genis-Laval</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-lyon.fr/web/Hopital_Henry-Gabrielle_2344.html</ref> </desc> <listRelation> <relation active="#struct-300074" type="direct"></relation> </listRelation> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Yao, Sai Nan" sort="Yao, Sai Nan" uniqKey="Yao S" first="Sai Nan" last="Yao">Sai Nan Yao</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-253588" status="INCOMING"> <orgName>Service de Psychiatrie</orgName> <desc> <address> <addrLine>BP 127, 38209 Vienne Cedex, France</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-360585" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-360585" type="direct"><org type="institution" xml:id="struct-360585" status="INCOMING"> <orgName>Centre Hospitalier de Vienne</orgName> <desc> <address> <country key="FR"></country> </address> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Laumon, Bernard" sort="Laumon, Bernard" uniqKey="Laumon B" first="Bernard" last="Laumon">Bernard Laumon</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-222177" status="OLD"> <idno type="IdRef">16531625X</idno> <idno type="RNSR">200717642A</idno> <orgName>Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement</orgName> <orgName type="acronym">UMRESTTE UMR T9405</orgName> <date type="start">2011-01-01</date> <date type="end">2019-12-31</date> <desc> <address> <addrLine>25, avenue François Mitterrand, Case24 Cité des mobilités F-69675 Bron Cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.ifsttar.fr/</ref> </desc> <listRelation> <relation name="UMRT9405" active="#struct-194495" type="direct"></relation> <relation active="#struct-301088" type="indirect"></relation> <relation active="#struct-222110" type="direct"></relation> </listRelation> <tutelles><tutelle name="UMRT9405" active="#struct-194495" type="direct"><org type="institution" xml:id="struct-194495" status="VALID"> <idno type="IdRef">026402823</idno> <idno type="ISNI">0000000121686185</idno> <orgName>Université Claude Bernard Lyon 1</orgName> <orgName type="acronym">UCBL</orgName> <desc> <address> <addrLine>43, boulevard du 11 novembre 1918, 69622 Villeurbanne cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-lyon1.fr/</ref> </desc> <listRelation> <relation active="#struct-301088" type="direct"></relation> </listRelation> </org></tutelle><tutelle active="#struct-301088" type="indirect"><org type="regroupinstitution" xml:id="struct-301088" status="VALID"> <orgName>Université de Lyon</orgName> <desc> <address> <addrLine>92 rue Pasteur - CS 30122, 69361 Lyon Cedex 07</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.universite-lyon.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-222110" type="direct"><org type="institution" xml:id="struct-222110" status="OLD"> <orgName>Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux</orgName> <orgName type="acronym">IFSTTAR</orgName> <date type="end">2019-12-31</date> <desc> <address> <addrLine>14-20 Boulevard Newton - Cité Descartes, Champs sur Marne - F-77447 Marne la Vallée Cedex 2</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.ifsttar.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Lyon</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName><orgName type="university">Université Claude Bernard Lyon 1</orgName><orgName type="institution" wicri:auto="newGroup">Université de Lyon</orgName></affiliation></author></analytic><idno type="DOI">10.1016/j.aap.2010.10.004</idno><series><title level="j">Accident Analysis and Prevention</title><idno type="ISSN">0001-4575</idno><imprint><date type="datePub">2011-01-01</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="fr"><term>ACCIDENT</term><term>ACCIDENT DE LA ROUTE</term><term>ETUDE D'IMPACT</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"> <p>Background: This study sets out to identify risk factors for post-traumatic stress disorder (PTSD) after a road traffic accident with a view to improving prevention. Methods: The study used a prospective cohort of road traffic accident casualties. All subjects over 15 years of age were recruited in the course of an interview conducted while they were receiving care in a hospital of the Rhône area administrative département. Six months after their accident, they answered a self-administered postal questionnaire that included the Post-traumatic Check-List Scale (PCLS) in order to evaluate PTSD. Multivariate logistic regression analysis was conducted to compare those subjects with a PCLS score of 44 or over with those with a lower score, in order to identify factors that might be associated with PTSD. Results: 592 subjects (out of 1168) returned the 6-month questionnaire and 541 completed the PCLS test. One hundred subjects had a PCLS score ≥44, suggesting PTSD, and 441 subjects did not. The factors associated with PTSD were initial injury severity, post-traumatic amnesia, the feeling of not being responsible for their accident and persistent pain 6 months after it. A lower odds-ratio was associated with users of two-wheel than four-wheel motor vehicles (OR = 0.4; 0.2-0.9). Conclusion: Besides predictive factors for PTSD (injury severity, post-traumatic amnesia and the feeling of not being responsible for their accident), our study suggested a reduced risk of PTSD among two-wheel motor vehicle users.</p> </div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Lyon</li></settlement><orgName><li>Université Claude Bernard Lyon 1</li><li>Université de Lyon</li></orgName></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Chossegros, Laetitia" sort="Chossegros, Laetitia" uniqKey="Chossegros L" first="Laetitia" last="Chossegros">Laetitia Chossegros</name></region><name sortKey="Bernard, Marlene" sort="Bernard, Marlene" uniqKey="Bernard M" first="Marlène" last="Bernard">Marlène Bernard</name><name sortKey="Boisson, Dominique" sort="Boisson, Dominique" uniqKey="Boisson D" first="Dominique" last="Boisson">Dominique Boisson</name><name sortKey="Charnay, Pierrette" sort="Charnay, Pierrette" uniqKey="Charnay P" first="Pierrette" last="Charnay">Pierrette Charnay</name><name sortKey="Fort, Emmanuel" sort="Fort, Emmanuel" uniqKey="Fort E" first="Emmanuel" last="Fort">Emmanuel Fort</name><name sortKey="Hours, Martine" sort="Hours, Martine" uniqKey="Hours M" first="Martine" last="Hours">Martine Hours</name><name sortKey="Laumon, Bernard" sort="Laumon, Bernard" uniqKey="Laumon B" first="Bernard" last="Laumon">Bernard Laumon</name><name sortKey="Sancho, Pierre Olivier" sort="Sancho, Pierre Olivier" uniqKey="Sancho P" first="Pierre-Olivier" last="Sancho">Pierre-Olivier Sancho</name><name sortKey="Yao, Sai Nan" sort="Yao, Sai Nan" uniqKey="Yao S" first="Sai Nan" last="Yao">Sai Nan Yao</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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