Fright (effroi) and other peritraumatic responses after a serious motor vehicle accident: prospective influence on acute PTSD development.
Identifieur interne : 002994 ( Main/Exploration ); précédent : 002993; suivant : 002995Fright (effroi) and other peritraumatic responses after a serious motor vehicle accident: prospective influence on acute PTSD development.
Auteurs : Guillaume Vaiva [France] ; Alain Brunet [France] ; François Lebigot ; Virginie Boss ; François Ducrocq ; Patrick Devos [France] ; Philippe Laffargue [France] ; Michel Goudemand [France]Source :
- Canadian Journal of Psychiatry / La Revue Canadienne de Psychiatrie [ 0706-7437 ] ; 2003-07.
Abstract
OBJECTIVE: We prospectively examined the relation between various peritraumatic responses (that is, fear, helplessness, horror, amnesia, and fright) and the development of posttraumatic stress disorder (PTSD) 2 months after a trauma. METHOD: Participants included 123 motor vehicle accident (MVA) victims consecutively hospitalized in a traumatology department for over 72 hours during a 16-month period. Between day 2 and day 5 of their hospitalization, a psychiatrist assessed the patients' peritraumatic responses and acute stress disorder (ASD). Two months after the accident, an experienced psychiatrist contacted the patients by telephone, and the PTSD symptoms and the diagnosis were assessed with a modified version of the Clinician-Administered PTSD Scale (CAPS). RESULTS: Of the participants, 48 reported an immediate fright reaction when faced with the prospect of their own death. Participants who reported a fright experience had a 17 times greater risk of subsequently meeting the diagnostic criteria for PTSD (odds ratio 16.75). A fright reaction predicted PTSD development with a specificity of 0.93 and a sensitivity of 0.60 CONCLUSION: The immediate reactions described in criterion A2 of the DSM-IV (that is, fear, helplessness, and horror) did not seem to be equally relevant. An initial feeling of fright seems to be an essential qualitative factor in the clinical description of psychological trauma.
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<orgName>Université Nice Sophia Antipolis (... - 2019)</orgName> <orgName type="acronym">UNS</orgName> <desc> <address> <addrLine>Parc Valrose - BP 2135 - 06103 Nice cedex 2</addrLine> <country key="FR"></country> </address> <ref type="url">http://unice.fr/</ref> </desc> <listRelation> <relation active="#struct-523042" type="direct"></relation> </listRelation> </org></tutelle><tutelle active="#struct-523042" type="indirect"><org type="regroupinstitution" xml:id="struct-523042" status="VALID"> <orgName>Université Côte d'Azur </orgName> <orgName type="acronym">UCA</orgName> <date type="start">2015-03-01</date> <desc> <address> <addrLine>Parc Valrose, 28 avenue Valrose 06108 Nice Cedex 2 </addrLine> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle name="UMR6543" active="#struct-441569" type="direct"><org type="institution" xml:id="struct-441569" status="VALID"> <idno type="IdRef">02636817X</idno> <idno type="ISNI">0000000122597504</idno> <orgName>Centre National de 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type="IdRef">191047686</idno> <idno type="RNSR">199814198W</idno> <orgName>Santé publique : épidémiologie et qualité des soins-EA 2694</orgName> <orgName type="acronym">CERIM</orgName> <desc> <address> <addrLine>1, place de Verdun 59045 - Lille cedex</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-425779" type="direct"></relation> <relation name="EA2694" active="#struct-374570" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-425779" type="direct"><org type="institution" xml:id="struct-425779" status="VALID"> <orgName>Centre Hospitalier Régional Universitaire [Lille]</orgName> <orgName type="acronym">CHRU Lille</orgName> <desc> <address> <addrLine>2, avenue Oscar Lambret - 59037 Lille Cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chru-lille.fr/</ref> </desc> </org></tutelle><tutelle name="EA2694" active="#struct-374570" type="direct"><org type="institution" xml:id="struct-374570" status="VALID"> <idno type="IdRef">223446556</idno> <orgName>Université de Lille</orgName> <date type="start">2018-01-01</date> <desc> <address> <addrLine>Lille</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.univ-lille.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Laffargue, Philippe" sort="Laffargue, Philippe" uniqKey="Laffargue P" first="Philippe" last="Laffargue">Philippe Laffargue</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-53527" status="INCOMING"> <orgName>Université du Littoral Côte d'Opale, FRE ELICO 2816 CNRS</orgName> <desc> <address> <addrLine>avenue Foch, 62930 Wimereux</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-300278" type="direct"></relation> <relation name="FRE 2816" active="#struct-441569" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-300278" type="direct"><org type="institution" xml:id="struct-300278" status="VALID"> <orgName>Université du Littoral Côte d'Opale</orgName> <desc> <address> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle name="FRE 2816" active="#struct-441569" type="direct"><org type="institution" xml:id="struct-441569" status="VALID"> <idno type="IdRef">02636817X</idno> <idno type="ISNI">0000000122597504</idno> <orgName>Centre National de la Recherche Scientifique</orgName> <orgName type="acronym">CNRS</orgName> <date type="start">1939-10-19</date> <desc> <address> <country key="FR"></country> </address> <ref type="url">http://www.cnrs.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Goudemand, Michel" sort="Goudemand, Michel" uniqKey="Goudemand M" first="Michel" last="Goudemand">Michel Goudemand</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-11323" status="VALID"> <orgName>Laboratoire de Neurosciences Fonctionnelles et Pathologies</orgName> <orgName type="acronym">LNFP</orgName> <desc> <address> <addrLine>Service EFV Hôpital Roger Salengro CHRU Lille 59037 Lille Cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://LNFP.dr18.cnrs.fr</ref> </desc> <listRelation> <relation active="#struct-361611" type="direct"></relation> <relation name="UMR8160" active="#struct-441569" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-361611" type="direct"><org type="institution" xml:id="struct-361611" status="OLD"> <idno type="ISNI">0000000120977060</idno> <idno type="IdRef">026404389</idno> <orgName>Université de Lille, Droit et Santé</orgName> <date type="end">2017-12-31</date> <desc> <address> <addrLine>42 rue Paul Duez 59000 Lille</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-lille2.fr/</ref> </desc> </org></tutelle><tutelle name="UMR8160" active="#struct-441569" type="direct"><org type="institution" xml:id="struct-441569" status="VALID"> <idno type="IdRef">02636817X</idno> <idno type="ISNI">0000000122597504</idno> <orgName>Centre National de la Recherche Scientifique</orgName> <orgName type="acronym">CNRS</orgName> <date type="start">1939-10-19</date> <desc> <address> <country key="FR"></country> </address> <ref type="url">http://www.cnrs.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author></analytic><series><title level="j">Canadian Journal of Psychiatry / La Revue Canadienne de Psychiatrie</title><idno type="ISSN">0706-7437</idno><imprint><date type="datePub">2003-07</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"> <p>OBJECTIVE: We prospectively examined the relation between various peritraumatic responses (that is, fear, helplessness, horror, amnesia, and fright) and the development of posttraumatic stress disorder (PTSD) 2 months after a trauma. METHOD: Participants included 123 motor vehicle accident (MVA) victims consecutively hospitalized in a traumatology department for over 72 hours during a 16-month period. Between day 2 and day 5 of their hospitalization, a psychiatrist assessed the patients' peritraumatic responses and acute stress disorder (ASD). Two months after the accident, an experienced psychiatrist contacted the patients by telephone, and the PTSD symptoms and the diagnosis were assessed with a modified version of the Clinician-Administered PTSD Scale (CAPS). RESULTS: Of the participants, 48 reported an immediate fright reaction when faced with the prospect of their own death. Participants who reported a fright experience had a 17 times greater risk of subsequently meeting the diagnostic criteria for PTSD (odds ratio 16.75). A fright reaction predicted PTSD development with a specificity of 0.93 and a sensitivity of 0.60 CONCLUSION: The immediate reactions described in criterion A2 of the DSM-IV (that is, fear, helplessness, and horror) did not seem to be equally relevant. An initial feeling of fright seems to be an essential qualitative factor in the clinical description of psychological trauma.</p> </div></front></TEI><affiliations><list><country><li>France</li></country></list><tree><noCountry><name sortKey="Boss, Virginie" sort="Boss, Virginie" uniqKey="Boss V" first="Virginie" last="Boss">Virginie Boss</name><name sortKey="Ducrocq, Francois" sort="Ducrocq, Francois" uniqKey="Ducrocq F" first="François" last="Ducrocq">François Ducrocq</name><name sortKey="Lebigot, Francois" sort="Lebigot, Francois" uniqKey="Lebigot F" first="François" last="Lebigot">François Lebigot</name></noCountry><country name="France"><noRegion><name sortKey="Vaiva, Guillaume" sort="Vaiva, Guillaume" uniqKey="Vaiva G" first="Guillaume" last="Vaiva">Guillaume Vaiva</name></noRegion><name sortKey="Brunet, Alain" sort="Brunet, Alain" uniqKey="Brunet A" first="Alain" last="Brunet">Alain Brunet</name><name sortKey="Devos, Patrick" sort="Devos, Patrick" uniqKey="Devos P" first="Patrick" last="Devos">Patrick Devos</name><name sortKey="Goudemand, Michel" sort="Goudemand, Michel" uniqKey="Goudemand M" first="Michel" last="Goudemand">Michel Goudemand</name><name sortKey="Laffargue, Philippe" sort="Laffargue, Philippe" uniqKey="Laffargue P" first="Philippe" last="Laffargue">Philippe Laffargue</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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