Changing patterns in the prevalence of posttraumatic stress disorder, major depressive episode and generalized anxiety disorder over 24 months following a road traffic crash: Results from the UQ SuPPORT study.
- Publisher:
- ELSEVIER SCIENCE BV
- Publication Type:
- Journal Article
- Citation:
- J Affect Disord, 2018, 236, pp. 172-179
- Issue Date:
- 2018-08-15
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1-s2.0-S0165032718305317-main.pdf | Published version | 632.58 kB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Kenardy, J | |
dc.contributor.author | Edmed, SL | |
dc.contributor.author | Shourie, S | |
dc.contributor.author | Warren, J | |
dc.contributor.author |
Crothers, A https://orcid.org/0000-0003-1958-5275 |
|
dc.contributor.author | Brown, EA | |
dc.contributor.author | Cameron, CM | |
dc.contributor.author | Heron-Delaney, M | |
dc.date.accessioned | 2022-04-19T03:58:07Z | |
dc.date.available | 2018-04-18 | |
dc.date.available | 2022-04-19T03:58:07Z | |
dc.date.issued | 2018-08-15 | |
dc.identifier.citation | J Affect Disord, 2018, 236, pp. 172-179 | |
dc.identifier.issn | 0165-0327 | |
dc.identifier.issn | 1573-2517 | |
dc.identifier.uri | http://hdl.handle.net/10453/156439 | |
dc.description.abstract | OBJECTIVE: To examine the prevalence and changing patterns of PTSD, major depressive episode (MDE), and generalized anxiety disorder (GAD) in adult claimants who sustained a non-catastrophic injury in a road traffic crash (RTC) in Queensland, Australia. METHOD: Participants (N = 284) were assessed at approximately 6, 12, and 24 months post-RTC using the composite international diagnostic interview (CIDI) modules for PTSD, and CIDI-short form for MDE, and GAD. RESULTS: The prevalence of at least one of these disorders was 48.2%, 52.5%, and 49.3%, at 6, 12, and 24 months, respectively. Comorbidity was common (20.8% at 6 months, 27.1% at 12 months, and 21.1% at 24 months) and only 33.1% of participants never met PTSD, GAD, or MDE criteria. A substantial proportion of participants (42.3%) had an unstable diagnostic pattern over time. Participants with multiple diagnoses at 6 months were more likely to continue to meet diagnostic criteria for any disorder at 12 and 24 months than participants with a single diagnosis. Participants with PTSD (with or without MDE/GAD) were more likely to meet criteria for any disorder at 24 months than participants with another diagnosis. Preinjury psychiatric history increased the likelihood of any disorder at 24 months post-injury, but did not significantly increase the likelihood of PTSD. CONCLUSIONS: People injured in a RTC are at risk of having complex psychological presentations over time. Interventions to prevent mental disorders, especially PTSD, in the early post-injury period are needed to prevent chronic psychological injury, including consideration of comorbidity and dynamic course. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | ELSEVIER SCIENCE BV | |
dc.relation.ispartof | J Affect Disord | |
dc.relation.isbasedon | 10.1016/j.jad.2018.04.090 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences | |
dc.subject.classification | Psychiatry | |
dc.subject.mesh | Accidents, Traffic | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Anxiety Disorders | |
dc.subject.mesh | Comorbidity | |
dc.subject.mesh | Depressive Disorder, Major | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Longitudinal Studies | |
dc.subject.mesh | Male | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Prevalence | |
dc.subject.mesh | Queensland | |
dc.subject.mesh | Stress Disorders, Post-Traumatic | |
dc.subject.mesh | Time Factors | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Prevalence | |
dc.subject.mesh | Longitudinal Studies | |
dc.subject.mesh | Anxiety Disorders | |
dc.subject.mesh | Stress Disorders, Post-Traumatic | |
dc.subject.mesh | Depressive Disorder, Major | |
dc.subject.mesh | Accidents, Traffic | |
dc.subject.mesh | Comorbidity | |
dc.subject.mesh | Time Factors | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Queensland | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Young Adult | |
dc.title | Changing patterns in the prevalence of posttraumatic stress disorder, major depressive episode and generalized anxiety disorder over 24 months following a road traffic crash: Results from the UQ SuPPORT study. | |
dc.type | Journal Article | |
utslib.citation.volume | 236 | |
utslib.location.activity | Netherlands | |
utslib.for | 11 Medical and Health Sciences | |
utslib.for | 17 Psychology and Cognitive Sciences | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Centre for Health Economics Research and Evaluation | |
utslib.copyright.status | closed_access | * |
dc.date.updated | 2022-04-19T03:58:06Z | |
pubs.publication-status | Published | |
pubs.volume | 236 |
Abstract:
OBJECTIVE: To examine the prevalence and changing patterns of PTSD, major depressive episode (MDE), and generalized anxiety disorder (GAD) in adult claimants who sustained a non-catastrophic injury in a road traffic crash (RTC) in Queensland, Australia. METHOD: Participants (N = 284) were assessed at approximately 6, 12, and 24 months post-RTC using the composite international diagnostic interview (CIDI) modules for PTSD, and CIDI-short form for MDE, and GAD. RESULTS: The prevalence of at least one of these disorders was 48.2%, 52.5%, and 49.3%, at 6, 12, and 24 months, respectively. Comorbidity was common (20.8% at 6 months, 27.1% at 12 months, and 21.1% at 24 months) and only 33.1% of participants never met PTSD, GAD, or MDE criteria. A substantial proportion of participants (42.3%) had an unstable diagnostic pattern over time. Participants with multiple diagnoses at 6 months were more likely to continue to meet diagnostic criteria for any disorder at 12 and 24 months than participants with a single diagnosis. Participants with PTSD (with or without MDE/GAD) were more likely to meet criteria for any disorder at 24 months than participants with another diagnosis. Preinjury psychiatric history increased the likelihood of any disorder at 24 months post-injury, but did not significantly increase the likelihood of PTSD. CONCLUSIONS: People injured in a RTC are at risk of having complex psychological presentations over time. Interventions to prevent mental disorders, especially PTSD, in the early post-injury period are needed to prevent chronic psychological injury, including consideration of comorbidity and dynamic course.
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