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Psychopathology and accidental injuries.

U Malt1, T Myhrer, G Blikra

  • 1Department of Physiological Psychology, University of Bergen.

Acta Psychiatrica Scandinavica
|September 1, 1987
PubMed
Summary

Accidental injuries in surgical patients are often linked to psychiatric and personality disorders, particularly substance abuse and antisocial personality traits. High distress and injury severity were noted in those with personality disorders.

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Area of Science:

  • Psychiatry
  • Trauma Surgery
  • Psychological Medicine

Background:

  • Accidental injuries frequently lead to surgical admission.
  • The psychological profile of injured patients is not fully understood.
  • Previous research has not extensively explored the link between psychiatric conditions and accidental injury severity.

Purpose of the Study:

  • To investigate the prevalence of psychiatric and personality disorders in adults admitted for accidental injuries.
  • To examine the relationship between psychological distress, personality disorders, and injury severity.
  • To explore potential underlying psychological factors contributing to accidental injuries.

Main Methods:

  • A cohort of 112 adult surgical patients admitted for accidental injuries was assessed.

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  • Psychiatric diagnoses were made using DSM-III criteria (axis I and axis 2).
  • Psychological distress and injury severity were evaluated; a subgroup underwent the Defense Mechanism Test.

    • Main Results:

    • 37% of patients had a psychiatric disorder (axis I) and 21% had a personality disorder (axis 2) on admission.
    • Substance abuse/dependence and antisocial personality disorders were most common.
    • Patients with personality disorders reported higher distress and experienced more severe injuries.
    • No evidence supported unconscious self-destructive tendencies as a cause for injuries.
    • High perceptual defense correlated with injury occurrence in patients responsible for the accident.

    Conclusions:

    • Psychiatric and personality disorders are prevalent in patients with accidental injuries.
    • Personality disorders are associated with increased psychological distress and injury severity.
    • Psychological defense mechanisms may play a role in accidental injury causation for at-fault individuals.