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Posttraumatic stress disorder after a bus accident

R Watts1

  • 1Social Work Services, Bethesda Hospital, Richmond, Victoria.

The Australian and New Zealand Journal of Psychiatry
|March 1, 1995
PubMed
Summary

Serious road accidents can cause significant psychological distress. Many survivors experience posttraumatic stress disorder (PTSD) and related symptoms, with witnessing death being a major trigger.

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Area of Science:

  • Psychology
  • Trauma Studies
  • Public Health

Background:

  • Limited data exists on psychological reactions following severe road accidents.
  • Understanding survivor mental health is crucial for effective support.

Purpose of the Study:

  • To assess the prevalence of posttraumatic stress disorder (PTSD) and psychological sequelae in survivors of a major coach accident.
  • To identify factors associated with psychological distress in these survivors.

Main Methods:

  • A cohort of 29 survivors from a fatal coach accident underwent psychological assessments.
  • Data collected included PTSD prevalence, intrusion/avoidance symptoms, and associated demographic/event-related factors.

Main Results:

  • 41% of survivors met criteria for PTSD.
  • 52% reported severe intrusion or avoidance phenomena; 31% experienced both.
  • Psychological distress correlated with current distress from other events, not age, gender, or relationship to victims.
  • Witnessing death was a primary cause of acute and recurring distress.

Conclusions:

  • Survivors of severe road accidents are highly vulnerable to psychological sequelae, including PTSD.
  • Factors like witnessing death and concurrent stressors significantly impact mental health outcomes.
  • Delayed psychological reactions necessitate ongoing monitoring and support for survivors.

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