@article{ref1,
title="Onset and maintenance of psychiatric disorders after serious accidents",
journal="European archives of psychiatry and clinical neuroscience",
year="2006",
author="Kühn, Manuela and Ehlert, Ulrike and Rumpf, Hans-Jurgen and Backhaus, Jutta and Hohagen, Fritz and Broocks, Andreas",
volume="256",
number="8",
pages="497-503",
abstract="The purpose of this study was to prospectively investigate the onset, course, and remission of psychiatric disorders in the first 6 months after a serious accident for consecutive patients in a hospital emergency department. Participants were 58 patients aged 18-65 who were assessed shortly after attending a hospital emergency department and were followed up 6 months afterwards. Patients were interviewed with regard to past and current psychiatric history using different instruments (e.g. SCID for DSM-IV). Prior to their accidents, 35% of all subjects had experienced one or more psychiatric disorders (lifetime prevalence). Shortly after the accident, the incidence of Acute Stress Disorder (7%), subsyndromal Acute Stress Disorder (12%), and adjustment disorder (1.5%) was increased as a reaction to the accident. At this time, 29% of all patients suffered from an acute psychiatric disorder. Six-months after the accident, 10% of the subjects met criteria for Major Depression, 6% for PTSD, 4% for subsyndromal PTSD, and 1.5% for Specific Phobia as newly developed disorders. The course of the psychiatric disorders shows that those patients who met criteria for any psychiatric diagnosis shortly after the accident ran a much higher risk for developing new or comorbid psychiatric disorders in the future.<p /><p>Language: en</p>",
language="en",
issn="0940-1334",
doi="10.1007/s00406-006-0670-6",
url="http://dx.doi.org/10.1007/s00406-006-0670-6"
}