Posttraumatic Stress Disorder and Emotional Problems in Children Following Motor Vehicle Accidents: An Extended Case Series

Abstract

OBJECTIVE: The prevalence of posttraumatic stress disorder (PTSD) and general psychopathology in children following motor vehicle accidents (MVA) was investigated. METHOD: Twenty-six subjects aged 8-13 years presenting to an emergency department following an MVA were assessed 3 months after the accident using a standard clinical psychiatric assessment, a structured research interview and self- and parent-report questionnaires. RESULTS: A higher prevalence of psychopathology was seen in the sample compared with community controls. Self-report of PTSD symptoms revealed 22% subjects in the moderate or severe PTSD range and 35% of mild severity. There was significant concordance between self-report PTSD scores and a clinical diagnosis of PTSD. Perception of threat and the internalising subscale on the Child Behaviour Checklist were significantly correlated with PTSD scores. CONCLUSIONS: PTSD and other symptoms of emotional distress are common following MVAs. The clinical and public health implications are discussed, and areas for further research highlighted.

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