Transactions on Transport Sciences 2023, 14(3):16-24 | DOI: 10.5507/tots.2023.014
Posttraumatic Stress Disorder After a Car Accident in the Czech Population: Prevalence and Risk Factors For Its Development
- Transport Research Centre, Líšeňská 33a, Brno, 636 00, the Czech Republic
The aim of this study is to assess the prevalence of symptoms of posttraumatic stress disorder (PTSD) and to reveal risk factors for its development in a population of people affected by a traffic accident. This has not been the subject of any research study in the Czech Republic so far. Systematic investigation of the psychological impact of traffic accidents is a key condition in the system of their effective prevention and psychological care for road accident participants. The experience of a serious traffic accident can lead to a disturbance of psychological integrity in many people, and some of those involved in traffic accidents subsequently develop mental disorders that have a major impact on their future lives and, in a broader context, on society. Each person responds to a traumatic event in a different way and several situational and individual factors come into play. The online panel questionnaire survey on the prevalence of post-accident phenomena in the Czech population 18+, which was conducted using the CAWI method, involved 2319 respondents who had been involved in or witnessed a traffic accident investigated by the Czech Police in the last ten years. Symptoms of PTSD were identified in 23-30% of the sample. The linear regression model showed the following factors to be statistically significant: Gender, Education, Partnership satisfaction, Stressors one year around CA, Support of the significant others, Dissociation (Intense fear of healing oneself or others, Confusion and difficulty orienting oneself in time and space, Experiencing the situation as unrealistic), Subjective perception of CA as a burdensome life event, Persistent economic impact of CA, Avoidance of driving. The results of this study contribute to a better understanding of the overall impact of traffic accidents in the context of the Czech Republic. Systematic investigation of the psychological impact of traffic accidents is a key condition in the system of their effective prevention and psychological care of the affected persons.
Keywords: Car accident; Postraumatic stress disorder; PTSD; Risk factors
Received: April 27, 2023; Revised: July 12, 2023; Accepted: August 2, 2023; Prepublished online: October 18, 2023; Published: December 13, 2023 Show citation
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References
- Andrews, L., Shevlin, M., Troop, N., & Joseph, S. (2004). Multidimensionality of intrusion and avoidance: Alternative factor models of the Impact of Event Scale. Personality and Individual Differences, 36, 431-446. https://doi.org/10.1016/S0191-8869(03)00107-7
Go to original source...
- Asmundson, G. J. G., Frombach, I., McQiuaid, J., Pedrelli, P., Lenox, R., & Stein, M. B. (2000). Dimensionality of posttraumatic stress symptoms: A confirmatory factor analysis of DSM-IV symptom clusters and other symptom models. Behaviour Research and Therapy, 38, 203-214. https://doi.org/10.1016/S0005-7967(99)00061-3
Go to original source...
- Badour, C. L., Blonigen, D. M., Boden, M. T., Feldner, M. T., & Bonn-Miller, M. O. (2012). A longitudinal test of the bi-directional relations between avoidance coping and PTSD severity during and after PTSD treatment. Behaviour Research and Therapy, 50(10), 610-616. https://doi.org/10.1016/j.brat.2012.06.006
Go to original source...
- Beck, J. G., Grant, D. M., Read, J. P., Clapp, J. D., Coffey, S. F., Miller, L. M., & Palyo, S. A. (2008). The impact of event scale-revised: psychometric properties in a sample of motor vehicle accident survivors. Journal of anxiety disorders, 22(2), 187-198. https://doi.org/10.1016/j.janxdis.2007.02.007
Go to original source...
- Blanchard, E. B., Hickling, E. J., Mitnick, N., Taylor, A. E., Loos, W. R., & Buckley, T. C. (1995). The impact severity of physical injury and perception of life threat in the development of post-traumatic stress disorder in motor vehicle accident victims. Behaviour research and therapy, 33(5), 529-534. https://doi.org/10.1016/0005-7967(94)00079-y
Go to original source...
- Boden, M. T., Westermann, S., McRae, K., Kuo, J., Alvarez, J., Kulkarni, M. R., … Bonn-Miller, M. O. (2013). Emotion regulation and posttraumatic stress disorder: A prospective investigation. Journal of Social and Clinical Psychology, 32(3), 296-314. https://doi.org/10.1521/jscp.2013.32.3.296
Go to original source...
- Brewin, C. R., Dalgleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological review, 103(4), 670. https://doi.org/10.1037/0033-295x.103.4.670
Go to original source...
- Brewin, C.R., Andrews, B., & Valentine, J.D, (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of consulting and clinical psychology, 68(5): 748-766. https://doi.org/10.1037//0022-006x.68.5.748
Go to original source...
- Brunet, A., St-Hilaire, A., Jehel, L., & Kind, S. (2003). Validation of a French version of the Impact of Event Scale-Revised. Canadian Journal of Psychiatry, 48, 56-61. https://doi.org/10.1177/070674370304800111
Go to original source...
- Coffey, S. F., Gudmundsdottir, B., Beck, J. G., Palyo, S. A., & Miller, L. (2006). Screening for PTSD in motor vehicle accident survivors using the PSS-SR and IES. Journal of traumatic stress, 19(1), 119-128. https://doi.org/10.1002/jts.20106
Go to original source...
- Creamer, M., Bell, R., & Failla, S. (2003). Psychometric properties of the impact of event scale revised. Behaviour research and therapy, 41(12), 1489-1496. https://doi.org/10.1016/j.brat.2003.07.010
Go to original source...
- Cromer, L. D., & Smyth, J. M. (2010). Making meaning of trauma: Trauma exposure doesn't tell the whole story. Journal of Contemporary Psychotherapy, 40, 65-72. https://doi.org/10.1007/s10879-009-9130-8
Go to original source...
- Cunningham, K. C., Davis, J. L., Wilson, S. M., & Resick, P. A. (2018). A relative weights comparison of trauma-related shame and guilt as predictors of DSM-5 posttraumatic stress disorder symptom severity among US veterans and military members. British Journal of Clinical Psychology, 57(2), 163-176. https://doi.org/10.1111/bjc.12163
Go to original source...
- DuHamel, K. N., Ostroff, J., Ashman, T., Winkel, G., Mundy, E. A., Keane, T. M., et al. (2004). Construct validity of the Posttraumatic Stress Disorder Checklist in cancer survivors: Analysis based on two samples. Psychological Assessment, 16, 255-266. https://doi.org/10.1037/1040-3590.16.3.255
Go to original source...
- Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour research and therapy, 38(4), 319-345. https://doi.org/10.1016/s0005-7967(99)00123-0
Go to original source...
- Ehlers, A., Mayou, R. A., & Bryant, B. (1998). Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. Journal of abnormal psychology, 107(3), 508. https://doi.org/10.1037/0021-843X.107.3.508
Go to original source...
- Ehlers, A., Taylor, J. E., Ehring, T., Hofmann, S. G., Deane, F. P., Roth, W. T., & Podd, J. V. (2007). The driving cognitions questionnaire: Development and preliminary psychometric properties. Journal of anxiety disorders, 21(4), 493-509. https://doi.org/10.1016/j.janxdis.2006.08.002
Go to original source...
- Ehring, T., Ehlers, A., & Glucksman, E. (2006). Contribution of cognitive factors to the prediction of post- traumatic stress disorder, phobia and depression after motor vehicle accidents. Behaviour research and therapy, 44(12), 1699-1716. https://doi.org/10.1016/j.brat.2005.11.013
Go to original source...
- Foa, E. B., & Hearst-Ikeda, D. (1996). Emotional dissociation in response to trauma: An information-processing approach. Handbook of dissociation: Theoretical, empirical, and clinical perspectives, 207-224. https://doi.org/10.1007/978-1-4899-0310-5_10
Go to original source...
- Frissa, S., Hatch, S. L., Fear, N. T., Dorrington, S., Goodwin, L., & Hotopf, M. (2016). Challenges in the retrospective assessment of trauma: comparing a checklist approach to a single item trauma experience screening question. Bmc Psychiatry, 16(1), 1-9. https://doi.org/10.1186/s12888-016-0720-1
Go to original source...
- Halligan, S. L. (1999) Cognitive Processes Involved in the Maintenance of Post-Traumatic Stress Disorder. DPhil. Thesis, University of Oxford, Oxford, UK.
- Hepp, U., Moergeli, H., Buchi, S., Bruchhaus-Steinert, H., Kraemer, B., Sensky, T., & Schnyder, U. (2018). Post-traumatic stress disorder in serious accidental injury: 3-year follow-up study. The British Journal of Psychiatry, 192(5), 376-383. https://doi.org/10.1192/bjp.bp.106.030569
Go to original source...
- Herrera-Escobar, J. P., Al Rafai, S. S., Seshadri, A. J., Weed, C., Apoj, M., Harlow, A., ... & Salim, A. (2018). A multicenter study of post-traumatic stress disorder after injury: mechanism matters more than injury severity. Surgery, 164(6), 1246-1250. https://doi.org/10.1016/j.surg.2018.07.017
Go to original source...
- Hodgson, R. C., & Webster, R. A. (2011). Mediating role of peritraumatic dissociation and depression on post-MVA distress: path analysis. Depression and Anxiety, 28(3), 218-226. https://doi.org/10.1002/da.20774
Go to original source...
- Horowitz, M. J. (1976). Diagnosis and treatment of stress response syndromes: General principles. In Emergency and disaster management: A mental health sourcebook (pp. 259-69).
- Jeavons, S., Greenwood, K. M., & de L. Horne, D. J. (2000). Accident cognitions and subsequent psychological trauma. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 13(2), 359- 365. https://doi.org/10.1023/A:1007797904536
Go to original source...
- Kaussner, Y., Kuraszkiewicz, A. M., Schoch, S., Markel, P., Hoffmann, S., Baur-Streubel, R., ... & Pauli, P. (2020). Treating patients with driving phobia by virtual reality exposure therapy-a pilot study. PLoS One, 15(1). https://doi.org/10.1371/journal.pone.0226937
Go to original source...
- Khodadadi-Hassankiadeh, N., Nayeri, N. D., Shahsavari, H., Yousefzadeh-Chabok, S., & Haghani, H. (2017). Predictors of post-traumatic stress disorder among victims of serious motor vehicle accidents. International journal of community-based nursing and midwifery, 5(4), 355.
- Koren, D., Arnon, I., Lavie, P., & Klein, E. (2002). Sleep complaints as early predictors of posttraumatic stress disorder: a 1-year prospective study of injured survivors of motor vehicle accidents. American Journal of Psychiatry, 159(5), 855-857. https://doi.org/10.1176/appi.ajp.159.5.855
Go to original source...
- Kubany, E. S. (1998). Cognitive therapy for trauma-related guilt. In V. M. Follette & J. I. Ruzek (Eds.), Cognitive-behavioral therapies for trauma, 124-161. New York, NY: The Guilford Press.
- Kupchik, M., Strous, R. D., Erez, R., Gonen, N., Weizman, A., & Spivak, B. (2007). Demographic and clinical characteristics of motor vehicle accident victims in the community general health outpatient clinic: a comparison of PTSD and non-PTSD subjects. Depression and anxiety, 24(4), 244-250. https://doi.org/10.1002/da.20189
Go to original source...
- Lee, D. A., Scragg, P., & Turner, S. (2001). The role of shame and guilt in traumatic events: A clinical model of shame-based and guilt-based PTSD. British journal of medical psychology, 74(4), 451-466. https://doi.org/10.1348/000711201161109
Go to original source...
- Li, L., Reinhardt, J. D., Van Dyke, C., Wang, H., Liu, M., Yamamoto, A., ... & Hu, X. (2020). Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China. BMC psychiatry, 20(1), 1-10. https://doi.org/10.1186/s12888-020-2474-z
Go to original source...
- Lin, W., Gong, L., Xia, M., & Dai, W. (2018). Prevalence of posttraumatic stress disorder among road traffic accident survivors: APRISMA-compliant meta- analysis. Medicine, 97(3). https://doi.org/10.1097/MD.0000000000009693
Go to original source...
- Măirean, C. (2020). Posttraumatic stress symptoms, fear and avoidance of driving, and aberrant driving behaviors. The moderating role of gender. Journal of Transport & Health, 16, 100830. https://doi.org/10.1016/j.jth.2020.100830
Go to original source...
- Mathew, R. J., Wilson, W. H., Turkington, T. G., & Coleman, R. E. (1998). Cerebellar activity and disturbed time sense after THC. Brain research, 797(2), 183- 189. https://doi.org/10.1016/S0006-8993(98)00375-8
Go to original source...
- Matsuoka, Y., Nishi, D., Nakajima, S., Kim, Y., Homma, M., & Otomo, Y. (2008). Incidence and prediction of psychiatric morbidity after a motor vehicle accident in Japan: The Tachikawa Cohort of Motor Vehicle Accident Study. Critical Care Medicine, 36(1), 74-80. https://doi.org/10.1097/01.ccm.0000291650.70816.D6
Go to original source...
- Mayou, R. A., Ehlers, A., & Bryant, B. (2002). Posttraumatic stress disorder after motor vehicle accidents: 3-year follow-up of a prospective longitudinal study. Behaviour research and therapy, 40(6), 665-675. https://doi.org/10.1016/s0005-7967(01)00069-9
Go to original source...
- Mayou, R., & Bryant, B. (2001). Outcome in consecutive emergency department attenders following a road traffic accident. British Journal of Psychiatry, 179(06), 528-534. https://doi.org/10.1192/bjp.179.6.528
Go to original source...
- Meyer, C., & Steil, R. (1998). Posttraumatic stress disorder after motor vehicle accidents. Der Unfallchirurg, 101(12), 878-893. https://doi.org/10.1016/s0005-7967(01)00069-9
Go to original source...
- Motlagh, H. (2010). Impact of event scale-revised. J Physiother, 56(3), 203. https://doi.org/10.1016/s1836-9553(10)70029-1
Go to original source...
- Murray, J., Ehlers, A., & Mayou, R. A. (2002). Dissociation and post-traumatic stress disorder: Two prospective studies of road traffic accident survivors. The British Journal of Psychiatry, 180(4), 363-368. https://doi.org/10.1192/bjp.180.4.363
Go to original source...
- O'Donnell, M. L., Creamer, M., Pattison, P., & Atkin, C. (2004). Psychiatric morbidity following injury. American Journal of Psychiatry, 161(3), 507-514. https://doi.org/10.1176/appi.ajp.161.3.507
Go to original source...
- Olff, M., Langeland, W., Draijer, N., & Gersons, B. P. (2007). Gender differences in posttraumatic stress disorder. Psychological bulletin, 133(2), 183. https://doi.org/10.1037/0033-2909.133.2.183
Go to original source...
- Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychological bulletin, 129(1), 52. https://doi.org/10.1037/0033-2909.129.1.52
Go to original source...
- Pires, T. S. F., & Maia, Â. D. C. (2013). Posttraumatic stress disorder among serious motor vehicle accident victims: analysis of predictors. Archives of Clinical Psychiatry (São Paulo), 40, 211-214. https://doi.org/10.1590/S0101-60832013000600001
Go to original source...
- Platts-Mills, T. F., Nebolisa, B. C., Flannigan, S. A., Richmond, N. L., Domeier, R. M., Swor, R. A., ... & McLean, S. A. (2017). Post-traumatic stress disorder among older adults experiencing motor vehicle collision: a multicenter prospective cohort study. The American Journal of Geriatric Psychiatry, 25(9), 953-963. https://doi.org/10.1016/j.jagp.2017.03.011
Go to original source...
- Policie České republiky (2023). Statistika nehodovosti. Retrieved from: https://www.policie.cz/clanek/statistika-nehodovosti-900835.aspx
- Raboch, J. Hrdlička, M. Mohr, P. Pavlovský, P., & Ptáček, R. (2015). DSM-5®: diagnostický a statistický manuál duševnîch poruch. Praha: Hogrefe - Testcentrum.
- Rabušic, L., Soukup, P., & Mareš, P. (2019). Analýza sociálněvědních dat (prostřednictvím SPSS). Brno, Masarykova univerzita.
- Shevlin, M., Hunt, N., & Robbins, I. (2000). A confirmatory factor analysis of the impact of event scale using a sample of World War II and Korean War veterans. Psychological Assessment, 12, 414 - 417. https://doi.org/10.1037/1040-3590.12.4.414
Go to original source...
- Taylor, J., & Deane, F. P. (2000). Comparison and characteristics of motor vehicle accident (MVA) and non-MVA driving fears. Journal of Anxiety Disorders, 14(3), 281-298. https://doi.org/10.1016/S0887-6185(99)00040-7
Go to original source...
- Trickey, D., Siddaway, A. P., Meiser-Stedman, R., Serpell, L., & Field, A. P. (2012). A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents. Clinical psychology review, 32(2), 122-138. https://doi.org/10.1016/j.cpr.2011.12.001
Go to original source...
- Ursano, R. J., Fullerton, C. S., Epstein, R. S., Crowley, B., Kao, T. C., Vance, K., ... & Baum, A. (1999a). Acute and chronic posttraumatic stress disorder in motor vehicle accident victims. American Journal of Psychiatry, 156(4), 589-595. https://doi.org/10.1176/ajp.156.4.589
Go to original source...
- Ursano, R. J., Fullerton, C. S., Epstein, R. S., Crowley, B., Vance, K., Kao, T. C., & Baum, A. (1999b). Peritraumatic dissociation and posttraumatic stress disorder following motor vehicle accidents. American Journal of Psychiatry, 156(11), 1808-1810. https://doi.org/10.1176/ajp.156.11.1808
Go to original source...
- Vágnerová, M. (2004). Psychopatologie pro pomáhající profese. Praha: Press.
- Van der Kolk, B. A., & Fisler, R. (1995). Dissociation and the fragmentary nature of traumatic memories: Overview and exploratory study. Journal of traumatic stress, 8, 505-525.
Go to original source...
- Wang, Y., Chung, M. C., Wang, N., Yu, X., & Kenardy, J. (2021). Social support and posttraumatic stress disorder: A meta-analysis of longitudinal studies. Clinical psychology review, 85, 101998. https://doi.org/10.1016/j.cpr.2021.101998
Go to original source...
- Weiss, D. S., & Marmar, C. R. (1997). Wilson, JP; Keane, TM. The impact of event scale-revised. Assessing psychological trauma and PTSD, 399-411.
Go to original source...
- World Health Organization (WHO) (2019). ICD-11 for Mortality and Morbidity Statistics (ICD-11 MMS). Retrieved from: https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/2070699808
- Wrenger, M., Lange, C., Langer, M., Heuft, G., & Burgmer, M. (2008). Psychiatric disorders after an accident: Predictors and the influence of the psychiatric condition prior to an accident. European Psychiatry, 23(6), 434-440. https://doi.org/10.1016/j.eurpsy.2008.02.001
Go to original source...
- Wright, B. K., Kelsall, H. L., Sim, M. R., Clarke, D. M., & Creamer, M. C. (2013). Support mechanisms and vulnerabilities in relation to PTSD in veterans of the Gulf War, Iraq War, and Afghanistan deployments: a systematic review. Journal of traumatic stress, 26(3), 310-318. https://doi.org/10.1002/jts.21875
Go to original source...
- Wu, K. K., & Chan, K. S. (2003). The development of the Chinese version of the Impact of Event Scale-Revised (CIES-R). Social Psychiatry and Psychiatric Epidemiology, 3, 94-98. https://doi.org/10.1007/s00127-003-0611-x
Go to original source...
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