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The Role of Injury and Trauma-Related Variables in the Onset and Course of Symptoms of Posttraumatic Stress Disorder

  • Marit Sijbrandij
  • Iris M. Engelhard
  • Giel-Jan de Vries
  • Jan S. K. Luitse
  • Ingrid V. E. Carlier
  • Berthold P. R. Gersons
  • Miranda Olff
Article

Abstract

Posttraumatic stress disorder (PTSD) affects a minority of trauma-exposed persons and is associated with significant impairment. This longitudinal study examined risk factors for PTSD. We tested whether the presence of injuries resulting from trauma exposure predicted the course of PTSD symptoms. In addition, we tested whether gender, trauma type, perceived life threat, and peritraumatic dissociation predicted the onset of PTSD symptoms. 236 trauma-exposed civilians were assessed for PTSD symptoms with a structured interview at four occasions during 6 months posttrauma. Path analysis showed that a model in which the female gender, assault, perceived life threat, and peritraumatic dissociation predicted PTSD severity at 1 week, and injury predicted PTSD severity 8 weeks after the traumatic event showed the best fit. However, a similar model without injury showed comparable fit. It is concluded that injuries have a negligible effect on the course of PTSD.

Keywords

Stress disorders Post-traumatic Acute reactions Risk factors Path analysis 

Notes

Acknowledgments

This study was supported by the Netherlands Organization for Health Research and Development (ZonMw), Grant no. 22000008 and Achmea Aid to Victims.

Conflict of interest

None declared.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Marit Sijbrandij
    • 1
    • 2
    • 3
  • Iris M. Engelhard
    • 3
  • Giel-Jan de Vries
    • 4
  • Jan S. K. Luitse
    • 5
  • Ingrid V. E. Carlier
    • 6
  • Berthold P. R. Gersons
    • 4
  • Miranda Olff
    • 4
  1. 1.Department of Clinical PsychologyVU University AmsterdamAmsterdamThe Netherlands
  2. 2.EMGO Institute for Health and Care ResearchAmsterdamThe Netherlands
  3. 3.Department of Clinical and Health PsychologyUtrecht UniversityUtrechtThe Netherlands
  4. 4.Department of PsychiatryAcademic Medical Centre of the University of AmsterdamAmsterdamThe Netherlands
  5. 5.Department of Trauma SurgeryAcademic Medical Centre of the University of AmsterdamAmsterdamThe Netherlands
  6. 6.Department of PsychiatryLeiden University Medical CentreLeidenThe Netherlands

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