Zusammenfassung
Im ersten Teil wurden die Relevanz, diagnostischen Kriterien psychischer Störungen nach Verkehrsunfällen und ihre Therapie beschrieben.
Der zweite Teil zeigt die unfallchirurgisch relevanten Ergebnisse einer prospektiven Studie zu psychischen Störungen an 179 stationär behandelten Verkehrsunfallopfern. Nahezu jeder fünfte schwerverletzte Patient entwickelte eine posttraumatische Belastungsstörung nach einem Verkehrsunfall. Diese Patienten waren schwerer verletzt als die Patienten ohne psychische Störungen. Bereits kurz nach dem Unfall zeigten sie mehr psychische Symptome, hatten mehr negative Befürchtungen bezüglich ihrer Gesundheit and lagen länger im Krankenhaus. Die prämorbide Persönlichkeit beeinflußte die Entwicklung psychischer Störungen nach einem Unfall. In der Nachuntersuchung gaben die Patienten mit einer posttraumatischen Belastungsstörung mehr körperliche Beschwerden an und benögtigten mehr Hilfen als Patienten ohne psychiatrische Diagnosen.
Die Studie zeigt, daß psychische Störungen nach Verkehrsunfällen den Genesungsverlauf and die chirurgische Behandlune erheblich beeinflussen.
Abstract
In Part I of this paper the relevance, diagnostic criteria of psychiatric disorders after trattic accidents and their therapy were described.
In this second paper we present the relevant data for surgeons out of a prospective study on psychological sequelae after traffic accidents in 179 patients.
Nearly every 5th severely injured patient developed a posttraumatic stress disorder (PTSD) after a traffic accident. These patients were injured more severely compared to patients without any psychiatric disorder. Already shortly after the accident they reported more psychological symptoms and had more negative apprehensions towards their health. Premorbid personality influenced the development of psychiatric disorders after an accident significantly but in a modest degree. At follow-up patients with a PTSD reported more physical complaints and needed more help than patients without any psychiatric diagnosis.
The study reveals that nsvchological factors influence the healing process and the surgical treatment significantly.
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Frommberger, U., Schlickewei, W., Nyberg, E. et al. Die psychischen folgen nach verkehrsunfällen. Unfallchirurgie 24, 122–128 (1998). https://doi.org/10.1007/BF01873553
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DOI: https://doi.org/10.1007/BF01873553