Heart rate measured in the acute aftermath of trauma can predict post-traumatic stress disorder: A prospective study in motor vehicle accident survivors

被引:27
作者
Coronas, R.
Gallardo, O. [2 ]
Moreno, M. J.
Suarez, D. [1 ]
Garcia-Pares, G.
Menchon, J. M. [3 ]
机构
[1] UAB, IUFPT, Epidemiol & Assessment Unit, Sabadell, Spain
[2] Parc Tauli Accid Transit Trafisaba, Sabadell, Spain
[3] Univ Barcelona, Bellvitge Hosp, Dept Psychiat, Lhospitalet De Llobregat, Spain
关键词
PTSD; Motor vehicle accidents; Heart rate; Blood pressure; PSYCHOPHYSIOLOGICAL AROUSAL; EMERGENCY-DEPARTMENT; DSM-IV; PTSD; ASSOCIATION; SEVERITY; SYMPTOMS; MINI;
D O I
10.1016/j.eurpsy.2010.06.006
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective. - To determine whether increased physiological arousal immediately after trauma or at emergency admission can predict post-traumatic stress disorder (PTSD) in motor vehicle accident (MVA) survivors with physical injuries. Methods. - We included 119 MVA survivors with physical injuries. In this prospective cohort study, heart rate (HR) and blood pressure (BP) were assessed during ambulance transport (T1) and at hospital admission (T2). One and four months after the accident, we assessed patients for PTSD (Davidson trauma scale, confirmed with the structured clinical interview for DSM-IV axis I disorders). Multivariate logistic regression models assessed the relationship between HR or BP and PTSD. Results. - PTSD was diagnosed in 54 (45.4%) patients at 1 month and in 39 (32.8%) at 4 months. In the multivariate analysis. HR at T1 or at T2 predicted PTSD at 1 month (OR=1.156, 95% Cl [1.094;1.221] p < 0.0001). Only HR at T1 (not at T2) predicted PTSD at 4 months (OR=1.059, 95% Cl [1.013; 1.108] p = 0.012). Injury severity predicted PTSD at 4 months (OR=1.207, 95% Cl [1.085; 1.342] p = 0.001). A cutoff of 84 beats per minute yielded a sensitivity of 62.5% and a specificity of 75.0% for PTSD. Conclusions. - HR measured at the scene of MVA and severity of injury predicted PTSD 4 months later. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:508 / 512
页数:5
相关论文
共 50 条
[41]   Temporal analysis of heart rate variability as a predictor of post traumatic stress disorder in road traffic accidents survivors [J].
al Arab, Abeer Shaikh ;
Guedon-Moreau, Laurence ;
Ducrocq, Francois ;
Molenda, Sylvie ;
Duhem, Stephane ;
Salleron, Julia ;
Chaudieu, Isabelle ;
Bert, Dina ;
Libersa, Christian ;
Vaiva, Guillaume .
JOURNAL OF PSYCHIATRIC RESEARCH, 2012, 46 (06) :790-796
[42]   Prevalence of auditory pseudohallucinations in adult survivors of physical and sexual trauma with chronic post-traumatic stress disorder (PTSD) [J].
Clifford, Georgina ;
Dalgleish, Tim ;
Hitchcock, Caitlin .
BEHAVIOUR RESEARCH AND THERAPY, 2018, 111 :113-118
[43]   Altered lipid peroxidation markers are related to post-traumatic stress disorder (PTSD) and not trauma itself in earthquake survivors [J].
Atli, Abdullah ;
Bulut, Mahmut ;
Bez, Yasin ;
Kaplan, Ibrahim ;
Ozdemir, Pinar Guzel ;
Uysal, Cem ;
Selcuk, Hilal ;
Sir, Aytekin .
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 2016, 266 (04) :329-336
[44]   Altered lipid peroxidation markers are related to post-traumatic stress disorder (PTSD) and not trauma itself in earthquake survivors [J].
Abdullah Atli ;
Mahmut Bulut ;
Yasin Bez ;
İbrahim Kaplan ;
Pınar Güzel Özdemir ;
Cem Uysal ;
Hilal Selçuk ;
Aytekin Sir .
European Archives of Psychiatry and Clinical Neuroscience, 2016, 266 :329-336
[45]   Treatment with β-Blockers and Incidence of Post-Traumatic Stress Disorder After Cardiac Surgery: A Prospective Observational Study [J].
Tarsitani, Lorenzo ;
De Santis, Vincenzo ;
Mistretta, Martino ;
Parmigiani, Giovanna ;
Zampetti, Giulia ;
Roselli, Valentina ;
Vitale, Domenico ;
Tritapepe, Luigi ;
Biondi, Massimo ;
Picardi, Angelo .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2012, 26 (02) :265-269
[46]   Post-traumatic stress disorder among COVID-19 survivors in Manipur: A cross-sectional study [J].
Rajkumari, Bishwalata ;
Akham, Ngamba ;
Konjengbam, Ojit Khaba ;
Pangambam, Amrita Devi ;
Ningthoujam, Suchitra Devi .
JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE, 2022, 11 (05) :2139-2145
[47]   Post-traumatic stress disorder related to birth: a prospective longitudinal study in a French population [J].
Denis, Anne ;
Parant, Olivier ;
Callahan, Stacey .
JOURNAL OF REPRODUCTIVE AND INFANT PSYCHOLOGY, 2011, 29 (02) :125-135
[48]   Mediating role of avoidance of trauma disclosure and social disapproval in ICD-11 post-traumatic stress disorder and complex post-traumatic stress disorder: cross-sectional study in a Lithuanian clinical sample [J].
Kvedaraite, Monika ;
Gelezelyte, Odeta ;
Karatzias, Thanos ;
Roberts, Neil P. ;
Kazlauskas, Evaldas .
BJPSYCH OPEN, 2021, 7 (06)
[49]   Cumulative trauma and partner conflict predict post-traumatic stress disorder in postpartum African-American women [J].
Hauff, Nancy J. ;
Fry-McComish, Judith ;
Chiodo, Lisa M. .
JOURNAL OF CLINICAL NURSING, 2017, 26 (15-16) :2372-2383
[50]   Does trauma exposure predict prescription drug problems beyond the contribution of post-traumatic stress disorder and depression? An analysis of the Mind Your Heart cohort study [J].
Kalapatapu, Raj K. ;
Dannenbaum, Tatiana P. ;
Harbison, John D. ;
Cohen, Beth E. .
JOURNAL OF ADDICTIVE DISEASES, 2017, 36 (03) :183-192