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Volume 21, Issue 3
  • ISSN: 2666-0822
  • E-ISSN: 2666-0830

Abstract

Introduction

This systematic review evaluated the prevalence of delayed post-traumatic stress disorder (PTSD) following road traffic crashes (RTC).

Materials and Methods

The sample was RTC survivors, and PTSD was assessed by clinician-administered measures for at least six months (in line with DSM-V standards).

Results

The search resulted in 10089 unique records. Fourty-three studies were eligible to be included in the systematic review. Of these, 29 papers were related to the clinician-administered measures, and the rest were on self-reported cases. The total prevalence of PTSD was 13.5%. Delayed PTSD is common in RTC survivors either 60 months after the accident. Hospitalized patients were more prone to developing disorders.

Conclusion

The surveyed countries' demographics demonstrate the differences between them, necessitating a greater focus on survivors in those countries and financial assistance for their populations' therapeutic and social needs.

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References

  1. FriedmanM.J. KeaneT.M. ResickP.A. Handbook of PTSD: Science and practice.Guilford Press2007
     [Google Scholar]
  2. American Psychiatric Association D. Association AP Diagnostic and statistical manual of mental disorders: DSM-5.Washington, DCAmerican psychiatric association2013
     [Google Scholar]
  3. Center for Substance Abuse Treatment (US)Trauma-Informed Care in Behavioral Health Services. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2014. (Treatment Improvement Protocol (TIP) Series, No. 57.) Exhibit 1.3-4, DSM-5 Diagnostic Criteria for PTSD.2014Available from: https://www.ncbi.nlm.nih.gov/books/NBK207191/box/part1_ch3.box16/
    [Google Scholar]
  4. BryantR.A. HarveyA.G. Delayed-onset posttraumatic stress disorder: A prospective evaluation.Aust. N. Z. J. Psychiatry200236220520910.1046/j.1440‑1614.2002.01009.x 11982541
     [Google Scholar]
  5. PitmanR.K. Post-traumatic stress disorder, hormones, and memory.Biol. Psychiatry198926322122310.1016/0006‑3223(89)90033‑4 2545287
     [Google Scholar]
  6. EhlersA. ClarkD.M. A cognitive model of posttraumatic stress disorder.Behav. Res. Ther.200038431934510.1016/S0005‑7967(99)00123‑0 10761279
     [Google Scholar]
  7. HerrmannN. EryavecG. Delayed onset post-traumatic stress disorder in World War II veterans.Can. J. Psychiatry199439743944110.1177/070674379403900710 7987788
     [Google Scholar]
  8. GreenM.M. McFarlaneA.C. HunterC.E. GriggsW.M. Undiagnosed post‐traumatic stress disorder following motor vehicle accidents.Med. J. Aust.1993159852953410.5694/j.1326‑5377.1993.tb138006.x 8412952
     [Google Scholar]
  9. SolomonZ KotlerM ShalevA LinR. Delayed onset PTSD among Israeli veterans of the 1982 Lebanon War.Psychiatry198952442843610.1080/00332747.1989.11024467
     [Google Scholar]
  10. McFARLANE ACThe long-term costs of traumatic stress: Intertwined physical and psychological consequences.World Psychiatry20109131010.1002/j.2051‑5545.2010.tb00254.x 20148146
     [Google Scholar]
  11. AlharbiR. MosleyI. MillerC. HillelS. LewisV. Factors associated with physical, psychological and functional outcomes in adult trauma patients following road traffic crash: A scoping literature review.Transpres Interdisciplpersp2019310006110.1016/j.trip.2019.100061
     [Google Scholar]
  12. HofmanK. PrimackA. KeuschG. HrynkowS. Addressing the growing burden of trauma and injury in low and middle income countries.Am. J. Public Health2005951131710.2105/AJPH.2004.039354 15623852
     [Google Scholar]
  13. AmeratungaS. HijarM. NortonR. Road-traffic injuries: Confronting disparities to address a global-health problem.Lancet200636795211533154010.1016/S0140‑6736(06)68654‑6 16679167
     [Google Scholar]
  14. HoursM. Nhac-VuH.T. CharnayP. Predicting self-reported recovery one year after major road traffic accident trauma.J. Rehabil. Med.201143977678210.2340/16501977‑0854 21874212
     [Google Scholar]
  15. ClaridgeJA LeukhardtWH GolobJF McCoyAM MalangoniMA Moving beyond traditional measurement of mortality after injury: Evaluation of risks for late death.J Am Coll Surg201010578879494-610.1016/j.jamcollsurg.2009.12.035
     [Google Scholar]
  16. HigginsJ.P.T. ThompsonS.G. Quantifying heterogeneity in a meta‐analysis.Stat. Med.200221111539155810.1002/sim.1186 12111919
     [Google Scholar]
  17. EggerM. SmithG.D. SchneiderM. MinderC. Bias in meta-analysis detected by a simple, graphical test.BMJ1997315710962963410.1136/bmj.315.7109.629 9310563
     [Google Scholar]
  18. BeggC.B. MazumdarM. Operating characteristics of a rank correlation test for publication bias.Biometrics19945041088110110.2307/2533446 7786990
     [Google Scholar]
  19. AlShardanA.M. AlShuqaybiH.M. AghaS. MasuadiE. AlBabtainI. AlBugamiA.S. Assessment of sleep quality, post-traumatic stress disorder, and locus of control in motor vehicle accident survivors.Australas. Med. J.2020133788510.35841/1836‑1935.13.3.78‑85
     [Google Scholar]
  20. AroraD. BelsiyalC.X. Rawat vs. Prevalence and determinants of posttraumatic stress disorder and depression among survivors of motor vehicle accidents from a hilly Indian state.IndJ Psych2021633250257
     [Google Scholar]
  21. AsuquoJ.E. EdetB.E. AbangI.E. Depression and posttraumatic stress disorder among road traffic accident victims managed in a Tertiary hospital in Southern Nigeria.Niger. J. Clin. Pract.201720217017510.4103/1119‑3077.196114 28091432
     [Google Scholar]
  22. BieleckiM. PopielA. ZawadzkiB. SedekG. Age as moderator of emotional stroop task performance in posttraumatic stress disorder (PTSD).Front. Psychol.20178SEP161410.3389/fpsyg.2017.01614 28970814
     [Google Scholar]
  23. BlanchardE.B. HicklingE.J. GalovskiT. VeazeyC. Emergency room vital signs and PTSD in a treatment seeking sample of motor vehicle accident survivors.J. Trauma. Stress200215319920410.1023/A:1015299126858 12092911
     [Google Scholar]
  24. BlanchardE.B. HicklingE.J. FreidenbergB.M. MaltaL.S. KuhnE. SykesM.A. Two studies of psychiatric morbidity among motor vehicle accident survivors 1 year after the crash.Behav. Res. Ther.200442556958310.1016/S0005‑7967(03)00162‑1 15033502
     [Google Scholar]
  25. BlanchardE.B. HicklingE.J. BartonK.A. TaylorA.E. LoosW.R. Jones-AlexanderJ. One-year prospective follow-up of motor vehicle accident victims.Behav. Res. Ther.1996341077578610.1016/0005‑7967(96)00038‑1 8952120
     [Google Scholar]
  26. BrandS. OtteD. PetriM. Incidence of posttraumatic stress disorder after traffic accidents in Germany.Int. J. Emerg. Ment. Health201416123323610.4172/1522‑4821.1000109 25345235
     [Google Scholar]
  27. BryantR.A. HarveyA.G. GuthrieR.M. MouldsM.L. Acute psychophysiological arousal and posttraumatic stress disorder: A two‐year prospective study.J. Trauma. Stress200316543944310.1023/A:1025750209553 14584627
     [Google Scholar]
  28. ChanA.O.M. AirT.M. McFarlaneA.C. McFarlaneA.C. Posttraumatic stress disorder and its impact on the economic and health costs of motor vehicle accidents in South australia.J. Clin. Psychiatry200364217518110.4088/JCP.v64n0210 12633126
     [Google Scholar]
  29. Gabert-QuillenC.A. IrishL.A. SledjeskiE. FallonW. SpoonsterE. DelahantyD.L. The impact of social support on the relationship between trauma history and posttraumatic stress disorder symptoms fin motor vehicle accident victims.Int. J. Stress Manag.2012191697910.1037/a0026488
     [Google Scholar]
  30. ItekeO. BakareM.O. AgomohA.O. UwakweR. OnwukweJ.U. Road traffic accidents and posttraumatic stress disorder in an orthopedic setting in south-eastern Nigeria: A controlled study.Scand. J. Trauma Resusc. Emerg. Med.20111913910.1186/1757‑7241‑19‑39 21696614
     [Google Scholar]
  31. JeavonsS. Predicting who suffers psychological trauma in the first year after a road accident.Behav. Res. Ther.200038549950810.1016/S0005‑7967(99)00073‑X 10816908
     [Google Scholar]
  32. JeneweinJ. MoergeliH. WittmannL. BuechiS. KraemerB. SchnyderU. Development of chronic pain following severe accidental injury.J. Psychosom. Res.200966211912610.1016/j.jpsychores.2008.07.011
     [Google Scholar]
  33. JohannessonK.B. StefaniniS. LundinT. AnchisiR. Impact of bereavement among relatives in Italy and sweden after the linate airplane disaster.Int J Disa Med20064311011710.1080/15031430600969034
     [Google Scholar]
  34. KobayashiI. SledjeskiE.M. DelahantyD.L. Gender and age interact to predict the development of posttraumatic stress disorder symptoms following a motor vehicle accident.Psychol. Trauma201911332833610.1037/tra0000366 29446964
     [Google Scholar]
  35. KorenD. ArnonI. KleinE. Acute stress response and posttraumatic stress disorder in traffic accident victims: A one-year prospective, follow-up study.Am. J. Psychiatry1999156336737310.1176/ajp.156.3.367 10080550
     [Google Scholar]
  36. KorenD. ArnonI. LavieP. KleinE. Sleep complaints as early predictors of posttraumatic stress disorder: A 1-year prospective study of injured survivors of motor vehicle accidents.Am. J. Psychiatry2002159585585710.1176/appi.ajp.159.5.855 11986142
     [Google Scholar]
  37. LeeS.H. NohJ.W. KimK.B. KimE.J. OhJ. ChaeJ.H. Factors associated with post-traumatic stress disorder among bereaved family members and surviving students two and half years after the Sewol ferry accident in South Korea.Psychiatry Res.202129611366610.1016/j.psychres.2020.113666 33401093
     [Google Scholar]
  38. LiX. SunL. LiQ. WangL. Prediction of posttraumatic stress disorder by acute stress disorder in traffic accident survivors.Turk. J. Med. Sci.20215152502250910.3906/sag‑2008‑282 34165271
     [Google Scholar]
  39. MayouR. BryantB. Outcome 3 years after a road traffic accident.Psychol. Med.200232467167510.1017/S0033291702005470 12102381
     [Google Scholar]
  40. MayouR. BryantB. DuthieR. Psychiatric consequences of road traffic accidents.BMJ1993307690564765110.1136/bmj.307.6905.647 8401049
     [Google Scholar]
  41. MayouR. TyndelS. BryantB. Long-term outcome of motor vehicle accident injury.Psychosom. Med.199759657858410.1097/00006842‑199711000‑00004 9407575
     [Google Scholar]
  42. O’DonnellM.L. CreamerM. HolmesA.C.N. Posttraumatic stress disorder after injury: does admission to intensive care unit increase risk?J. Trauma201069362763210.1097/TA.0b013e3181bc0923 20118816
     [Google Scholar]
  43. OlayaB. AlonsoJ. AtwoliL. KesslerR.C. VilagutG. HaroJ.M. Association between traumatic events and post-traumatic stress disorder: Results from the ESEMeD-Spain study.Epidemiol. Psychiatr. Sci.201524217218310.1017/S2045796014000092 24565167
     [Google Scholar]
  44. PapadakakiM. FerraroO.E. OrsiC. OtteD. TzamaloukaG. Von-Der-GeestM. Psychological distress and physical disability in patients sustaining severe injuries in road traffic crashes: Results from a one-year cohort study from three European countries.InjInt J Care Inj201748229730610.1016/j.injury.2016.11.011
     [Google Scholar]
  45. RybG.E. DischingerP.C. ReadK.M. KuferaJ.A. PTSD after severe vehicular crashesAnnals of advances in automotive medicine Association for the Advancement of Automotive Medicine Annual Scientific Conference.53177193
     [Google Scholar]
  46. SaberiH.R. AbbasianH. KashaniM.M. EsfahaniA.H. Post-traumatic stress disorder: A neglected health concern among commercial motor vehicle drivers.Int. J. Occup. Environ. Med.201344185194 24141867
     [Google Scholar]
  47. SiloveD. BlaszczynskiA. ManicavasagerV. TyndallK. PetridisA. HillmanK. Capacity of screening questionnaires to predict psychiatric morbidity 18 months after motor vehicle accidents.J. Nerv. Ment. Dis.2003191960461010.1097/01.nmd.0000087187.13408.e1 14504570
     [Google Scholar]
  48. TournierC. HoursM. CharnayP. ChossegrosL. TardyH. Five years after the accident, whiplash casualties still have poorer quality of life in the physical domain than other mildly injured casualties: analysis of the ESPARR cohort.BMC Publ. Heal.20151611310.1186/s12889‑015‑2647‑8 26733122
     [Google Scholar]
  49. UrsanoR.J. FullertonC.S. EpsteinR.S. Acute and chronic posttraumatic stress disorder in motor vehicle accident victims.Am. J. Psychiatry1999156458959510.1176/ajp.156.4.589 10200739
     [Google Scholar]
  50. YaşanA. GuzelA. TamamY. OzkanM. Predictive factors for acute stress disorder and posttraumatic stress disorder after motor vehicle accidents.Psychopathology200942223624110.1159/000218521
     [Google Scholar]
  51. de VriesA.P.J. Kassam-AdamsN. CnaanA. Sherman-SlateE. GallagherP.R. WinstonF.K. Looking beyond the physical injury: posttraumatic stress disorder in children and parents after pediatric traffic injury.Pediatrics199910461293129910.1542/peds.104.6.1293 10585980
     [Google Scholar]
  52. Jones-AlexanderJ. BlanchardE.B. HicklingE.J. Psychophysiological assessment of youthful motor vehicle accident survivors.Appl. Psychophysiol. Biofeedb.200530211512310.1007/s10484‑005‑4307‑8 16013784
     [Google Scholar]
  53. Keppel-BensonJ.M. OllendickT.H. BensonM.J. Post‐traumatic stress in children following motor vehicle accidents.J. Child Psychol. Psych.200243220321210.1111/1469‑7610.00013 11902599
     [Google Scholar]
  54. LandoltM.A. VollrathM. TimmK. GnehmH. SennhauserF.H. Predicting posttraumatic stress symptoms in children after road traffic accidents.J. Am. Acad. Child Adolesc. Psychiatry200544121276128310.1097/01.chi.0000181045.13960.67 16292120
     [Google Scholar]
  55. StallardP. VellemanR. SalterE. HowseI. YuleW. TaylorG. A randomised controlled trial to determine the effectiveness of an early psychological intervention with children involved in road traffic accidents.J. Child Psychol. Psychiatry200647212713410.1111/j.1469‑7610.2005.01459.x 16423143
     [Google Scholar]
  56. StallardP. VellemanR. BaldwinS. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents.BMJ199831771731619162310.1136/bmj.317.7173.1619 9848900
     [Google Scholar]
  57. TierensM. BalS. CrombezG. The traumatic impact of motor vehicle accidents in high school students.J. Pediatr. Psychol.201237111010.1093/jpepsy/jsr058 21852341
     [Google Scholar]
  58. YoshinoM. UedaT. TakadaH. KannoA. MaedaM. MatsumotoH. Post-traumatic stress disorder of children with traffic accidents and their parents in Japan.J. Nippon Med. Sch.2021891475510.1272/jnms.JNMS.2022_89‑105 33692302
     [Google Scholar]
  59. MaltaisD. Lavoie-TrudeauÉ. LabraO. Medium-term effects of a train derailment on the physical and psychological health of men.Am. J. Men Health201913410.1177/1557988319865363 31337254
     [Google Scholar]
  60. MiniatiM. PetraccaA. CarmassiC. MauriM. FrattaS. FuiE. Risk of post-traumatic stress disorder in 111 survivors the 2009 viareggio (Italy) rail crash: The role of mood spectrum comorbidity.J Psychopatol20172311218
     [Google Scholar]
  61. LíndalE. StefánssonJ.G. The long-term psychological effect of fatal accidents at sea on survivors: a cross-sectional study of North-Atlantic seamen.Soc. Psychiatry Psychiatr. Epidemiol.201146323924610.1007/s00127‑010‑0189‑z 20165831
     [Google Scholar]
  62. KashyapR. UndavalliC. DasP. DuttT. BhoiS. PTSD in post-road traffic accident patients requiring hospitalization in Indian subcontinent: A review on magnitude of the problem and management guidelines.J. Emerg. Trauma Shock20147432733110.4103/0974‑2700.142775 25400398
     [Google Scholar]
  63. KovacevicJ MiskulinM DegmecicD. Predictors of Mental Health Outcomes in Road Traffic Accident Survivors.J Clin Med20209230910.3390/jcm9020309
     [Google Scholar]
  64. SmidG.E. MoorenT.T. van der MastR.C. GersonsB.P. KleberR.J. Delayed posttraumatic stress disorder: systematic review, meta-analysis, and meta-regression analysis of prospective studies.J. Clin. Psychiatry200970111572158210.4088/JCP.08r04484
     [Google Scholar]
  65. Utzon-FrankN. BreinegaardN. BertelsenM. BorritzM. EllerN.H. NordentoftM. Occurrence of delayed-onset post-traumatic stress disorder: A systematic review and meta-analysis of prospective studies.Scand. J. Work Environ. Health201440321522910.5271/sjweh.3420
     [Google Scholar]
  66. ChossegrosL. HoursM. CharnayP. BernardM. FortE. BoissonD. Predictive factors of chronic post-traumatic stress disorder 6 months after a road traffic accident.Accid. Anal. Prev.201143147147710.1016/j.aap.2010.10.004
     [Google Scholar]
  67. GuestR. TranY. GopinathB. CameronI.D. CraigA. Prevalence and psychometric screening for the detection of major depressive disorder and post-traumatic stress disorder in adults injured in a motor vehicle crash who are engaged in compensation.BMC Psychol.201861410.1186/s40359‑018‑0216‑5
     [Google Scholar]
  68. BryantB. MayouR. WiggsL. EhlersA. StoresG. Psychological consequences of road traffic accidents for children and their mothers.Psychol. Med.200434233534610.1017/S0033291703001053 14982139
     [Google Scholar]
  69. DaiW. LiuA. KamingaA.C. DengJ. LaiZ. WenS.W. Prevalence of posttraumatic stress disorder among children and adolescents following road traffic accidents: A meta-analysis.Can. J. Psychiatry2018631279880810.1177/0706743718792194
     [Google Scholar]
  70. SeethalakshmiR. DhavaleH.S. GawandeS. DewanM. Psychiatric morbidity following motor vehicle crashes: A pilot study from India.J. Psychiatr. Pract.200612641541810.1097/00131746‑200611000‑00012 17122705
     [Google Scholar]
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Delayed PTSD Prevalence in Road Traffic Crashes: A Systematic Review and Meta-analysis
Curr Psyc Res Rev 21, 296 (2025); https://doi.org/10.2174/0126660822285345240418120620
/content/journals/cprr/10.2174/0126660822285345240418120620
/content/journals/cprr/10.2174/0126660822285345240418120620
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  • Article Type:     Review Article
Keyword(s): accidents; crashes; post-traumatic; PTSD; Stress disorders; traffic

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