title: Predictors of acute distress among young adults injured by community violence.
abstract: Acute reactions to trauma are examined in 267 individuals severely injured via community violence. Respondents were interviewed about pretrauma, peritraumatic, and acute posttraumatic factors. A series of bivariate and multivariate analyses were conducted. We found few factors related to peritraumatic dissociation (PD): only injury severity and neuroticism emerged as multivariate predictors and the effects were small. PD was strongly related to acute PTSD symptoms, and partially mediated the relationship between other factors and acute PTSD and general distress symptoms. Different patterns of predictors emerged for acute PTSD symptoms vis-à-vis general distress symptoms. Future research on predictors of PD is indicated to develop prevention and early intervention programs.
authors.affiliation: RAND, Arlington, Virginia, USA. jaycox@rand.org
authors.forename: Lisa H
authors.initials: LH
authors.lastname: Jaycox
authors.forename: Grant N
authors.initials: GN
authors.lastname: Marshall
authors.forename: Maria
authors.initials: M
authors.lastname: Orlando
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D009497:Neurotic Disorders; D012307:Risk Factors; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000523:psychology*; D013315:Stress, Psychological; D014754:Violence / Q000523:psychology*; D014947:Wounds and Injuries / Q000523:psychology