title: Relationship between posttraumatic stress disorder, quality of life, social support, and affective and dissociative status in severely injured accident victims 12 months after trauma.
abstract: BACKGROUND
  Many survivors of severe injuries develop significant psychiatric morbidity, especially trauma-related psychiatric disorders, anxiety, and depressive disorders.
  
  
  OBJECTIVE
  The authors examined accident-related partial and full posttraumatic stress disorder (PTSD), including dimensions such as dissociation and depression and health-related quality of life in 52 severely injured accident victims 12 months after trauma.
  
  
  METHODS
  Respondents were given a questionnaire battery, as well as structured clinical interviews, a brief author-compiled questionnaire, self-report questionnaires, and psychometric observer-rated scales.
  
  
  RESULTS
  One-fourth of respondents met all criteria for PTSD, and another 21.2% had subsyndromal PTSD. Patients with PTSD showed higher severity of dissociative and depressive symptoms and major impairments in some dimensions of quality of life. Injury severity and symptoms of cognitive dysfunction did not influence accident-related PTSD or depressive or dissociative symptoms.
  
  
  CONCLUSIONS
  Severely injured accident victims seem to face a major risk of PTSD and impairments in health-related quality of life. For patients with polytrauma, there is a need for a biopsychosocial conceptual framework at the interface of psychiatry and trauma surgery in general hospitals.
authors.affiliation: Department of Psychiatry, University of Medicine of Graz, Auenbruggerplatz 31, A - 8036 Graz, Austria.
authors.forename: Andreas
authors.initials: A
authors.lastname: Baranyi
authors.forename: Otmar
authors.initials: O
authors.lastname: Leithgöb
authors.forename: Barbara
authors.initials: B
authors.lastname: Kreiner
authors.forename: Karin
authors.initials: K
authors.lastname: Tanzer
authors.forename: Georg
authors.initials: G
authors.lastname: Ehrlich
authors.forename: Herwig Peter
authors.initials: HP
authors.lastname: Hofer
authors.forename: Hans-Bernd
authors.initials: HB
authors.lastname: Rothenhäusler
mesh_terms: D000059:Accidents / Q000523:psychology*; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology*; D001317:Austria; D015897:Comorbidity; D003299:Cooperative Behavior; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D004213:Dissociative Disorders / Q000175:diagnosis / Q000523:psychology*; D006301:Health Services Needs and Demand; D006801:Humans; D015601:Injury Severity Score; D033183:Interdisciplinary Communication; D009104:Multiple Trauma / Q000523:psychology*; D010348:Patient Care Team; D010552:Personality Assessment; D011613:Psychotherapy; D011788:Quality of Life / Q000523:psychology*; D012189:Retrospective Studies; D012307:Risk Factors; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology*