title: Characteristics of polytrauma patients with posttraumatic stress disorder in a level 1 trauma center.
abstract: OBJECTIVE
  The aims of this study were to determine if the severity of injury is related to the prevalence of posttraumatic stress disorder (PTSD) in polytrauma patients and to review the personality traits of patients with PTSD.
  
  
  METHODS
  During 2006 and 2007, 252 polytrauma patients were treated at the Medical Centre Haaglanden in The Hague, The Netherlands. Of the 174 survivors, 53 adult patients were traced and sent questionnaires. They were screened for PTSD and personality traits, coping styles, and negative cognitions, and their level of social support were assessed.
  
  
  RESULTS
  PTSD was demonstrated in 22.6% of the patients.
  
  
  CONCLUSIONS
  An increased level of neuroticism, negative cognitions regarding themselves, and active dealing were found to be significant predictors of PTSD. However, we found no relation between the injury severity score and the prevalence of PTSD.
authors.affiliation: Department of Surgery, Medisch Centrum Haaglanden, The Hague, The Netherlands. barbarakreis@hotmail.com.|, Groenoordstraat 16, 2316 AX, Leiden, The Netherlands. barbarakreis@hotmail.com.
authors.forename: B E
authors.initials: BE
authors.lastname: Kreis
authors.affiliation: Department of Psychology, Vrije Universiteit, Amsterdam, The Netherlands.
authors.forename: N J Y
authors.initials: NJ
authors.lastname: Castano
authors.affiliation: Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
authors.forename: W E
authors.initials: WE
authors.lastname: Tuinebreijer
authors.affiliation: Department of Medical Psychology, Medisch Centrum Haaglanden, The Hague, The Netherlands.
authors.forename: L C A
authors.initials: LC
authors.lastname: Hoogenboom
authors.affiliation: Department of Surgery, Medisch Centrum Haaglanden, The Hague, The Netherlands.
authors.forename: S A G
authors.initials: SA
authors.lastname: Meylaerts
authors.affiliation: Department of Surgery, Medisch Centrum Haaglanden, The Hague, The Netherlands.
authors.forename: S J
authors.initials: SJ
authors.lastname: Rhemrev
keywords: ISS; PTSD; Personality traits; Polytrauma
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