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Road traffic accidents: Early psychological consequences in children and adolescents

Published online by Cambridge University Press:  03 January 2018

Alain Dl Gallo ,
Joanne Barton  and
William Li. Parry-Jones
Alain Dl Gallo*
Affiliation:
Department of Child and Adolescent Psychiatry, University of Glasgow, Glasgow
Joanne Barton
Affiliation:
Department of Child and Adolescent Psychiatry, University of Glasgow, Glasgow
William Li. Parry-Jones
Affiliation:
Department of Child and Adolescent Psychiatry, University of Glasgow, Glasgow
*
Dr Alain Di Gallo, Department of Child and Adolescent Psychiatry, University of Glasgow, Caledonia House. Royal Hospital for Sick Children. Yorkhill, Glasgow G3 8SJ
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Abstract

Background

Although road traffic accidents are a major cause of injury and death in children and adolescents, research into their psychological consequences consists mainly of case reports.

Method

A prospective study was made of young road traffic accident victims; 57 subjects, aged 5–18 years, who had been injured in road traffic accidents, and their parents, were interviewed 2–16 days post-accident and re-examined after 12–15 weeks.

Results

Post-accident stress symptoms occurred at both times. There was a decrease of symptom severity between the two interviews, but at the later time, 14% still suffered from moderate or severe post-traumatic stress disorder, 17% from serious traffic-related fears, and parents reported increased mood disturbance in their children compared with the pre-accident period. High levels of distress during and immediately after the accident were associated with severe post-traumatic stress symptoms.

Conclusions

There is an urgent need for healthcare staff working with children and adolescents involved in road traffic accidents to be aware of the potential psychological consequences and the importance of the immediate accident experience on subsequent coping.

Type
Papers
Information
The British Journal of Psychiatry , Volume 170 , Issue 4 , April 1997 , pp. 358 - 362
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

Achenbach, T. M. (1991) Manual for the Child Behavior Checklist 14–18 and 1991 Profile. Burlington. VT: University of Vermont Department of Psychiatry.Google Scholar
American Psychiatric Association (1997) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA Google Scholar
Applebaum, D. R. & Burns, G. L. (1991) Unexpected childhood death: posttraumatic stress disorder in surviving siblings and parents. Journal of Clinical Child Psychology. 20, 114–120.Google Scholar
Blanchard, E. B., Hiclding, E. J., Taylor, A. E., et al (1995) Psychiatric morbidity associated with motor vehicle accidents. Journal of Nervous and Mental Disease, 183, 495–504.Google Scholar
Bradburn, J. S. (1991) After the earth shook: children's stress symptoms 6–8 months after a disaster. Advances in Behaviour Research and Therapy, 13, 173–179.CrossRefGoogle Scholar
Department of Health (1991) The Health of the Nation. London: HMSO.Google Scholar
Department of Transport (1995) Transport Statistics Great Britain. London: HMSO Google Scholar
Greenspan, L., McLellan, B. A. & Greig, H. (1985) Abbreviated injury Scale and injury Seventy Score: A scoring chart. Journal of Trauma, 25, 60–64.CrossRefGoogle Scholar
Grossman, J. A., Clark, D. C., Gross, D., et al (1995) Child bereavement after paternal suicide. Journal of Child and Adolescent Psychiatric Nursing, 8, 5–17.Google Scholar
Horowitz, M., Wilner, N. & Alvarez, W. (1979) Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.CrossRefGoogle Scholar
Jones, R. T. & Ribbe, D. P. (1991) Child, adolescent, and adult victims of a residential fire. Behavior Modification, 15, 560–580.Google Scholar
Jones, R.W. & Peterson, L.W. (1993) Posttraumatic stress disorder in a child following an automobile accident. Journal of Family Practice, 36, 223–225.Google Scholar
Malmquist, C. P. (1986) Children who witness parental murder : posttraumatic aspects. Journal of the American Academy of Child Psychiatry, 25, 320–325.CrossRefGoogle Scholar
Mayou, R., Bryant, B. & Duthie, R. (1993) Psychiatric consequences of road traffic accidents. British Medical Journal. 307, 647–651.Google Scholar
Palace, E. M. & Johnston, C. (1989) Treatment of recurrent nightmares by the dream reorganization approach. Journal of Behavior Therapy and Experimental Psychiatry, 20, 219–226.Google Scholar
Pynoos, R. S., Frederick, C., Nader, K., et al(1987) Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry, 44, 1057–1063.CrossRefGoogle ScholarPubMed
Roberts, I. (1993) Why have child pedestrian death rates fallen? British Medical Journal, 306, 1737–1739.CrossRefGoogle ScholarPubMed
Sandels, S. (1975) Children in Traffic. London: P. Elek.Google Scholar
Sbordone, R. J. & Liter, J. C. (1995) Mild traumatic brain injury does not produce posttraumatic stress disorder. Brain Injury. 9, 405–412.Google Scholar
Thompson, A., McArdle, P. & Dunne, J. (1993) Psychiatric consequences of road traffic accidents – children may be seriously affected. British Medical Journal, 307, 1282–1283.CrossRefGoogle ScholarPubMed
Thomson, J. A. (1991) The Facts about Child Pedestrian Accidents. London: Cassell.Google Scholar
Towner, E. M. L., Jarvis, S. N., Waish, S. S. M., et al(1994) Measuring exposure to injury risk in schoolchildren aged 11–14. British Medical Journal, 308, 449–452.Google Scholar
Yule, W. (1993) Technology-related disasters. In Children and Disasters (ed. C. F. Saylor), pp. 105–121. New York: Plenum.Google Scholar
Yule, W. & Williams, R. M. (1990) Post-traumatic stress reactions in children. Journal of Traumatic Stress, 3, 279–295.Google Scholar
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