Somatic, posttraumatic stress, and depressive symptoms among injured patients treated in trauma surgery

被引:55
作者
Zatzick, DF [1 ]
Russo, JE
Katon, W
机构
[1] Univ Washington, Harborview Med Ctr, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98104 USA
[2] Harborview Injury Prevent & Res Ctr, Seattle, WA 98104 USA
关键词
D O I
10.1176/appi.psy.44.6.479
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Few investigations have examined the course of somatic complaints among acutely injured trauma survivors. Posttraumatic stress disorder (PTSD), depressive, and somatic symptoms were assessed in trauma surgery inpatients (N = 73) interviewed while hospitalized and again 12 months after their injury. Somatic symptoms occurred frequently and were significantly greater in patients with higher levels of PTSD and depressive symptoms, even after the analyses were adjusted for injury severity and medical comorbidity. These findings, when considered in conj. unction with data documenting the heterogeneity of treatment providers visited after traumatic injury, suggest that the development of early screening and intervention procedures should incorporate assessments of physical symptoms.
引用
收藏
页码:479 / 484
页数:6
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