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Freier Beitrag

Inzidenz und Verlauf posttraumatischer Belastungsreaktionen nach Verkehrsunfällen im Kindesalter

Published Online:September 01, 2006https://doi.org/10.1026//0942-5403.12.3.184

Abstract

Zusammenfassung. Die Studie untersucht die Inzidenz, den Verlauf und die Determinanten posttraumatischer Belastungsreaktionen nach einem Verkehrsunfall. 55 Kinder im Alter von 6,5 bis 14,5 Jahren wurden einen Monat und ein Jahr nach einem Verkehrsunfall mit der deutschen Version des Child Posttraumatic Stress Disorder Reaction Index befragt. Der Anteil klinisch relevanter Belastungsreaktionen betrug nach einem Monat 16,4 % und nach einem Jahr 18,2 %. Die Verlaufsanalyse zeigte keine signifikanten Symptomveränderungen über die Zeit. Die subjektiv erlebte Bedrohung durch den Unfall korrelierte signifikant mit der Symptomatik zu beiden Erhebungszeitpunkten. Demografische und medizinische Merkmale zeigten keine bedeutsamen Zusammenhänge mit dem Ausmaß posttraumatischer Reaktionen. Die Symptomatik nach einem Monat hatte einen hohen prädiktiven Wert bezüglich der Symptomatik nach einem Jahr. Die Befunde belegen die dringende Notwendigkeit einer besseren psychosozialen Versorgung von verunfallten Kindern.


Incidence and course of posttraumatic stress reactions in children after road traffic accidents

Abstract. This study prospectively assessed the incidence, course, and determinants of posttraumatic stress reactions in children following road traffic accidents. Fifty-five children, aged 6.5 to 14.5 years, were interviewed one month and one year after the accident by means of the German version of the Child Posttraumatic Stress Disorder Reaction Index. The incidence of moderate to severe posttraumatic stress reactions was found to be 16.4 % after one month, and 18.2 % after one year. There was no significant change in symptoms over time. Appraisal of the accident-related threat was significantly correlated with posttraumatic symptomatology. Demographic and medical variables were not associated with posttraumatic stress symptoms. Symptomatology at one month was highly predictive of symptomatology at one year. These findings suggest that there is an urgent need to recognize the psychological needs of children following road traffic accidents.

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