Acute stress disorder as a predictor of post-traumatic stress disorder in physical assault victims

  • Elklit A
  • Brink O
  • 6

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Abstract

The authors' objective was to examine the ability of acute stress disorder (ASD) and other trauma-related factors in a group of physical assault victims in predicting post-traumatic stress disorder (PTSD) 6 months later. Subjects included 214 victims of violence who completed a questionnaire 1 to 2 weeks after the assault, with 128 participating in the follow-up. Measures included the Harvard Trauma Questionnaire, the Trauma Symptom Checklist, and the Crisis Support Scale. Twenty-two percent met the full PTSD diagnosis and 22% a subclinical PTSD diagnosis. Previous lifetime shock due to a traumatic event happening to someone close, threats during the assault, and dissociation explained 56% of PTSD variance. Inability to express feelings, hypervigilance, impairment, and hopelessness explained another 15% of PTSD variance. The dissociative, the reexperiencing, the avoidant, and the arousal criteria of the ASD diagnosis correctly classified 79% of the subsequent PTSD cases.

Author-supplied keywords

  • Adaptation, Psychological
  • Adult
  • Crime Victims/ psychology/statistics & numerical d
  • Denmark/epidemiology
  • Female
  • Follow-Up Studies
  • Humans
  • Life Change Events
  • Male
  • Middle Aged
  • Prognosis
  • Questionnaires
  • Severity of Illness Index
  • Stress Disorders, Post-Traumatic/ diagnosis/epidem
  • Stress Disorders, Traumatic, Acute/ complications/
  • Stress, Psychological/etiology
  • Survivors/ psychology/statistics & numerical data

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Authors

  • A Elklit

  • O Brink

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