Children injured in traffic – psychological consequences
Children and adolescents injured in traffic – associated psychological consequences: a literature review
Article first published online: 15 SEP 2008
©2008 The Author(s)/Journal Compilation ©2008 Foundation Acta Pædiatrica/Acta Pædiatrica
Volume 98, Issue 1, pages 17–22, January 2009
How to Cite
Olofsson, E., Bunketorp, O. and Andersson, A.-L. (2009), Children and adolescents injured in traffic – associated psychological consequences: a literature review. Acta Paediatrica, 98: 17–22. doi: 10.1111/j.1651-2227.2008.00998.x
- Issue published online: 9 DEC 2008
- Article first published online: 15 SEP 2008
- Received 12 March 2008; revised 18 June 2008; accepted 24 July 2008.
- Paediatric Trauma Care;
- Traffic Accidents
Aim: To identify the prevalence of post-traumatic stress disorder (PTSD) and PTSD symptoms (PTSS) among children and adolescents injured in traffic, and to assess predictors of such post-traumatic stress.
Methods: Studies identified from electronic databases were reviewed.
Results: Based on a review of 12 studies, fulfilling specified criteria, the prevalence of PTSS was estimated at 30% within 1 month and 13% at 3–6 months. The prevalence of PTSD was almost 30% at 1–2 months and decreased to the same level as PTSS at 3–6 months. Perceived threat and high levels of distress, anxiety symptoms and being female were significantly associated with PTSD and PTSS. Injury severity was positively related to the number of PTSD symptoms in one of eight studies. Types of accident, age and socioeconomic status were not related to the development of PTSD/PTSS.
Conclusion: Any child will be at risk of PTSD/PTSS, not just those with severe injuries. Trauma care should include procedures that could identify and prevent stress reactions in order to minimize the risk of associated psychological consequences.