Predictors of post-traumatic stress disorder following physical trauma: an examination of the stressor criterion
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A prospective study documenting psychopathology was undertaken in 48 subjects exposed to a range of physical trauma, but whose injuries were of similar severity. No support was found for the DSM-III-R view correlating the severity of the stressor with the development of post-traumatic stress disorder (PTSD). Distress post injury (high scores on the impact of event scale), indicative of difficulty with cognitive assimilation of the traumatic event, was found to be highly predictive of psychiatric morbidity and PTSD at 6 months.
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Scores from self-report measures correlate strongly with psychiatric diagnoses arrived at through structured interview.
“While the scores obtained in this fashion correlate strongly with psychiatric diagnoses arrived at through structured interview (Feinstein & Dolan, 1991), the two approaches are not synonymous.”
From An examination of psychological distress and moral injury in journalists exposed to online harassment (2025) · cites this paper as Feinstein & Dolan, 1991
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References 26 · Cited by 182
- Authors
- Feinstein, A., & Dolan, R.
- Affiliations
- UCL Queen Square Institute of Neurology (GB)
- Corresponding author
- Feinstein, Anthony
- ORCID
- Feinstein, Anthony
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 1991-02
- Volume
- 21
- Issue
- 1
- Pages
- 85-91
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2009461878
- Cited by
- 182
- References
- 26
- Citations by year
- 2025: 1 · 2022: 2 · 2020: 1 · 2019: 1 · 2017: 4 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 2 · 2012: 2
- FWCI
- 8.07
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Max Planck Digital Library (submittedVersion, other-oa)
- MPG.PuRe (Max Planck Society) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- post-traumatic stress disorder, physical trauma, stressor severity, Impact of Event Scale, psychiatric morbidity, trauma exposure, DSM-III-R criteria
- MeSH terms
- Accidents, Traffic, Activities of Daily Living, Adolescent, Adult, Athletic Injuries, Female, Femoral Fractures, Fibula, Follow-Up Studies, Humans, Internal-External Control, Male, Middle Aged, Prospective Studies, Sick Role, Social Environment, Stress Disorders, Post-Traumatic, Tibial Fractures
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