Cited by 80Posttraumatic Stress Disorder ResearchTraumatic Brain Injury ResearchTrauma and Emergency Care Studies

Peritraumatic Distress Inventory as a predictor of post‐traumatic stress disorder after a severe motor vehicle accident

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Nishi, Daisuke, Matsuoka, Yutaka, Yonemoto, Naohiro, Noguchi, Hiroko, Kim, Yoshiharu, Kanba, Shigenobu·2010·Psychiatry and Clinical Neurosciences

Abstract

Aim: The aim of this study was to examine the utility of the Peritraumatic Distress Inventory (PDI) as a predictor of subsequent post‐traumatic stress disorder (PTSD) in severe motor vehicle accident survivors. Methods: Patients consecutively admitted to the intensive care unit were assessed immediately and 1 month after accidents in this prospective study. The predictive value for post‐traumatic stress symptoms at 1 month of the PDI at initial assessment was examined by using multivariate regression analysis. Moreover, the accuracy of the PDI as a predictor of PTSD was determined using receiver operator characteristic curve analysis. Post‐traumatic stress symptoms were assessed using the Impact of Event Scale – Revised questionnaire, and PTSD was assessed using the Clinician‐Administered PTSD Scale. Results: Seventy‐nine patients completed the Impact of Event Scale – Revised questionnaire, and 64 patients participated in a structured interview. Of 64 patients, 13 met the diagnostic criteria of full or partial PTSD. The PDI was an independent predictor of post‐traumatic stress symptoms (P = 0.003). The data indicated that a cut‐off score of 23 maximized the balance between sensitivity (77%) and specificity (82%) in this study. Compared with negative predictive value (93%), positive predictive value was not high (53%). Conclusion: The study suggests the predictive usefulness of the PDI for subsequent PTSD in accident survivors. Its adequate usage should be further elaborated.

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  1. Van der Velden PG, Wittmann L. The independent predic- tivevalueofperitraumaticdissociationforPTSDsymptomat- ology after type I trauma: A systematic review of prospective studies. Clin. Psychol. Rev. 2008; 28: 1009-1020.

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Authors
Nishi, D., Matsuoka, Y., Yonemoto, N., Noguchi, H., Kim, Y., & Kanba, S.
Affiliations
  • Kyushu University (JP)
  • Japan Science and Technology Agency (JP)
Corresponding author
Matsuoka, Yutaka
Venue
Psychiatry and Clinical Neurosciences
Publisher
Wiley
Published
2010-03-24
Volume
64
Issue
2
Pages
149-156
ISSN
  • 1323-1316 (ISSN-L)
  • 1440-1819
OpenAlex
W2126671028
Cited by
80
References
40
Citations by year
2026: 1 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 10 · 2020: 5 · 2019: 4 · 2018: 7 · 2016: 8 · 2015: 7 · 2014: 4 · 2013: 9 · 2012: 7
FWCI
6.69
Type
journal article
Language
en
Open access
Locations
  • Psychiatry and Clinical Neurosciences (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Pfizer
  • Toray Industries
  • Japan Society for the Promotion of Science
  • Japan Science and Technology Agency
  • Core Research for Evolutional Science and Technology
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
Keywords
post-traumatic stress disorder, motor vehicle accidents, trauma survivors, intensive care unit patients, peritraumatic distress, PTSD prediction, Impact of Event Scale-Revised, Clinician-Administered PTSD Scale, diagnostic thresholds
MeSH terms
Accidents, Traffic, Adolescent, Adult, Aged, Female, Humans, Life Change Events, Male, Middle Aged, Prospective Studies, Psychiatric Status Rating Scales, Surveys and Questionnaires, Regression Analysis, ROC Curve, Sensitivity and Specificity, Stress Disorders, Post-Traumatic

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