Acute psychophysiological arousal and posttraumatic stress disorder: A two‐year prospective study
- 1 October 2003
- journal article
- Published by Wiley in Journal of Traumatic Stress
- Vol. 16 (5), 439-443
- https://doi.org/10.1023/a:1025750209553
Abstract
This study investigated the role of acute arousal in the development of posttraumatic stress disorder (PTSD). Hospitalized motor vehicle accident survivors (n = 146) were assessed for acute stress disorder (ASD) within 1 month of the trauma, 6 months later, and reassessed for PTSD 2 years posttrauma (n = 87). Heart rates (HR) were assessed on the day of hospital discharge. Participants who had PTSD 2 years posttrauma had higher HR at hospital discharge than those without PTSD. A diagnosis of ASD or a resting HR of 95 beats per minute had moderate sensitivity (74%) and specificity (91%) in predicting PTSD. These findings suggest that caution is required in using acute HR as a predictor of longer‐term PTSD following trauma.Keywords
This publication has 12 references indexed in Scilit:
- Emergency room vital signs and PTSD in a treatment seeking sample of motor vehicle accident survivorsJournal of Traumatic Stress, 2002
- Auditory Startle Response in Trauma Survivors With Posttraumatic Stress Disorder: A Prospective StudyAmerican Journal of Psychiatry, 2000
- The relationship between acute stress disorder and posttraumatic stress disorder: A 2-year prospective evaluation.Journal of Consulting and Clinical Psychology, 1999
- Assessing acute stress disorder: Psychometric properties of a structured clinical interview.Psychological Assessment, 1998
- A Prospective Study of Heart Rate Response Following Trauma and the Subsequent Development of Posttraumatic Stress DisorderArchives of General Psychiatry, 1998
- The relationship between acute stress disorder and posttraumatic stress disorder: A prospective evaluation of motor vehicle accident survivors.Journal of Consulting and Clinical Psychology, 1998
- Objective assessment of peritraumatic dissociation: psychophysiological indicatorsAmerican Journal of Psychiatry, 1997
- THE COMPOSITE INTERNATIONAL DIAGNOSTIC INTERVIEW POST‐TRAUMATIC STRESS DISORDER MODULE: PRELIMINARY DATAInternational Journal of Methods in Psychiatric Research, 1996
- Predictors of posttraumatic stress symptoms among survivors of the Oakland/Berkeley, Calif., firestormAmerican Journal of Psychiatry, 1994
- A neuropsychological hypothesis explaining posttraumatic stress disordersAmerican Journal of Psychiatry, 1987