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KMID : 0377619760310060611
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Korean Jungang Medical Journal
1976 Volume.31 No. 6 p.611 ~ p.614
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A Study on the Accident Neurosis
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Abstract
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Every year more and more people are injured at work, or on the" roads and the functional nervous disorders which sometimes follow accidents have an additional importance to medicine, esp. to neuropsychiatry.
Because it´s difficult to treat these patients in pure medicine and there has been considerable loss of national economy by the illness in addition to their personal readjustment problem since thee illness, the author thinks that we must have more the concern about this illness.
In spite of these facts, there has been rare study on the illness (Accident Neurosis) in our country. So the author studied as a preliminary one, 14 patients who were diagnosed as accident neurosis or posttraumaticneurosis among 105 industrial or roads accident patients who had been admitted to National Medical Center from Jan 1, to August 30, 76.
The author focused mainly on the predisposing factors of the accident neurosis and tried to find out any suggestion for rapid solution of these difficult clinical problems.
They usually sustained minor physical injury or their physical injuries were not directly related to their symptoms in almost all cases.
They were graduate of primary school in more than half of the cases ad and in a 3 cases, there were histories of discharge from school because of misdeed.
They attended mainly at unskilled work and 3 were minors. In other words their socioeconomic class was very low.
And headache, memory disturbance and dizziness were the most frequent chief complaints at the time of admission and in 3 cases, they showed alteration of consciousness, convulsive movements and incoherent speech lasting for a while symptoms without any neurological evidence, which were grouped as ones of dissociative reaction of hysteria. However, their complaints became more multiple and they, are markedly resistive to treatment and that they would not
be discharged from- hospital in all cases during their admission.
In view of their enormous resistance to treatment and that relatively rapid´ recovery after settlement of compensation this illness is more the concern of social politics than of pure medicine. In our country, the ministry of labor occasionally is asks to doctors about the industrial or roads accident patients conditions and to stop treatment if these patients have not been improved in spite of 2 years of treatment.
I think these 2 years are too long to non-effective treatment of accident neurosis which has the possibility of rapid recovery after stop of treatment and settlement of compensation.
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