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KMID : 0607520040120010066
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Korean Journal of Psychosomatic Medicine
2004 Volume.12 No. 1 p.66 ~ p.75
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The Relationship between Psychiatric Consequences and Injury Severity Following Traffic Accidents
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Lee Moon-In
Park Sang-Hag
Kim Sang-Hoon
Kim Jae-Min
Kim Hack-Ryul
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Abstract
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Objectives: This study was intended to see the relationship between psychiatric consequences and injury severity following traffic accidents.
Methods: We surveyed the 134 patients who were hospitalized from 1994 to 2003 at Chosun University Hospital for psychiatic disability evaluation following traffic accident. We reevaluate demographic factors from admission note. Psychiatric symptoms from mental status exam in medical records. Psychological tests(MMPI, BAI, BDI, K-WAIS) were done. Then we calculate the injury severity score and McBride’s rate of disability due to diagnosis from emergency care hospital records. Their relationships were evaluated by statistical methods which were t-test and Pearson correlation analysis using SPSS-10.
Results: When physical injury was not severe, suicidal attempt was more frequent and depression, hysteria, psychasthenia, psychopathic deviation subscales were high in MMPI. But when physical injury was severe, they have diffficulty in concentration, impaired orientation, and changed in IQ score. There was no relationship between physical injury severity and faking bad scales(F, Ds-r).
Conclusion: We must not assume when physical injury was not severe, the severe sympomts are just faking for their benefit.
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KEYWORD
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Traffic accidents, Psychiatric symptoms, Injurys severity score, McBride’s rate of disability
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