Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern Ethiopia
Abstract Background Post-traumatic stress disorder (PTSD) is prevalent among road traffic accident survivors (RTA), yet the psychological welfare of the persons has largely been ignored as health care professionals focus more on managing physical injuries. Many literatures from other parts of the wo...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Emergency Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12873-020-00348-5 |
| _version_ | 1818261902175764480 |
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| author | Asres Bedaso Gemechu Kediro Jemal Ebrahim Firkru Tadesse Shewangizaw Mekonnen Negeso Gobena Ephrem Gebrehana |
| author_facet | Asres Bedaso Gemechu Kediro Jemal Ebrahim Firkru Tadesse Shewangizaw Mekonnen Negeso Gobena Ephrem Gebrehana |
| author_sort | Asres Bedaso |
| collection | DOAJ |
| description | Abstract Background Post-traumatic stress disorder (PTSD) is prevalent among road traffic accident survivors (RTA), yet the psychological welfare of the persons has largely been ignored as health care professionals focus more on managing physical injuries. Many literatures from other parts of the world have addressed the issue of post-traumatic stress disorder among road traffic accident survivors, but such studies are mostly unavailable in sub-Saharan Africa, especially in Ethiopia. Therefore, this study examined the prevalence and determinants of PTSD among RTA survivors attending selected hospitals in southern Ethiopia. Methods Institution based cross-sectional study design was employed from April 1/2018-Sep 30/2019. Data were collected from a sample of consecutively selected 423 RTA survivors through an interviewer-administered technique. A pre-tested post-traumatic stress disorder Checklist-Specific version (PCL-S) tool was used to screen PTSD. Data were entered and analysed using SPSS 22 software. A logistic regression model was fitted to identify determinants of PTSD. An adjusted odds ratio (AOR) with a 95% confidence interval was computed to determine the level of significance with a p-value of less than 0.05. Result A total of 416 participants were included in the study and the response rate was 98.6%. The prevalence of probable PTSD among RTA survivors was 15.4% (64). After adjusting for the effects of potential confounding variables; time since accident (30–90 days) (AOR = 0.33; 95%CI (0.15, 0.73), history of previous road traffic accident (AOR = 2.67; 95%CI (1.23, 5.77), depressive symptoms (AOR = 2.5, 95% CI (1.10, 6.10)) and common mental disorder (AOR = 12.78, 95% CI (5.56, 29.36)) were significant determinants of PTSD. Conclusion The prevalence of probable PTSD in the current study was high (15.4%). Time since accident, history of a previous road traffic accident, having depressive symptoms and common mental disorder were significant determinants of PTSD. RTA survivors attending adult Emergency and orthopedic clinics need to be screened for PTSD and get appropriate management. |
| first_indexed | 2024-12-12T18:54:36Z |
| format | Article |
| id | doaj.art-d49a100df7244768baeafab5735dc3aa |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-12-12T18:54:36Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-d49a100df7244768baeafab5735dc3aa2022-12-22T00:15:16ZengBMCBMC Emergency Medicine1471-227X2020-06-0120111010.1186/s12873-020-00348-5Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern EthiopiaAsres Bedaso0Gemechu Kediro1Jemal Ebrahim2Firkru Tadesse3Shewangizaw Mekonnen4Negeso Gobena5Ephrem Gebrehana6College of Medicine and Health Sciences, Faculty of Health Sciences, School of Nursing, Hawassa UniversityCollege of Medicine and Health Sciences, Faculty of Health Sciences, School of Nursing, Hawassa UniversityCollege of Medicine and Health Sciences, Faculty of Health Sciences, School of Nursing, Hawassa UniversityCollege of Medicine and Health Sciences, Faculty of Health Sciences, School of Nursing, Hawassa UniversityCollege of Medicine and Health Sciences, Faculty of Health Sciences, School of Nursing, Hawassa UniversityDepartment of Anesthesia, College of Medicine and Health Sciences, Faculty of Medicine, Hawassa UniversityDepartment of Orthopedics, College of Medicine and Health Sciences, Faculty of Medicine, Hawassa UniversityAbstract Background Post-traumatic stress disorder (PTSD) is prevalent among road traffic accident survivors (RTA), yet the psychological welfare of the persons has largely been ignored as health care professionals focus more on managing physical injuries. Many literatures from other parts of the world have addressed the issue of post-traumatic stress disorder among road traffic accident survivors, but such studies are mostly unavailable in sub-Saharan Africa, especially in Ethiopia. Therefore, this study examined the prevalence and determinants of PTSD among RTA survivors attending selected hospitals in southern Ethiopia. Methods Institution based cross-sectional study design was employed from April 1/2018-Sep 30/2019. Data were collected from a sample of consecutively selected 423 RTA survivors through an interviewer-administered technique. A pre-tested post-traumatic stress disorder Checklist-Specific version (PCL-S) tool was used to screen PTSD. Data were entered and analysed using SPSS 22 software. A logistic regression model was fitted to identify determinants of PTSD. An adjusted odds ratio (AOR) with a 95% confidence interval was computed to determine the level of significance with a p-value of less than 0.05. Result A total of 416 participants were included in the study and the response rate was 98.6%. The prevalence of probable PTSD among RTA survivors was 15.4% (64). After adjusting for the effects of potential confounding variables; time since accident (30–90 days) (AOR = 0.33; 95%CI (0.15, 0.73), history of previous road traffic accident (AOR = 2.67; 95%CI (1.23, 5.77), depressive symptoms (AOR = 2.5, 95% CI (1.10, 6.10)) and common mental disorder (AOR = 12.78, 95% CI (5.56, 29.36)) were significant determinants of PTSD. Conclusion The prevalence of probable PTSD in the current study was high (15.4%). Time since accident, history of a previous road traffic accident, having depressive symptoms and common mental disorder were significant determinants of PTSD. RTA survivors attending adult Emergency and orthopedic clinics need to be screened for PTSD and get appropriate management.http://link.springer.com/article/10.1186/s12873-020-00348-5PTSDPrevalenceDeterminantsRTA survivorsSouthern EthiopiaPCL-S |
| spellingShingle | Asres Bedaso Gemechu Kediro Jemal Ebrahim Firkru Tadesse Shewangizaw Mekonnen Negeso Gobena Ephrem Gebrehana Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern Ethiopia BMC Emergency Medicine PTSD Prevalence Determinants RTA survivors Southern Ethiopia PCL-S |
| title | Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern Ethiopia |
| title_full | Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern Ethiopia |
| title_fullStr | Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern Ethiopia |
| title_full_unstemmed | Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern Ethiopia |
| title_short | Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern Ethiopia |
| title_sort | prevalence and determinants of post traumatic stress disorder among road traffic accident survivors a prospective survey at selected hospitals in southern ethiopia |
| topic | PTSD Prevalence Determinants RTA survivors Southern Ethiopia PCL-S |
| url | http://link.springer.com/article/10.1186/s12873-020-00348-5 |
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