The Relationship between Psychiatric Consequences and Injury Severity Following Traffic Accidents

교통사고후 외상심각도와 정신과적 증상의 관계

  • Lee, Moon-In (Department of Psychiatry, School of Medicine, Chosun University) ;
  • Park, Sang-Hag (Department of Psychiatry, School of Medicine, Chosun University) ;
  • Kim, Sang-Hoon (Department of Psychiatry, School of Medicine, Chosun University) ;
  • Kim, Jae-Min (Department of Psychiatry, School of Medicine, Chosun University) ;
  • Kim, Hack-Ryul (Department of Psychiatry, School of Medicine, Chosun University)
  • 이문인 (조선대학교 의과대학 정신의학교실) ;
  • 박상학 (조선대학교 의과대학 정신의학교실) ;
  • 김상훈 (조선대학교 의과대학 정신의학교실) ;
  • 김재민 (조선대학교 의과대학 정신의학교실) ;
  • 김학렬 (조선대학교 의과대학 정신의학교실)
  • Published : 2004.06.15

Abstract

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.