J Korean Med Assoc.  2005 Nov;48(11):1101-1109. 10.5124/jkma.2005.48.11.1101.

Disaster Psychiatry after Motor Vehicle Accident

• Park KC

• KMID: 2183613
• DOI: http://doi.org/10.5124/jkma.2005.48.11.1101

Abstract

Death from motor vehicle accident is one of the most common causes of deaths in Korea, with 17.2 person per 100,000 population dying from motor vehicle accidents in 2004. Neuropsychiatric sequelae after motor vehicle accidents are very common and disturbing the quality of life. They include post-traumatic stress disorder, post-concussional disorder, organic personality disorder, depression, organic schizophrenia like disorder, malingering, factitious disorder, etc. Neuropsychiatric symptoms are often neglected by health care providers, although they tend to last for a long period as complex problems. They also may complicate the doctorpatient relationship. Therefore, early detection and management of neuropsychiatric symptoms are important for successful management of the patients. This article includes a brief summary of several neuropsychiatric states after motor vehicle accidents, especially post-traumatic stress disorder and a brief recommendation on legal reports for disability evaluation of mental and behavioral disorders after motor vehicle accidents.

Keyword

Motor vehicle accdent; Posttraumatic stress disorder; Disaster psychiatry

MeSH Terms

Cause of Death
Depression
Disability Evaluation
Disasters*
Health Personnel
Humans
Korea
Malingering
Motor Vehicles*
Personality Disorders
Quality of Life
Schizophrenia
Stress Disorders, Post-Traumatic

Reference

2. McMillan TM. Post-traumatic stress disorder and severe head injury. Br J Psychiatry. 1991. 159:431–433.

6. Kolb LC. A neuropsychological hypothesis explaining post-traumatic stress disorders. Am J Psychiatry. 1987. 144:989–995.

7. Mayou R, Bryant B, Duthie R. Psychiatric consequences of road traffic accidents. BMJ. 1993. 307:647–651.

9. American Psychiatric Association. Diagnostic and statistical manual of mental Disorders 4th ed(DSM-IV). 1994. Washington DC: American Psychiatric Association.

10. Sparr LF, Atkinson RM. Posttraumatic stress disorder as an insanity defense: medicolegal quicksand. Am J Psychiatry. 1986. 143:608–613.

11. Meiser-Stedman R, Yule W, Smith P, Glucksman E, Dalgleish T. Acute stress disorder and posttraumatic stress disorder in children and adolescents involved in assaults or motor vehicle accidents. Am J Psychiatry. 2005. 162:1381–1383.