Schnyder
Fakultäten » Medizinische Fakultät » Psychiatrie und Psychotherapie, Klinik für » Prof. Dr. Ulrich Schnyder » Schnyder
Current research project
| Title / Titel | The influence of psycho-social characteristics on the healing process following major accidents | ||
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| Abstract (PDF, 14 KB) | |||
| Original title / Originaltitel | Der Einfluss psychosozialer Merkmale auf den Heilungsverlauf nach schweren Unfällen | ||
| Summary / Zusammenfassung | The present project looked at patients with serious injuries in which the cause of injury, the injury severity and the extent of the organic damage to the brain caused through the trauma are clearly defined. A consecutive sample of 121 patients who have been admitted following an accident to the intensive care unit of the clinic for accident surgery at the University Hospital of Zurich and have been categorised as severely injured but who nonetheless have not suffered severe trauma to the skull and brain were studied during the acute phase of treatment, after 6 months and after 12 months. The investigation was carried out to provide information on the frequency and types of mental disorders resulting from severe accidents as well as the development of these disorders. It enquired into relations between resources and stressors (psycho-social variables both related to and independent of the accident) on the one hand and the course of somatic and psychological symptoms following the accident on the other. Finally, it aimed at verifying whether on the basis of somatic and psycho-social variables in the acute stage of treatment (fifth to twenty-first day following the accident) it is possible to predict objective and subjective findings in the healing process after 12 months. 24-months follow-up-study see project nr. 2200. Current status: We are currently looking into variables determining long-term resilience following accidental injuries. A subsample of accident survivors were re-assessed 10+ years after the accident, using psychophysiological measures and conditioning tasks. One original article is in press (Oe et al.), further publications are currently being prepared. |
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| Publications / Publikationen | Schnyder U, Büchi S, Mörgeli H, Sensky T, Klaghofer R (1999) Sense of Coherence - a mediator between disability and handicap? Psychotherapy and Psychosomatics 68: 102-110 Schnyder U, Büchi S, Sensky T, Klaghofer R (2000) Antonovsky's Sense of Coherence: trait or state? Psychotherapy and Psychosomatics 69: 296-302 Schnyder U, Mörgeli H, Nigg C, Klaghofer R, Renner N, Trentz O, Buddeberg C (2000) Early psychological reactions to severe injuries. Critical Care Medicine 28: 86-92 Schnyder U, Moergeli H, Klaghofer R, Buddeberg C (2001) Incidence and prediction of PTSD symptoms in severely injured accident victims. American Journal of Psychiatry 158: 594-599 Schnyder U, Moergeli H, Trentz O, Klaghofer R, Buddeberg C (2001): Prediction of psychiatric morbidity in severely injured accident victims at one-year follow-up. American Journal of Respiratory and Critical Care Medicine 164: 653-656 Schnyder U, Moergeli H, Klaghofer R, Sensky T, Buchi S (2003): Does patient cognition pre-dict time off from work after life-threatening accidents? American Journal of Psychiatry 160: 2025-2031 Hepp U, Moergeli H, Buchi S, Wittmann L, Schnyder U (2005) Coping with serious accidental injury: A one-year follow-up study. Psychotherapy and Psychosomatics 74: 379-386 Hepp U, Moergeli H, Buchi S, Bruchhaus-Steinert H, Kraemer B, Sensky T, Schnyder U (2008) Post-traumatic stress disorder in serious accidental injury: 3-year follow-up study. British Jour-nal of Psychiatry 192: 376-383 Oe M, Schnyder U, Schumacher S, Mueller-Pfeiffer C, Wilhelm FH, Roos D, Herberger M, Mar-tin-Soelch C: Lower plasma DHEA concentration in the long-term after the severe accidental in-jury. Psychotherapy and Psychosomatics (in press)Weitere Informationen |
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| Keywords / Suchbegriffe | Psychosomatic Medicine, Psychotraumatology, Traumatic Stress, Posttraumatic Stress Disorder, Coping, Accidents, Sense of Coherence | ||
| Project leadership and contacts / Projektleitung und Kontakte |
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| Other links to external web pages | http://www.psychiatrie.usz.ch | ||
| Funding source(s) / Unterstützt durch |
SNF (Personen- und Projektförderung) |
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| In collaboration with / In Zusammenarbeit mit |
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| Duration of Project / Projektdauer | Jan 1996 to Apr 2013 |