Schnyder
Fakultäten » Medizinische Fakultät » Psychiatrie und Psychotherapie, Klinik für » Prof. Dr. Ulrich Schnyder » Schnyder
Current research project
| Title / Titel | Psychosocial consequences of accidental injuries | ||
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| Abstract (PDF, 14 KB) | |||
| Summary / Zusammenfassung | This is a continuation study of an earlier project (NF project nr. 32-43640.95, see project nr. 1380). The first objective is to explore the continuing course of posttraumatic morbidity in the original sample over an additional 24 months. 90 out of the original sample of 106 patient could be reassessed. A further objective is to see if the predictive model (developed in the earlier project) remains stable in seriously injured patients over the course of three years (study 1). Additionally, our screening instrument for assessment of psychosocial risk patients needs to be assessed with regard to its suitability for use in accident surgery. In order to accomplish this, a new sample of 335 hospitalised accident patients (meeting expanded entrance criteria) was investigated prospectively over a 12-month period (study 2). Patients without German as their native language and those showing pre-traumatic psychiatric symptomatology were also included in the new study as these groups are expected to show increased rates of PTSD and more difficulties in coping with the accident. Psychometric instruments included PDEQ (Peritraumatic Dissociative Experiences Questionnaire), IES (Impact of Event Scale), CAPS (Clinician-administered PTSD Scale), DTS (Davidson Trauma Scale), AFQ (Accident Fear Questionnaire), HADS (Hamilton Anxiety and Depresion Scale), PRIME-MD, SOC (Sense of Coherence), CHIP (Coping with Health injuries and Problems), F-SOZU (Fragen zur Sozialen Unterstützung), and FLZ (Fragen zur Lebenszufriedenheit). Data are currently being analyzed. Preliminary results are in line with our previous studies (NF project nr. 32-43640.95, see project nr. 1380) in that we found exceptionally low prevalence reates for ASD and PTSD in this sample. Moreover, our predictive models (predicting PTSD and time off work) are largely confirmed. 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, Moergeli H (2002): German version of Clinician-Administered PTSD Scale. Journal of Traumatic Stress 15: 487-492 Fuglsang AK, Moergeli H, Hepp-Beg S, Schnyder U (2002): Who develops acute stress disorder after accidental injuries? Psychotherapy and Psychosomatics 71: 214-222 Wittmann L, Moergeli H, Schnyder U (2006) Low predictive power of peritraumatic dissociation for PTSD symptoms in accident survivors. Journal of Traumatic Stress 19: 639-651 Wittmann L, Moergeli H, Schnyder U (2007) Towards an understanding of different psychopatho-logical mechanisms after injury: A comparison of victims of violent crime with accident survivors. International Perspectives in Victimology 3: 4-10 Schnyder U, Wittmann L, Friedrich-Perez J, Hepp U, Moergeli H (2008) PTSD following acciden-tal injury: rule or exception in Switzerland? Psychotherapy and Psychosomatics 77: 111-118 Kraemer B, Moergeli H, Roth H, Hepp U, Schnyder U (2008) Contribution of initial heart rate to the pre-diction of posttraumatic stress symptom level in accident victims. Journal of Psychiatric Research 42: 158-162 Wittmann L, Moergeli H, Martin-Soelch C, Znoj H, Schnyder U (2008) Comorbidity in PTSD: A structural equation modelling approach. Comprehensive Psychiatry 49: 430-440 Jenewein J, Moergeli H, Wittmann L, Büchi S, Kraemer B, Schnyder U (2009) Development of chronic pain following accidental injury. Results of a 3-year follow-up study. Journal of Psycho-somatic Research 66: 119-126 Helfricht S, Landolt MA, Moergeli H, Hepp U, Wegener D, Schnyder U (2009) Psychometric evaluation and validation of the German version of the Acute Stress Disorder Scale (ASDS) across two distinct trauma populations. Journal of Traumatic Stress 22: 476-480 75. Jenewein J, Wittmann L, Moergeli H, Creutzig J, Schnyder U (2009) Mutual influence of post-traumatic stress disorder symptoms and chronic pain among injured accident survivors: a longi-tudinal study. Journal of Traumatic Stress 2: 540-548 Hepp U, Moergeli H, Buchi S, Bruchhaus-Steinert H, Sensky T, Schnyder U (2011) The long-term prediction of return to work following serious accidental injuries: a follow up study. BMC Psychiatry 11: 53 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, Acute 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 1999 to Apr 2013 |