Research Project Profile
V) Psychological Factors Associated with Effective Adjustment Following Traumatic Injury -- Psychological Treatment of Acute Stress Disorder
Title: Psychological Factors Associated with Effective Adjustment Following Traumatic Injury -- Psychological Treatment of Acute Stress Disorder
Project Director: Mark Rusch, PhD
Project Co-directors: Brad Grunert, PhD and James Wallace, MD, PhD
Institutions: Medical College of Wisconsin
Categorization I: Rehabilitation
Categorization II: Medium Project
Categorization III: New
Cost / Year: $23,000 / year
Duration: Three Years
Key Words: acute stress disorder, recovery, psychological adjustment, injuries, traumatic injuries, social support, self-efficacy, depression and PTSD
Long term Objectives and Specific Aims:
This is a prospective cohort study that investigates the psychological adjustment of individuals who suffered traumatic physical injuries. It examines the influence of subject, trauma, and injury variables on psychological well being after injury with specific emphasis on six subject factors: causal attributions, self-efficacy, spiritual/religious values, perceived level of social support, anger and personal coping resources. Outcome data include measures of the intensity of post-traumatic stress disorder (PTSD) and depression symptoms. Changes in pre- and post-injury use will also be examined.
Research Design and Methods:
One hundred and fifteen subjects will be interviewed within 2-14 days post injury and in follow-up at 1,3 and 6 months. Inclusion criteria include age 18 and older, current diagnosis of traumatic injury from accidents, and non-assaults resulting in soft tissue, internal and orthopedic injuries that require inpatient medical care longer than 48 hours. Project duration is 3 years. Study results will be used to improve early psychological intervention with trauma patients to prevent the development of long-term PTSD and depressive symptomatology.