Posttraumatic Stress Disorder symptoms in persons involved in road accidents and paramedics




PTSD, victims, perpetrators, road accidents, paramedics


Aim. The aim of the study was to assess the risk of posttraumatic stress disorder (PTSD) among persons involved in road accidents and paramedics. Little is known about similarity or difference of PTSD symptoms between these two groups involved in accident in voluntary and involuntary way.
Material and Methods. Persons involved in road accidents (N = 78) and paramedics (N = 106) completed the Polish version of the Impact of Event Scale–Revised.
Results. The percentage of those who reported PTSD symptoms was similar and insignificant among persons involved in road accidents (56%) and among paramedics (45%). A significant difference (p < 0,01) was observed between these groups, however. The total PTSD, intrusions, and avoidance were higher for persons involved in road accidents.
Conclusions. Victims, perpetrators, and helpers in road accidents were at a similar risk of PTSD. Peritraumatic interventions are recommended for all these groups.


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Valent P. Definitions of trauma. Encyclopaedia of Trauma. In: Figley ChR, editor. Encyclopaedia of Trauma. An Interdisciplinary Guide. Los Angeles: Sage; 2012. p. 676-679.

Rosen G (editor). Posttraumatic stress disorder: Issues and controversies. Wiley: Hoboken, NJ; 2004.

International Statistical Classification of Diseases and Related Health Problems, ICD-10. World Health Organization; 2009.

Popiel A, Zawadzki B, Pragłowska, E, Teichman Y. Prolonged exposure, paroxetine and the combination in the treatment of PTSD following a motor vehicle accident. A randomized clinical trial – The “TRAKT” study. J Beh Ther Exp Psy. 2015;48:17-26. doi:10.1016/j.jbtep.2015.01.002.

Kuhn E, Drescher K, Ruzek J, Rosen C. Aggressive and unsafe driving in male veterans receiving residential treatment for PTSD. J Trauma Stress. 2010;23(3):399-402. doi:10.1002/jts.2053613.

Ogińska-Bulik N. Two faces of trauma. Negative and positive effects of traumatic events in emergency service employees. Warszawa, Difin; 2015.

Klimley KE, Van Hasselt VB, Stripling AM. Posttraumatic Stress Disorder in Police, Firefighters, and Emergency Dispatchers. Aggress Violent Beh. 2018;43:33-44. doi:10.1016/j.avb.2018.08.005.

Merecz-Kot D, Waszkowska M, Wężyk A. Mental health status of drivers – Motor vehicle accidents perpetrators. Med Pr. 2015;66(4):525-538. doi:10.13075/mp.5893.00203.

Jasielska A, Ziarko M. General and specific individual post-traumatic stress disorder-related mechanisms among paramedics. Med Pr. 2019;70(1):53-66. doi:10.13075/mp.5893.00757.

Figley CR (editor). Compassion Fatigue: Coping With Secondary Traumatic Stress Disorder In Those Who Treat The Traumatized. New York: Brunner/Mazel; 1995.

Courtois ChA. Complex trauma. In: Figley ChR, editor. Encyclopaedia of Trauma. An Interdisciplinary Guide. Los Angeles: Sage; 2012. p. 139-142.

Boothroyd RA, Green S, Dougherty A. Evaluation of Operation Restore: A brief intervention for first responders exposed to traumatic events. Traumatology.2018;25(3):162-171. doi:10.1037/trm0000168.

Regehr C. Bringing the trauma home: spouses of paramedics. J Loss Trauma. 2005;10(2):97–114.

Weiss D, Marmar C. The Impact of Event Scale-Revised. In: Wilson J, Keane T, editors. Assessing psychological trauma and PTSD: A handbook for practitioners. New York: Guildford Press; 1997. p. 399-411.

Juczyński Z, Ogińska-Bulik N. Measurement of post-traumatic stress disorder- Polish version of Impact Event Scale-Revised. Psychiatra. 2009;6(1):15-25.

Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Springer-Verlag; 1984.

Maruszewski T. Autobiographical memory- new data. Neuropsychiatria i Neuropsychologia. 2010;5(3-4):122-129.

Olff M. Sex and gender differences in post-traumatic stress disorder: an update. Eur J Psychotraumato. 2017;8(sup4). doi:10.1080/20008198.2017.1351204.

Reynolds K, Pietrzak RH, Mackenzie CS, Chou KL, Sareen J. Post-traumatic stress disorder across the adult lifespan: Findings from a nationally representative survey. Am J Geriat Psychiat. 2016;24:81-93. doi:10.1016/j. jagp.2015.11.001.

Foa EB, Hembree E, Rothbaum BO. Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences, therapist guide. New York: Oxford University Press; 2007.

Popiel A, Zawadzki B, Pragłowska E, Habrat P, Gajda P. Effective under stress. Sopot: GWP; 2019.

Popiel A. Cognitive therapy of trauma related guilt in patients with PTSD. Psychiatr Pol. 2014;48(3):615–625.

Ścigała DK, Zdankiewicz-Ścigała E. The Role in Road Traffic Accident and Anxiety as Moderators Attention Biases in Modified Emotional Stroop Test. Front Psychol. 2019;10:1575. doi:10.3389/fpsyg.2019.01575.

Terr L. Childhood traumas: An outline and overview. In: Horowitz M, editor. Essential papers on posttraumatic stress disorder. New York: University Press; 1999. p. 61–81.

Marmar CR, McCaslin SE, Metzler TJ, Best S, Weiss DS, Fagan J, Liberman A, Pole N, Otte Ch, Yehuda R, Mohr D, Neylan Th. Predictors of posttraumatic stress in police and other first responders. Annals New York Academy of Sciences. 2006;1071(1):1-18. Doi:10.1196/annals.1364.001.

Kirby R, Shakespeare-Finch J, Palk G. Adaptive and Maladaptive Coping Strategies Predict Posttrauma Outcomes in Ambulance Personnel. Traumatology. 2010;17(4):25-34. Doi:10.1177/1534765610395623.




How to Cite

Parobkiewicz A, Ziarko M, Krawczyk J, Jasielska J. Posttraumatic Stress Disorder symptoms in persons involved in road accidents and paramedics. JMS [Internet]. 2021 Jun. 29 [cited 2024 Jun. 16];90(2):e515. Available from:



Brief Reports
Received 2021-04-20
Accepted 2021-06-09
Published 2021-06-29