法医学杂志

法医学杂志 ›› 2006, Vol. 0 ›› Issue (2): 107-110+.

• 论文 • 上一篇    下一篇

道路交通事故所致精神损害的法医学评价

陈广华;刘技辉;郑吉龙;   

  1. 沈阳市中级人民法院技术处,中国医科大学法医学院,中国刑警学院法医系 辽宁沈阳110013中国医科大学法医学院,辽宁沈阳110001,辽宁沈阳110001,辽宁沈阳110035
  • 发布日期:2006-04-25 出版日期:2006-04-28

Posttraumatic Stress Disorder (Psychiatric Injury) after Road Traffic Accidents in Forensic Medicine:a Primary Study

CHEN GUANG-HUA1,2, LIU JI-HUI2, ZHENG JI-LONG3 (1. DEPARTMENT OF TECHNIQUE,SHENYANG CITY INTERMEDIA PEOPLE′S COURT, SHENYANG 110013,CHINA; 2.COLLEGE OF FORENSIC MEDICINE, CHINA MEDICINE UNIVERSITY, SHENYANG 110001,CHINA; 3.DEPARTMENT OF FORENSIC MEDICINE,   

  • Online:2006-04-25 Published:2006-04-28

被引次数

27

摘要： 目的研究RTA所致PTSD的相关法医学问题,为司法实践中精神损害赔偿提供科学依据和司法建议。方法对156例因RTA申请伤残程度鉴定的被鉴定人,通过临床精神病学检查确定PTSD的诊断,法医临床学检查评定躯体损伤的伤残程度,并通过问卷调查进一步确定受害人的心理社会状态。结果156例被调查对象PTSD发生率为51.92%。男女PTSD的发生率具有统计学的显著性差异;随着伤残程度的严重性增加,发生PTSD的可能性也随着增加;PTSD组与非PTSD组在生活质量总均分和生理、心理、社会关系、环境四个维度以及焦虑、抑郁的各项得分中都有显著性差异;获得赔偿将明显降低PTSD的发生率。结论RTA作为创伤性事件,申请赔偿的RTA受害人存在较高的PTSD发生率,获得良好的赔偿可以明显地降低申请赔偿的RTA受害人PTSD的发生率。

关键词: 司法精神病学, 创伤后应激障碍, 道路交通事故, 精神损害

Abstract: Objective Studying forensic medical problem related with RTA leading PTSD and supplying accumulating evidence for psychiatric compensation in court. Methods One hundred and fifty six victims of RTA were recruited who applied to court for a costs order. The victims were examined for psychiatric diagnosis by psychiatrists and for rank of impairment by experts in forensic clinical medicine. The self-report psychopathological status and quality of life were also measured. Results Eighty one victims of 156 (51.92%) fulfilled the criteria for PTSD (ICD-10). Morbidity difference in male and female were significant; The more serious extent of impairment is, the more PTSD′possibility is; The scores in World Health Organization Quality of Life were lower and in SAS and SDS were higher in PTSD group than in non-PTSD group. Acquirement of awarded costs could obviously prevent PTSD. Conclusion The higher PTSD incidence existed in the RTA victims who applied to court for a costs order, and acquirement of awarded costs could obviously prevent PTSD.

Key words: forensic psychiatry, posttraumatic stress disorder, road traffic accidents, psychiatric injury