Psychological reactions and predispositional factors in patients with concomitant and multiple somatic trauma suffered as a result of illegal actions

The article is devoted to the connection between the circumstances of getting multiple and concomitant somatic trauma and psychological reactions of the injured, as well as predispositional factors. We hypothesized that the victims of the violence will have a higher level of depression and aggression, as well as other type of coping strategies. In addition, we assumed a link between attribution of guilt for what has happened and the level of depression and aggression. An empirical study to test these hypotheses was conducted on the basis of Department of combined and multiple injuries, N.V. Sklifosofskiy Institute of Emergency Care. The study involved men injured as a result of illegal actions (N=38), and men suffered as a result of illegal action (N=38). The study revealed that patients who were injured because of violence, show an average lower level of aggressiveness. And patients who are victims of violence and blame themselves, are more aggressive than those who accuse others; the former show higher intensity of depressive feelings. Patients who are victims are less inclined to the use of coping strategies such as confrontation, positive reappraisal and search for social support.

1. Bondarenko A.V., Ashkinadze A.V. Psihicheskie rasstrojstva i ih korrekcija v medicinskoj reabilitacii pacientov s politravmami // Travmatologija i ortopedija Rossii. 2005. № 1 (34). S. 21–24.
2. Zaharova N.M., Gapeenko D.V. Psihoterapija pacientov s reakcijami na tjazhjolyj stress i narushenijami adaptacii v uslovijah stacionara // Nevrologija, nejropsihiatrija, psihosomatika. 2011. № 2. S. 60–65.
3. Zaharchenko D.A., Dozorceva E.G. Psihologicheskie osobennosti i reakcii bol'nyh, poluchivshih sochetannuju i mnozhestvennuju travmu v rezul'tate protivopravnyh dejstvij // Kochenovskie chtenija «Psihologija i pravo v sovremennoj Rossii». Sbornik tezisov uchastnikov Vserossijskoj konferencii po juridicheskoj psihologii s mezhdunarodnym uchastiem. M., 2012. S. 24–26.
4. Zubareva O.V. Klinicheskie osobennosti psihicheskih rasstrojstv pri stresse, vyzyvannom travmoj oporno-dvigatel'nogo apparat, i rol' psihoterapii v ih lechenii: Diss. …kand. med. nauk. M., 2006.
5. Kralja O.V. Klinicheskaja tipologija, reabilitacija i psihoprofilaktika nozogennyh pogranichnyh psihicheskih rasstrojstv u lic s sochetannoj travmoj : Diss. …kand. med. nauk. Tomsk, 2009.
6. Lukutina A.I. Psihicheskie narushenija u pacientov s travmoj oporno-dvigatel'nogo apparata: Diss. …kand. med. nauk. M., 2008. 
7.  Sokolov V.A. Mnozhestvennye i sochetannye travmy. Prakticheskoe rukovodstvo dlja vrachej-travmatologov. M., 2006. 518 s.Islam S., Cole J. L., Walton G. M., Dinan T. G., Hoffman G. R. Does attribution of blame influence psychological outcomes in facial trauma victims? // Journ. of Oral and Maxillofacial Surgery. 2012. № 70 (3). P. 593–598.
8. Islam S., Cole J. L., Walton G. M., Dinan T. G., Hoffman G. R. Does attribution of blame influence psychological outcomes in facial trauma victims? // Journ. of Oral and Maxillofacial Surgery. 2012. №70 (3). P. 593-598.
9. Johansen V.A., Wahl A.K., Weisaeth L. Assaulted victims of nondomestic violence in Norway - injury, crime characteristics and emotions during the assault // Scandinavian Journ. of Caring Science. 2008. № 22 (3). P. 445–454.
10. Johansen V.A., Wahl A.K., Eilertsen D.E., Weisaeth L. Prevalence and predictors of post-traumatic stress disorder (PTSD) in physically injured victims of non-domestic violence. A longitudinal study // Social Psychiatry and Psychiatric Epidemiology. 2007. № 42 (7). P. 583–593.
11.  Johansen V.A., Wahl A.K., Eilertsen D.E., Hanestad B.R., Weisaeth L. Acute psychological reactions in assault victims of non-domestic violence: peritraumatic dissociation, post-traumatic stress disorder, anxiety and depression // Nordic Journ. of Psychiatry. 2006. № 60 (6). P. 452–462.
12. McBrearty P. The lived experience of victims of crime // International Emergency Nursing. 2011. № 19 (1). P. 20–26.
13. Mohta M., Sethi A. K., Tyagi A., Mohta A. Psychological care in trauma patients // Injury. 2003. № 34 (1). P. 17–25.
14. Stein D.J., Boshoff D., Abrahams H., Daniels F., Traut A., Traut A., de Bruyn J.H., van der Spuy J. Patients presenting with fresh trauma after interpersonal violence. Part I. Alcohol and substance abuse // South African Medical Journ. 1997. № 87 (8). P. 996–998.
15.  Stein D.J., Boshoff D., Abrahams H., Daniels F., Traut A., Traut A., de Bruyn J.H., van der Spuy J. Patients presenting with fresh trauma after interpersonal violence. Part II. Assault history // South African Medical Journ. 1997. № 87 (8). P. 999–1000.