Risk factors for psychological distress following injury.
OBJECTIVES: To identify predictors of psychological morbidity among injured patients admitted to an Emergency Department (ED). DESIGN: A prospective cohort study. PARTICIPANTS: Participants were consecutive male ED attenders. 210 (97.7%) patients consented to participate. At one month, 128 (61.0%) r...
| Publicado en: | British Journal of Clinical Psychology Vol. 45; no. 2; pp. 217 - 231 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106207358&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106207358 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01446657 99B jtl: British Journal of Clinical Psychology issn: 01446657 maglogo: Y pubinfo: dt: Jun2006 vid: 45 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106207358 106207358 2009206990 10.1348/014466505x50158 NLM16719980 106207358 ppf: 217 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Risk factors for psychological distress following injury. aug: au: Mason S Turpin G Woods D Wardrope J Rowlands A affil: Department of Emergency Medicine, Northern General Hospital, Sheffield, UK. sug: subj: Anxiety Disorders Epidemiology Anxiety Disorders Etiology Depression Epidemiology Depression Etiology Wounds and Injuries Epidemiology Wounds and Injuries Psychosocial Factors Adolescence Adult Anxiety Disorders Diagnosis Chi Square Test Depression Diagnosis Descriptive Statistics Eysenck Personality Questionnaire-Revised Factor Analysis Funding Source Hospitals, Urban Impact of Events Scale Male McGill Pain Questionnaire Middle Age Multiple Regression Multivariate Analysis P-Value Psychological Tests Questionnaires Recovery Scales Self Report Semi-Structured Interview Short Form-36 Health Survey (SF-36) T-Tests United Kingdom Human Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male ab: OBJECTIVES: To identify predictors of psychological morbidity among injured patients admitted to an Emergency Department (ED). DESIGN: A prospective cohort study. PARTICIPANTS: Participants were consecutive male ED attenders. 210 (97.7%) patients consented to participate. At one month, 128 (61.0%) responded, at six months, 114 (54.3%), at eighteen months 96 (45.7%). MAIN OUTCOME MEASURES: Measures immediately following injury were the Hospital Anxiety and Depression Scale, the Eysenck Personality Questionnaire and the McGill pain questionnaire. Recovery at one month was recorded using the SF-36 Health Survey, COPE scale, Perceived Stress Scale and Revised Impact of Events Scale. At six and eighteen months outcome was measured using the General Health Questionnaire (28 items) and Revised Impact of Events Scale. Multivariate analysis identified pre-morbid, accident-related and recovery factors influencing outcome at six and eighteen months. RESULTS: The strongest predictors of outcome were initial levels of anxiety and depression, prior history of mental health problems, early PTSD symptoms and involvement in litigation. These factors predicted between 40-60% of the variance at six months (p<0.001), and 50-60% of the variance in psychological distress at eighteen months (p<0.001). CONCLUSION: Factors identifying individuals at-risk from psychological distress following injury include those related to the immediate response and the recovery phases of injury. Further development is needed to convert identified predictors into a comprehensive screening tool for clinical use. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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