Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study
Abstract Background Research examining psychological distress in people who have experienced an injury has focused on those with serious injuries or specific injury types, and has not involved long-term follow up. The aims of this investigation were to describe the prevalence of, and factors contrib...
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | Injury Epidemiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40621-021-00337-7 |
| _version_ | 1818441070876295168 |
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| author | Amy E. Richardson Sarah Derrett Ariyapala Samaranayaka Emma H. Wyeth |
| author_facet | Amy E. Richardson Sarah Derrett Ariyapala Samaranayaka Emma H. Wyeth |
| author_sort | Amy E. Richardson |
| collection | DOAJ |
| description | Abstract Background Research examining psychological distress in people who have experienced an injury has focused on those with serious injuries or specific injury types, and has not involved long-term follow up. The aims of this investigation were to describe the prevalence of, and factors contributing to, psychological distress in a cohort of people with a broad range of injuries. Methods The Prospective Outcomes of Injury Study (POIS) is a longitudinal cohort study of 2856 injured New Zealanders recruited from a national insurance entitlement claims register between 2007 and 2009. Participants were interviewed approximately 3, 12, and 24 months after their injury. The Kessler Psychological Distress Scale (K6) was used to measure psychological distress at each interview. Results 25% of participants reported clinically relevant distress (K6 ≥ 8) 3 months post-injury, 15% reported distress at 12 months, and 16% reported distress at 24 months. Being 45 years or older, Māori or Pacific ethnicity, experiencing pre-injury mental health conditions, having inadequate pre-injury income, reporting poor pre-injury health or trouble accessing healthcare, having a severe injury or an injury resulting from assault, and reporting clinically relevant distress 3 months post-injury were independently associated with an increased risk of distress 12 months post-injury. The majority of these associations were also evident with respect to distress 24 months post-injury. Conclusions Distress is common after injury among people with a broad range of injury types and severities. Screening for distress early after injury is important to identify individuals in need of targeted support. |
| first_indexed | 2024-12-14T18:22:25Z |
| format | Article |
| id | doaj.art-8bebea14ec7a49859e15ec8c63a48371 |
| institution | Directory Open Access Journal |
| issn | 2197-1714 |
| language | English |
| last_indexed | 2024-12-14T18:22:25Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Injury Epidemiology |
| spelling | doaj.art-8bebea14ec7a49859e15ec8c63a483712022-12-21T22:52:02ZengBMCInjury Epidemiology2197-17142021-06-018111410.1186/s40621-021-00337-7Prevalence and predictors of psychological distress following injury: findings from a prospective cohort studyAmy E. Richardson0Sarah Derrett1Ariyapala Samaranayaka2Emma H. Wyeth3Injury Prevention Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of OtagoInjury Prevention Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of OtagoBiostatistics Centre, Division of Health Sciences, University of OtagoNgāi Tahu Māori Health Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of OtagoAbstract Background Research examining psychological distress in people who have experienced an injury has focused on those with serious injuries or specific injury types, and has not involved long-term follow up. The aims of this investigation were to describe the prevalence of, and factors contributing to, psychological distress in a cohort of people with a broad range of injuries. Methods The Prospective Outcomes of Injury Study (POIS) is a longitudinal cohort study of 2856 injured New Zealanders recruited from a national insurance entitlement claims register between 2007 and 2009. Participants were interviewed approximately 3, 12, and 24 months after their injury. The Kessler Psychological Distress Scale (K6) was used to measure psychological distress at each interview. Results 25% of participants reported clinically relevant distress (K6 ≥ 8) 3 months post-injury, 15% reported distress at 12 months, and 16% reported distress at 24 months. Being 45 years or older, Māori or Pacific ethnicity, experiencing pre-injury mental health conditions, having inadequate pre-injury income, reporting poor pre-injury health or trouble accessing healthcare, having a severe injury or an injury resulting from assault, and reporting clinically relevant distress 3 months post-injury were independently associated with an increased risk of distress 12 months post-injury. The majority of these associations were also evident with respect to distress 24 months post-injury. Conclusions Distress is common after injury among people with a broad range of injury types and severities. Screening for distress early after injury is important to identify individuals in need of targeted support.https://doi.org/10.1186/s40621-021-00337-7InjuryPsychological distressMental healthInjury outcomesPredictorsIncome |
| spellingShingle | Amy E. Richardson Sarah Derrett Ariyapala Samaranayaka Emma H. Wyeth Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study Injury Epidemiology Injury Psychological distress Mental health Injury outcomes Predictors Income |
| title | Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study |
| title_full | Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study |
| title_fullStr | Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study |
| title_full_unstemmed | Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study |
| title_short | Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study |
| title_sort | prevalence and predictors of psychological distress following injury findings from a prospective cohort study |
| topic | Injury Psychological distress Mental health Injury outcomes Predictors Income |
| url | https://doi.org/10.1186/s40621-021-00337-7 |
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