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- Title
PSYCHOLOGICAL DISTRESS, PAIN AND INSURANCE CLAIMS NEGATIVELY AFFECT LONG-TERM HEALTH-RELATED QUALITY OF LIFE AFTER ROAD TRAFFIC IN JURIES.
- Authors
HUNG, Kevin K. C.; KIFLEY, Annette; BROWN, Katherine; JAGNOOR, Jagnoor; CRAIG, Ashley; GABBE, Belinda; DERRETT, Sarah; COLLIE, Alex; DINH, Michael; GOPINATH, Bamini; CAMERON, Ian D.
- Abstract
Objective: A prospective cohort study to investigate how injury and early post-injury psychosocial factors influence health outcomes 12 months after road traffic injury. Methods: Residents of New South Wales, Australia, with road traffic injury in the period 2013-16 were recruited. Explanatory factors were evaluated for outcomes over 12 months using 12-Item Short Form Survey (SF-12) Physical and Mental Component Scores (PCS and MCS). Path models and mediation analysis were used to examine the effect of injury severity and explanatory factors. Results: SF-12 PCS and MCS outcomes were poorer among participants with baseline psychological distress, for all injury severities (β coefficients -3.3 to -9.3, p < 0.0001). Baseline pain and psychological distress, and baseline PCS and MCS were each involved in indirect effects of injury severity on 12-month PCS and MCS. Injury severity, baseline PCS and MCS, and baseline psychological distress were also associated with the likelihood of a compulsory third-party insurance claim, and claiming was negatively associated with 12-month PCS and MCS outcomes (beta coefficients -0.22 and -0.14, respectively, for both, p < 0.01). Conclusion: Baseline factors, including pain, psychological distress and lodging a compulsory third-party insurance claim, negatively impact long-term physical and mental health status following road traffic injury, emphasizing the importance of early screening and intervention.
- Subjects
NEW South Wales; MENTAL health; WOUNDS &; injuries; EVALUATION of medical care; LENGTH of stay in hospitals; PAIN; TRAFFIC accidents; TIME; INTERVIEWING; SEVERITY of illness index; HEALTH insurance reimbursement; PSYCHOLOGICAL tests; HEALTH insurance; QUALITY of life; QUESTIONNAIRES; FACTOR analysis; RESEARCH funding; IMPACT of Event Scale; DESCRIPTIVE statistics; PATH analysis (Statistics); DATA analysis software; PSYCHOLOGICAL distress; LONGITUDINAL method
- Publication
Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation), 2022, Vol 54, p1
- ISSN
1650-1977
- Publication type
Article
- DOI
10.2340/jrm.v54.30