A cross-sectional study of psychological complaints and quality of life in severely injured patients

Delft-Schreurs, C.C.H.M. van; Bergen, Jenny; Sande, Peter van de; Verhofstad, M.H.J.; Vries, Jolanda De; Jongh, Mariska A. C. de

doi:10.1007/s11136-013-0546-y

Cited by 17 publications

(19 citation statements)

References 47 publications

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Section: Discussionsupporting

confidence: 92%

“…In line with our results (Van Delft-Schreurs et al, 2014) found that 30.1% of the injured patients had psychological complaints. They didn't find relationship between psychological complaints and somatic severity or type of injury (Van Delft-Schreurs et al, 2014). Mayou and Bryant (2001) reported that 32% of injured patients complain of psychiatric consequences after 1 year following a road traffic accident (Mayou and Bryant, 2001).…”

Section: Discussionsupporting

confidence: 92%

“…However, this is needed to follow for long term, because the physical symptoms may be due to damaged organs. In contrast to previous studies which found PTSD (Kassam-Adams, 2014;Van Delft-Schreurs et al, 2014), driving phobia (Ehring et al, 2008), acute stress (Ehring et al, 2008;Ursano et al, 1999) and other anxiety disorders . We did not find difference between two groups with respect to anxiety symptoms.…”

Section: Discussioncontrasting

confidence: 67%

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Association Between Mental Health and Traffic Accidents Injuries in Iranian Men

Khademvata¹,

Masoumi²,

Forouzan³

et al. 2014

Asian J. of Epidemiology

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Study of psychological consequences in traffic accident injured has received little attention in Iran. This study aimed to examine association between mental health and traffic related injuries in injured patients admitted into Emergency Department of Golestan hospital affiliated to Jundishapur University of Medical Sciences in Ahvaz, Iran. This study was done on a total of 102 injured men involved in traffic accidents as driver. The controls were consisted of 87 men that were selected from general population and had no history of traffic accident. The data was gathered using General Health Questionnaire (GHQ) and analyzed through multiple univariate Analyses of Variance (ANOVAs). There was a significant difference between individuals with traffic accident and control group in mental health, physical symptoms, depression and social functioning all (p<0.001). Difference in anxiety/insomnia was not significant (p>0.05). There were significant differences between two group in education, occupation status and marital status all (p<0.001). Traffic injuries were associated with mental health and physical symptoms, depression and social functioning components of GHQ. These results highlight the individual burden related to traffic accidents in Iran.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 67%

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Association Between Mental Health and Traffic Accidents Injuries in Iranian Men

Khademvata¹,

Masoumi²,

Forouzan³

et al. 2014

Asian J. of Epidemiology

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“…35 An association between psychological complaints and the QOL had previously been determined in our study population. 18 Because an association between physical complaints and QOL had also been found, 13 multiple linear regression analyses were performed to determine whether that association could partially be explained by the physical limitations of the patients. The missing SMFA scores were completely missing at random concerning age, gender, admission time and type and severity of injury.…”

Section: Discussionmentioning

confidence: 99%

“…[16][17][18][19][20] It is known that traumatic experiences such as a life-threatening experience or a severe accident can cause psychological problems, such as anxiety, depression, or posttraumatic stress disorder (PTSD). The patients who develop these symptoms may be more bothered by similar physical complaints than the patients without psychological problems.…”

Section: Introductionmentioning

confidence: 99%

The relationship between physical and psychological complaints and quality of life in severely injured patients

Delft-Schreurs

Son²,

Jongh

et al. 2017

Injury

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Purpose: The purpose of this study was two-fold. The first goal was to investigate which variables were associated with the remaining physical limitations of severely injured patients after the initial rehabilitation phase. Second, we investigated whether physical limitations were attributable to the association between psychological complaints and quality of life in this patient group. Differences in physical limitations were investigated for several trauma-and patient-related variables using non-parametric independent-sample Mann-Whitney U tests. Multiple linear regression was performed to investigate whether the decreased QOL of severely injured patients with psychological complaints could be explained by their physical limitations. Results:Older patients, patients with physical complaints before the injury, patients with higher ISS scores, and patients who had an injury of the spine or of the lower extremities reported significantly more physical problems. Additionally, patients with a low education level, patients who were living alone, and those who were unemployed reported significantly more long-term physical problems.Severely injured patients without psychological complaints reported significantly less physical limitations than those with psychological complaints. The SMFA factor of Lower extremity dysfunction was a confounder of the association between psychological complaints and QOL in all QOL domains.Conclusions: Long-term physical limitations were mainly reported by patients with psychological complaints. The decreased QOL of severely injured patients with psychological complaints can partially be explained by physical limitations, particularly those involving lower extremity function. Experienced physical limitations were significantly different for some trauma and patient characteristics. These characteristics may be used to select patients for whom a rehabilitation programme would be useful.

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Systematic Review of the Association Between Trauma Severity and Postinjury Symptoms of Depression

et al. 2022

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Background Greater symptoms of depression are associated with greater symptom intensity during recovery from musculoskeletal injury. It is not clear that more severe trauma is associated with greater symptoms of depression as one might expect. The goal of this study was to systematically review the existing evidence regarding the association of Injury Severity Score (ISS) with symptoms of depression during recovery from musculoskeletal injury. Methods Two independent reviewers used PubMed and Embase to identify studies that measured both ISS and symptoms of depression. Among the 17 studies satisfying inclusion criteria, 5 studies assessed the correlation of symptoms of depression and ISS on their continuum; 3 studies compared the mean of symptoms of depression for people above and below a specific ISS level; five compared mean ISS above and below a threshold level of symptoms of depression; and four compared dichotomized ISS and dichotomized depression. Four of the 17 evaluated factors associated with symptoms of depression in multivariable analysis. Results In bivariate analysis, 12 of 17 studies (71%) found no association between ISS level and symptoms of depression. Three studies found a bivariate association that did not persist in multivariable analysis. Two studies reported slight associations in bivariate analysis, but did not perform multivariable analysis. Conclusions The knowledge that symptoms of depression are common during recovery, in combination with the finding of this review that they have little or no relationship with injury severity, directs clinicians to anticipate and address mental health during recovery from physical trauma of any severity.

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A cross-sectional study of psychological complaints and quality of life in severely injured patients

Abstract: Psychological complaints seem to be an important and underestimated factor for a decreased QOL among severely injured patients.

Cited by 17 publications

References 47 publications

Association Between Mental Health and Traffic Accidents Injuries in Iranian Men

Association Between Mental Health and Traffic Accidents Injuries in Iranian Men

The relationship between physical and psychological complaints and quality of life in severely injured patients

Systematic Review of the Association Between Trauma Severity and Postinjury Symptoms of Depression

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