Higher psychological distress is associated with unintentional injuries in US adults

McAninch, Jana K.; Greene, Christina; Sorkin, John D.; Lavoie, Marie‐Claude; Smith, Gordon S.

doi:10.1136/injuryprev-2013-040958

Cited by 26 publications

(18 citation statements)

References 28 publications

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“…22 As alluded to earlier, self-reported fear predicted physical performance in participants returning to sport after surgery, 15 and psychological distress was linked to injury prevalence in adult populations. 17 Our findings suggest that such mind-body connections may be extrapolated to FM characteristics in a military population. However, the observed associations were limited to a measure of trauma exposure across an individual's life, rather than a more focused measure of combat exposure.…”

Section: Discussionmentioning

confidence: 63%

“…Further, psychological distress has been linked to increased injury prevalence due to falls, sprains, and strains in adult populations, for which proposed mechanisms included impaired concentration, perceptual errors, and psychomotor dysfunction. 17 However, scientific work exploring psychological influences on FM or injury risk in military populations is lacking. 18 This is surprising, not only because of the ubiquity of psychologically salient events in the military but also because of the importance of injury resistance in this domain.…”

mentioning

confidence: 99%

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Trauma Exposure and Functional Movement Characteristics of Male Tactical Athletes

Taylor

Hernández

Sessoms

et al. 2020

Journal of Athletic Training

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Context: Tactical athletes commonly experience high levels of physical stress, which may increase their risk of musculoskeletal injury. It is critical to understand psychological predictors of functional movement (FM), which may help prevent musculoskeletal injury in this population.Objective: To determine the associations of combat and trauma exposure with FM characteristics of male tactical athletes. Secondary objectives were to explore confounding influences of age and physical injury history as well as the mediating role of bodily pain.Design: Cross-sectional study. Setting: Research laboratory. Patients or Other Participants: Eighty-two healthy, male, active-duty US Navy Explosive Ordnance Disposal personnel (age ¼ 34.0 6 6.7 years).Main Outcome Measure(s): Participants completed measures of combat exposure, trauma exposure, physical injury history, and bodily pain. We assessed FM characteristics (ie, Functional Movement Screen [FMS], Y-Balance Test), from which we derived a composite functional status (CFS) measure.Hypotheses were tested using correlational and multiple regression (causal-steps) models.Results: In unadjusted models, trauma exposure was inversely associated with the FMS (P ¼ .005) and CFS (P ¼ .009) scores. In adjusted models, these relationships were robust to the confounding influences of age and physical injury history. Trauma exposure and bodily pain were substantive, independent predictors of FMS and CFS in causal-steps models (all P values , .05), implying additive rather than mediated effects (R 2 adj ¼ 0.18-0.20). Combat exposure did not predict FM characteristics.Conclusions: To our knowledge, this is the first evidence of the influence of trauma exposure on the FM characteristics of male tactical athletes, independent of age, physical injury, and bodily pain. This program of research may help to advance the prevention and treatment of musculoskeletal injuries in the tactical environment.Greater trauma exposure was associated with lower scores for functional movement. The influence of trauma exposure on functional movement was neither confounded by physical injury nor mediated by bodily pain. These findings will inform algorithms that are designed to predict injury risk in military and other tactical athletes. Clinicians and researchers in sports medicine and orthopaedic settings should consider the individual's trauma history when performing preparticipation physical screening and assessment after injury.

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Section: Discussionmentioning

confidence: 63%

mentioning

confidence: 99%

Trauma Exposure and Functional Movement Characteristics of Male Tactical Athletes

Taylor

Hernández

Sessoms

et al. 2020

Journal of Athletic Training

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“…[2] Whilst CMD has been highlighted as an important health outcome in it's own right, CMD has been linked to an increased risk of suicide, unintentional injury and chronic disease such as cardiovascular events and selected cancers. [3][4][5][6] There is potential to prevent depression with regular physical activity (PA) and exercise. [7] Results from a recent meta-analysis of prospective cohort studies showed regular high levels of PA was associated with lowered odds of future depressive symptoms irrespective of age and sex.…”

Section: Introductionmentioning

confidence: 99%

Association between device measured and self-reported sitting in relation to depression: the 1970 British Cohort Study

Webster

Batty

Pearson

et al. 2020

Preprint

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Aims While physical activity appears to confer protection against depression, the relationship between sedentary behaviour and mental health is uncertain. Self-reported methods provide information about context although there may be error in the quantification of sedentary behaviour. Accordingly, we examined associations of both device-measured and self-reported sedentary behaviour with depression. Method Participants (n=4,704; 52.4% Female; aged 46-48) were drawn from the 1970 British Cohort Study. Sitting time and moderate-vigorous physical activity was measured using a thigh-worn accelerometer device (ActivPAL) over a seven day period. A range of self-reported sedentary behaviours was measured to provide context. Depression diagnosis was captured using a combination of self-reported consultation with a physician and use of anti-depressant medication. Malaise inventory was used to assess depressive symptoms. Results Relative to those who spent <8 hr/d sitting, those in the highest tertile of device measured sitting (>10 hr/d) had increased odds of depression diagnosis (odds ratio= 1.48 [95% confidence interval 1.05-2.08]). There was no association between self-reported TV viewing and depression diagnosis (1.07; 0.71-1.63). We observed protective associations between moderate-vigorous physical activity and depression diagnosis (highest tertile vs. the lowest tertile; 0.70;0.49-1.00). Associations of sitting time and physical activity with depression were mutually independent. Relative to <1 hours of internet usage, 2-3 and >3 hours of internet weekday usage were associated with increased odds of depressive symptoms (1.60;1.30-1.97 and 1.63;1.32-2.03, respectively). Conclusion Device-measured sitting is associated depression diagnosis, although less consistent associations are observed with self-reported sedentary behaviours. Regular physical activity and reducing sedentary time may be beneficial for prevention of depression.

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“…Psychological distress and mental disorders are related to UI [2,3]. Previous studies have reported that depression is an important factor related to UI in different populations, including children, adolescents, retired employees, geriatrics, and the general population [4–10].…”

Section: Introductionmentioning

confidence: 99%

Unintentional Injuries among Psychiatric Outpatients with Major Depressive Disorder

2016

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BackgroundNo study has investigated the percentages of and factors related to unintentional injuries among psychiatric outpatients with major depressive disorder (MDD). This study aimed to investigate these issues.MethodsOne-hundred and forty-one outpatients with MDD at baseline were enrolled from psychiatric outpatients by systematic sampling, and 119 subjects attended a one-year follow-up. Self-reported unintentional injuries in the past one year were recorded. Psychiatric disorders were diagnosed using the Structured Clinical Interview for DSM-IV-TR. The severity of depression was evaluated by the Hamilton Depression Rating Scale. Other data, including body weight and height, cigarette smoking, headaches, and medications, were collected. Generalized Estimating Equations were used to investigate independent factors related to unintentional injuries.ResultsAt baseline and follow-up, 40.4% and 27.7% of subjects had experienced at least one unintentional injury in the past one year, respectively. About half of subjects with unintentional injuries needed medical treatment for injuries and had functional impairment due to injuries. A greater severity of depression, cigarette smoking, a higher body mass index, and an older age were independent risk factors related to unintentional injuries.ConclusionUnintentional injuries that increased the medical burden and functional impairment were common among outpatients with MDD and should not be neglected. Treatment of depression, control of body weight, and quitting cigarettes might be helpful to prevent unintentional injuries.

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Higher psychological distress is associated with unintentional injuries in US adults

Cited by 26 publications

References 28 publications

Trauma Exposure and Functional Movement Characteristics of Male Tactical Athletes

Trauma Exposure and Functional Movement Characteristics of Male Tactical Athletes

Association between device measured and self-reported sitting in relation to depression: the 1970 British Cohort Study

Unintentional Injuries among Psychiatric Outpatients with Major Depressive Disorder

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