Psychosocial factors limit outcomes after trauma.
Annual Meeting of the Western Trauma Association. Snowbird, UT, USA, 1997/03/01.
Psychological morbidity compromises return to work after trauma.
We demonstrate this relationship and present methods to identify risks for significant psychological morbidity.
Thirty-five adults were evaluated prospectively for return to functional employment after injury using demographic data, validated psychological and health measures, and the Michigan Critical Events Perception Scale.
Evaluation was conducted at admission and at 1 and 5 months after injury.
Poor return to work at 5 months was attributable to physical disability (p<0.05) and psychological disturbance (p<0.05) in a regression model that controlled for preinjury employment and psychopathologic factors as well as injury severity.
A high score on the Impact of Events Scale administered during acute admission predicted development of acute stress disorder at 1 month (p<0.01, odds ratio (OR)=9.4) and posttraumatic stress disorder at 5 months (p<0.05, OR=6.7).
Peritraumatic dissociation on the Michigan Critical Events Perception Scale was predictive for development of acute stress disorder (p<0.05, OR=5.8) at 1 month and posttraumatic stress disorder (p<0.05, OR=7.5) at 5 months.
Psychological morbidity after injury compromises return to work independent of preinjury employment and psychopathologic condition, Injury Severity Score, or ambulation.
A high Impact of Events Scale score or peritraumatic dissociation at admission predicts this morbidity.
Mots-clés Pascal : Traumatisme, Effet psychologique, Relation, Morbidité, Temps attente, Reprise travail, Etude statistique, Homme, Psychopathologie
Mots-clés Pascal anglais : Trauma, Psychological effect, Relation, Morbidity, Waiting time, Back to work, Statistical study, Human, Psychopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0238422
Code Inist : 002B18F01. Création : 11/09/1998.