135 lines
4.6 KiB
YAML
135 lines
4.6 KiB
YAML
abstract: 'Impact and Implications This is one of the largest studies to date to
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characterize patterns of pain and mental health postinjury, including
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predictors of reduced symptoms over time using a robust registry-based
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cohort. The findings highlight that most characteristics associated with
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reductions in pain or mental health symptoms are not modifiable (e.g.,
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age, education, neighborhood, and employment status). People who are
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experiencing socioeconomic disadvantage and poor health before injury
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are at the greatest risk of experiencing persistent problems after
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injury. Outcomes for those patients could potentially be improved if
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trauma and rehabilitation services provide targeted assessment and
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coordinated treatment early after injury given that risk factors can be
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identified during the trauma admission.
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Purpose/Objective Research: This study aimed to examine patterns of pain
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and mental health after injury, and the patient characteristics
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associated with reductions in those symptoms. Research Method/Design:
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This registry-based observational cohort study included all people >= 16
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years old hospitalized for unintentional injuries from 2007 to 2014 who
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were included in the Victorian State Trauma Registry or Victorian
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Orthopaedic Trauma Outcomes Registry, survived to 12-months postinjury
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and did not have severe brain injury or spinal cord injury (N = 31,073).
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Symptoms and related impacts were measured with pain Numerical Rating
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Scale, EuroQol Five Dimensions Three Level questionnaire (EQ-5D-3L), and
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12-item Short Form Health Survey (SF-12) pain and mental health items at
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6-, 12-, and 24-months postinjury. Symptom patterns over time, and their
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predictors, were examined using Latent Class and Transition Analyses and
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multinomial logistic regression. Results: Four classes were identified:
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(1) Low pain and mental health problems (49-54\%); (2) mental health
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problems only (11-12\%); (3) pain problems only (18-23\%); and (4) pain
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and mental health problems (16-17\%). Most people stayed within the same
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class over time, or transitioned to fewer problems. People who
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transitioned to lower problems had higher socioeconomic status (e.g.,
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higher education level, higher neighborhood-level advantage, and
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employment), better preinjury health (e.g., no disability or substance
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use condition) and noncompensable injuries. Conclusion/Implications:
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Reduced pain and mental health symptoms and related impairments were
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primarily associated with nonmodifiable biological, social, or economic
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characteristics. People with persistent symptoms were often already
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living with social disadvantage preinjury, and may have benefited from
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risk screening and proactive interventions.'
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affiliation: 'Giummarra, MJ (Corresponding Author), Monash Univ, Sch Publ Hlth \&
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Prevent Med, 553 St Kilda Rd, Melbourne, Vic 3004, Australia.
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Giummarra, Melita J.; Dipnall, Joanna F.; Gabbe, Belinda J., Monash Univ, Sch Publ
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Hlth \& Prevent Med, 553 St Kilda Rd, Melbourne, Vic 3004, Australia.
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Giummarra, Melita J., Caulfield Hosp, Caulfield Pain Management \& Res Ctr, Caulfield,
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Australia.
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Dipnall, Joanna F., Deakin Univ, Inst Mental \& Phys Hlth \& Clin Translat, Geelong,
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Vic, Australia.
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Gabbe, Belinda J., Swansea Univ, Med Sch, Hlth Data Res United Kingdom, Swansea,
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W Glam, Wales.'
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author: Giummarra, Melita J. and Dipnall, Joanna F. and Gabbe, Belinda J.
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author-email: melita.giummarra@monash.edu
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author_list:
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- family: Giummarra
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given: Melita J.
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- family: Dipnall
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given: Joanna F.
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- family: Gabbe
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given: Belinda J.
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da: '2023-09-28'
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doi: 10.1037/rep0000453
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earlyaccessdate: JUN 2022
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eissn: 1939-1544
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files: []
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issn: 0090-5550
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journal: REHABILITATION PSYCHOLOGY
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keywords: pain; depression; anxiety; disability; recovery
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keywords-plus: 'POSTTRAUMATIC-STRESS-DISORDER; TRAUMATIC INJURY; DEPRESSION; OUTCOMES;
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DISABILITY; TRAJECTORIES; RESILIENCE; ANXIETY'
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language: English
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month: AUG
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number: '3'
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number-of-cited-references: '47'
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orcid-numbers: 'Giummarra, Melita/0000-0001-7839-6058
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Gabbe, Belinda/0000-0001-7096-7688'
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pages: 405-420
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papis_id: f87873a8562aea63a85eca64bfecc45d
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ref: Giummarra2022registrybasedobserva
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researcherid-numbers: 'Giummarra, Melita/H-8387-2012
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'
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times-cited: '0'
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title: A Registry-Based Observational Cohort Study Examining Patterns of Pain and
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Mental Health Symptoms and Their Impact on Work or Other Activities After Injury
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type: Article
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unique-id: WOS:000811234600001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '67'
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web-of-science-categories: Psychology, Clinical; Rehabilitation
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year: '2022'
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