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