DENISE KENDRICK DENISE.KENDRICK@NOTTINGHAM.AC.UK
Professor of Primary Care Research
Early risk factors for depression, anxiety and post-traumatic distress after hospital admission for unintentional injury: multicentre cohort study
Kendrick, Denise; Baker, Ruth; Hill, Trevor; Beckett, Kate; Coupland, Carol; Kellezi, Blerina; Joseph, Stephen; Barnes, Jo; Sleney, Judith; Christie, Nicola; Morriss, Richard
Authors
Ruth Baker
TREVOR HILL T.HILL@NOTTINGHAM.AC.UK
Research Assistant
Kate Beckett
CAROL COUPLAND carol.coupland@nottingham.ac.uk
Professor of Medical Statistics
Blerina Kellezi
STEPHEN JOSEPH STEPHEN.JOSEPH@NOTTINGHAM.AC.UK
Professor
Jo Barnes
Judith Sleney
Nicola Christie
RICHARD MORRISS richard.morriss@nottingham.ac.uk
Professor of Psychiatry and Community Mental Health
Abstract
Objective: To quantify psychological morbidity and identify baseline factors associated with depression, anxiety and post-traumatic distress symptoms up to 12 months post-injury.
Methods: Multicentre cohort study of 668 adults, aged 16 to 70, admitted to 4 UK NHS hospital trusts. Data on injury, socio-demographic characteristics and health status was collected at recruitment. Depression, anxiety and post-traumatic distress were measured at 1, 2, 4 and 12 months post-injury. Multilevel linear regression assessed associations between patient and injury characteristics and psychological outcomes over 12 months follow-up.
Results: Depression, anxiety and post-traumatic distress scores were highest 1 month post-injury, and remained above baseline at 2, 4 and 12 months post-injury.
Moderate or severe injuries, previous psychiatric diagnoses, higher pre-injury depression and anxiety scores, middle age (45-64 years), greater deprivation and lower pre-injury quality of life (QoL) were associated with higher depression scores post-injury.
Previous psychiatric diagnoses, higher pre-injury depression and anxiety scores, middle age, greater deprivation and lower pre-injury QoL were associated with higher anxiety scores post-injury.
Traffic injuries or injuries from being struck by objects, multiple injures (≥ 3), being female, previous psychiatric diagnoses, higher pre-injury anxiety scores and greater deprivation were associated with higher post-traumatic distress scores post-injury.
Conclusion: A range of risk factors, identifiable shortly after injury, are associated with psychological morbidity occurring up to 12 months post-injury in a general trauma population. Further research is required to explore the utility of these, and other risk factors in predicting psychological morbidity on an individual patient basis.
Journal Article Type | Article |
---|---|
Acceptance Date | Jun 11, 2018 |
Online Publication Date | Jun 12, 2018 |
Publication Date | Sep 30, 2018 |
Deposit Date | Jun 20, 2018 |
Publicly Available Date | Jun 13, 2019 |
Journal | Journal of Psychosomatic Research |
Print ISSN | 0022-3999 |
Electronic ISSN | 1879-1360 |
Publisher | Elsevier |
Peer Reviewed | Peer Reviewed |
Volume | 112 |
Pages | 15-24 |
DOI | https://doi.org/10.1016/j.jpsychores.2018.06.008 |
Keywords | Depression; Anxiety; PTSD; Injury; Trauma |
Public URL | https://nottingham-repository.worktribe.com/output/950431 |
Publisher URL | https://www.sciencedirect.com/science/article/pii/S0022399917312254 |
Related Public URLs | https://creativecommons.org/licenses/by-nc-nd/4.0/ |
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https://creativecommons.org/licenses/by-nc-nd/3.0/
Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0
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