Skip to main content

Research Repository

Advanced Search

The impact of psychological factors on recovery from injury: a multicentre cohort study

Kellezi, Blerina; Coupland, Carol; Morriss, Richard; Beckett, Kate; Joseph, Stephen; Barnes, Jo; Christie, Nicola; Sleney, Judith; Kendrick, Denise

Authors

Blerina Kellezi

CAROL COUPLAND carol.coupland@nottingham.ac.uk
Professor of Medical Statistics

RICHARD MORRISS richard.morriss@nottingham.ac.uk
Professor of Psychiatry & Community Mental Health

Kate Beckett

Jo Barnes

Nicola Christie

Judith Sleney

DENISE KENDRICK denise.kendrick@nottingham.ac.uk
Professor of Primary Care Research



Abstract

Purpose
Unintentional injuries have a significant long-term health impact in working age adults. Depression, anxiety and post-traumatic stress disorder are common post-injury, but their impact on self-reported recovery has not been investigated in general injury populations. This study investigated the role of psychological predictors 1 month post-injury in subsequent self-reported recovery from injury in working-aged adults.
Methods
A multicentre cohort study was conducted of 668 unintentionally injured adults admitted to five UK hospitals followed up at 1, 2, 4 and 12 months post-injury. Logistic regression explored relationships between psychological morbidity 1 month post-injury and self-reported recovery 12 months post-injury, adjusting for health, demographic, injury and socio-legal factors. Multiple imputations were used to impute missing values.
Results
A total of 668 adults participated at baseline, 77% followed up at 1 month and 63% at 12 months, of whom 383 (57%) were included in the main analysis. Multiple imputation analysis included all 668 participants. Increasing levels of depression scores and increasing levels of pain at 1 month and an increasing number of nights in hospital were associated with significantly reduced odds of recovery at 12 months, adjusting for age, sex, centre, employment and deprivation. The findings were similar in the multiple imputation analysis, except that pain had borderline statistical significance.
Conclusions
Depression 1 month post-injury is an important predictor of recovery, but other factors, especially pain and nights spent in hospital, also predict recovery. Identifying and managing depression and providing adequate pain control are essential in clinical care post-injury.

Citation

Kellezi, B., Coupland, C., Morriss, R., Beckett, K., Joseph, S., Barnes, J., …Kendrick, D. (2016). The impact of psychological factors on recovery from injury: a multicentre cohort study. Social Psychiatry and Psychiatric Epidemiology, 52(7), https://doi.org/10.1007/s00127-016-1299-z

Journal Article Type Article
Acceptance Date Oct 16, 2016
Publication Date Nov 1, 2016
Deposit Date Jan 10, 2017
Publicly Available Date Jan 10, 2017
Journal Social Psychiatry and Psychiatric Epidemiology
Print ISSN 0933-7954
Electronic ISSN 1433-9285
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 52
Issue 7
DOI https://doi.org/10.1007/s00127-016-1299-z
Keywords unintentional injury; recovery; depression; psychological; longitudinal
Public URL http://eprints.nottingham.ac.uk/id/eprint/39733
Publisher URL http://link.springer.com/article/10.1007%2Fs00127-016-1299-z
Related Public URLs https://creativecommons.org/licenses/by/4.0/
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

Files

Kellezi Soc Psych Psychiatr Epid 2016.pdf (525 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





You might also like



Downloadable Citations