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标题：Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study
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作者：Amy E. Richardson ; Sarah Derrett ; Ariyapala Samaranayaka 等
期刊名称：Injury Epidemiology
印刷版ISSN：2197-1714
出版年度：2021
卷号：8
期号：1
页码：1-14
DOI：10.1186/s40621-021-00337-7
出版社：BioMed Central
摘要：Research examining psychological distress in people who have experienced an injury has focused on those with serious injuries or specific injury types, and has not involved long-term follow up. The aims of this investigation were to describe the prevalence of, and factors contributing to, psychological distress in a cohort of people with a broad range of injuries. The Prospective Outcomes of Injury Study (POIS) is a longitudinal cohort study of 2856 injured New Zealanders recruited from a national insurance entitlement claims register between 2007 and 2009. Participants were interviewed approximately 3, 12, and 24 months after their injury. The Kessler Psychological Distress Scale (K6) was used to measure psychological distress at each interview. 25% of participants reported clinically relevant distress (K6 ≥ 8) 3 months post-injury, 15% reported distress at 12 months, and 16% reported distress at 24 months. Being 45 years or older, Māori or Pacific ethnicity, experiencing pre-injury mental health conditions, having inadequate pre-injury income, reporting poor pre-injury health or trouble accessing healthcare, having a severe injury or an injury resulting from assault, and reporting clinically relevant distress 3 months post-injury were independently associated with an increased risk of distress 12 months post-injury. The majority of these associations were also evident with respect to distress 24 months post-injury. Distress is common after injury among people with a broad range of injury types and severities. Screening for distress early after injury is important to identify individuals in need of targeted support.
关键词：Injury ; Psychological distress ; Mental health ; Injury outcomes ; Predictors ; Income ; Healthcare access