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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 3/2020

01-03-2020 | Post-Traumatic Stress Disorder | Original Paper

Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study

Authors: C. Pélissier, E. Fort, L. Fontana, M. Hours

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 3/2020

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Abstract

Purpose

Psychosocial consequences of road accidents are a major clinical problem that incurs significant social, occupational, and economic costs. The purpose of our study was to assess medical and socio-occupational factors of psychological distress in the severely injured 5 years after a road accident.

Methods

A total of 691 of the 1168 subjects enrolled in a prospective cohort of road accident casualties (ESPARR cohort) responded to both standardized follow-up questionnaires at 1 and 5 years, assessing socio-occupational characteristics, physical and psychological sequelae, pain and perceived quality of life.

Results

One quarter of participants exhibited psychological distress 5 years after the road accident; most of whom are women, with low educational level, and suffering from spinal lesions. After adjusting for several factors, psychological distress at 5 years was predicted by female gender and low educational level, and by several other factors observed 1 year after the road accident: poor self-reported quality of life, attention deficit and symptoms of anxiety.

Conclusions

Early-stage improvement in the screening and care of mental disorders in road accident casualties should help to reduce long-term psychological distress.
Literature
1.
Wesson HKH, Boikhutso N, Bachani AM, Hofman KJ, Hyder AA (2014) The cost of injury and trauma care in low- and middle-income countries: a review of economic evidence. Health Policy Plan 29(6):795–808CrossRef
2.
Nhac-Vu H-T, Hours M, Chossegros L, Charnay P, Tardy H, Martin J-L et al (2014) Prognosis of outcome in adult survivors of road accidents in france: one-year follow-up in the ESPARR cohort. Traffic Inj Prev 15(2):138–147CrossRef
3.
Kenardy J, Heron-Delaney M, Warren J, Brown E (2015) The effect of mental health on long-term health-related quality of life following a road traffic crash: results from the UQ SuPPORT study. Injury 46(5):883–890CrossRef
4.
Mayou R, Bryant B, Duthie R (1993) Psychiatric consequences of road traffic accidents. Br Med J 307(6905):647–651CrossRef
5.
6.
Kenardy J, Edmed SL, Shourie S, Warren J, Crothers A, Brown EA et al (2018) Changing patterns in the prevalence of posttraumatic stress disorder, major depressive episode and generalized anxiety disorder over 24 months following a road traffic crash: results from the UQ SuPPORT study. J Affect Disord 15(236):172–179CrossRef
7.
Guest R, Tran Y, Gopinath B, Cameron ID, Craig A (2016) Prevention of the development of psychological distress following a motor vehicle crash: study protocol for a randomized controlled trial. Trials 17(1):317CrossRef
8.
Mayou R, Bryant B (2002) Outcome 3 years after a road traffic accident. Psychol Med 32(4):671–675CrossRef
9.
Mayou R, Bryant B (2001) Outcome in consecutive emergency department attenders following a road traffic accident. Br J Psychiatry J Ment Sci 179:528–534CrossRef
10.
Kenardy J, Heron-Delaney M, Warren J, Brown EA (2015) Effect of mental health on long-term disability after a road traffic crash: results from the UQ SuPPORT study. Arch Phys Med Rehabil 96(3):410–417CrossRef
11.
Schnyder U, Moergeli H, Klaghofer R, Buddeberg C (2001) Incidence and prediction of posttraumatic stress disorder symptoms in severely injured accident victims. Am J Psychiatry 158(4):594–599CrossRef
12.
Khati I, Hours M, Charnay P, Chossegros L, Tardy H, Nhac-Vu H-T et al (2013) Quality of life one year after a road accident: results from the adult ESPARR cohort. J Trauma Acute Care Surg 74(1):301–311CrossRef
13.
14.
Hours M, Bernard M, Charnay P, Chossegros L, Javouhey E, Fort E et al (2010) Functional outcome after road-crash injury: description of the ESPARR victims cohort and 6-month follow-up results. Acid Anal Prev. 42(2). https://​trid.​trb.​org/​view/​914184. Accessed 20 Apr 2018CrossRef
15.
Hours M, Fort E, Charnay P, Bernard M, Martin JL, Boisson D et al (2008) Diseases, consumption of medicines and responsibility for a road crash: a case–control study. Accid Anal Prev 40(5):1789–1796CrossRef
16.
The abbreviated injury scale (1990) Assoc Adv Automot Med AAAM Plaines II 60018 USA 74
17.
Michaels AJ, Michaels CE, Smith JS, Moon CH, Peterson C, Long WB (2000) Outcome from injury: general health, work status, and satisfaction 12 months after trauma. J Trauma 48(5):841–848 (discussion 848–850) CrossRef
18.
Politi PL, Piccinelli M, Wilkinson G (1994) Reliability, validity and factor structure of the 12-item General Health Questionnaire among young males in Italy. Acta Psychiatr Scand 90(6):432–437CrossRef
19.
Gao F, Luo N, Thumboo J, Fones C, Li SC, Cheung YB (2004) Does the 12-item General Health Questionnaire contain multiple factors and do we need them? Health Qual Life Outcomes 2:63CrossRef
20.
Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O et al (1997) The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 27(1):191–197CrossRef
21.
Ventureyra VAG, Yao S-N, Cottraux J, Note I, De Mey-Guillard C (2002) The validation of the Posttraumatic Stress Disorder Checklist Scale in posttraumatic stress disorder and nonclinical subjects. Psychother Psychosom 71(1):47–53CrossRef
22.
Skevington SM, Lotfy M, O’Connell KA (2004) The World Health Organization’s WHOQOL-BREF Quality of Life Assessment: psychometric Properties and Results of the International Field Trial A Report from the WHOQOL Group. Qual Life Res 13(2):299–310CrossRef
23.
24.
Strebel HM, Ettlin T, Annoni J-M, Caravatti M, Jan S, Gianella C (2004) Diagnostic et traitement du traumatisme crânio-cervical par accélération (ou coup du lapin) à la phase aiguë. Forum Med 17:1119–1125
25.
Limosin F, Loze J-Y, Cothereau C, Beaurepaire CD, Payan C, Conso F et al (2006) A prospective study of the psychological effects of “person under train” incidents on drivers. J Psychiatr Res 8(40):755–761CrossRef
26.
Holbrook TL, Anderson JP, Sieber WJ, Browner D, Hoyt DB (1999) Outcome after major trauma: 12-month and 18-month follow-up results from the Trauma Recovery Project. J Trauma 46(5):765–771 (discussion 771–773) CrossRef
27.
Kendrick D, Vinogradova Y, Coupland C, Christie N, Lyons RA, Towner EL (2012) Getting back to work after injury: the UK Burden of Injury multicentre longitudinal study. BMC Public Health 12(1):584CrossRef
28.
Bhutani S, Bhutani J, Chhabra A, Uppal R (2016) Living with amputation: anxiety and depression correlates. J Clin Diagn Res JCDR 10(9):RC09–RC12PubMed
29.
Papadakaki M, Ferraro OE, Orsi C, Otte D, Tzamalouka G, von-der Geest M et al (2017) Psychological distress and physical disability in patients sustaining severe injuries in road traffic crashes: results from a one-year cohort study from three European countries. Injury. 48(2):297–306CrossRef
30.
Phillips LA, Carroll LJ, Cassidy JD, Côté P (2010) Whiplash-associated disorders: who gets depressed? Who stays depressed? Eur Spine J 6(19):945–956CrossRef
31.
Mayou R, Bryant B, Ehlers A (2001) Prediction of psychological outcomes one year after a motor vehicle accident. Am J Psychiatry 158(8):1231–1238CrossRef
32.
Berglund A, Bodin L, Jensen I, Wiklund A, Alfredsson L (2006) The influence of prognostic factors on neck pain intensity, disability, anxiety and depression over a 2-year period in subjects with acute whiplash injury. Pain 125(3):244–256CrossRef
33.
Mayou R, Bryant B (2003) Consequences of road traffic accidents for different types of road user. Injury 34(3):197–202CrossRef
34.
35.
Carroll LJ, Cassidy JD, Côté P (2006) The role of pain coping strategies in prognosis after whiplash injury: passive coping predicts slowed recovery. Pain 124(1–2):18–26CrossRef
36.
37.
Craig A, Tran Y, Middleton J (2009) Psychological morbidity and spinal cord injury: a systematic review. Spinal Cord 47(2):108–114CrossRef
38.
Ruff RM (2011) Mild traumatic brain injury and neural recovery: rethinking the debate. NeuroRehabilitation 28(3):167–180CrossRef
39.
Clay FJ, Newstead SV, McClure RJ (2010) A systematic review of early prognostic factors for return to work following acute orthopaedic trauma. Injury 41(8):787–803CrossRef
40.
Benedictus MR, Spikman JM, van der Naalt J (2010) Cognitive and behavioral impairment in traumatic brain injury related to outcome and return to work. Arch Phys Med Rehabil 9(91):1436–1441CrossRef
41.
Matthews LR (2005) Work potential of road accident survivors with post-traumatic stress disorder. Behav Res Ther 43(4):475–483CrossRef
42.
Wang C-H, Tsay S-L, Elaine Bond A (2005) Post-traumatic stress disorder, depression, anxiety and quality of life in patients with traffic-related injuries. J Adv Nurs 52(1):22–30CrossRef
43.
Pupo MC, Serafim PM, de Mello MF (2015) Health-related quality of life in posttraumatic stress disorder: 4 years follow-up study of individuals exposed to urban violence. Psychiatry Res 3(228):741–745CrossRef
44.
Salama-Younes M, Montazeri A, Ismail A (2009) Factor structure and internal consistency of the 12-item General Health Questionnaire (GHQ-12) and the Subjective Vitality Scale (VS), and the relationship between them: a study from France. Health Qual Life Outcomes. 7(1):22CrossRef
Metadata
Title
Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study
Authors
C. Pélissier
E. Fort
L. Fontana
M. Hours
Publication date
01-03-2020
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 3/2020
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-019-01780-0

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