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01-11-2007 | Original Article

Quality of life after multiple trauma: the effect of early onset psychotherapy on quality of life in trauma patients

Authors: Nicola Pirente, Christine Blum, Silja Wortberg, Sevgi Bostanci, Eva Berger, Rolf Lefering, Bertil Bouillon, Klaus E. Rehm, Edmund A. M. Neugebauer

Published in: Langenbeck's Archives of Surgery | Issue 6/2007

Abstract

Background and aims

The aim of this study was to improve health-related quality of life (HRQOL) related to depression, anxiety, pain, physical functioning and social aspects for severely injured trauma survivors by early onset cognitive behavioural therapy applied on the surgical ward.

Materials and methods

The study was a randomised, controlled study. Of 298 primary screened patients 171 were eligible and randomised. Ninety-two patients adhered to follow-up investigations at 6 and 12 months. Main outcome measure was a sum score according to O’Brien calculated of five different questionnaires (BDI, SF-36, STAI, SCL 90R, F-SOZU-22).

Results

The sum score for overall HRQOL did not show significant group differences at follow-up. Effects on HRQOL sub-dimensions within groups have been found. In the dimension of depression therapy group showed significant improvement from the first measurement to discharge from hospital (p < 0.001), 6 MFU (p = 0.004) and to 12 MFU (p = 0.013). Measures of anxiety showed significant improvement for the therapy group at discharge from hospital (p = 0.001). In the control group there was only a significant reduction in depression and anxiety from surgical ward to discharge (p = 0.013/p = 0.031).

Conclusions

Early onset cognitive therapy is not effective in improving overall HRQOL of severely injured patients but shows promising effects on depression and anxiety up to 12 months after trauma.

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Title: Quality of life after multiple trauma: the effect of early onset psychotherapy on quality of life in trauma patients
Authors: Nicola Pirente
Christine Blum
Silja Wortberg
Sevgi Bostanci
Eva Berger
Rolf Lefering
Bertil Bouillon
Klaus E. Rehm
Edmund A. M. Neugebauer
Publication date: 01-11-2007
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 6/2007
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-007-0171-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Quality of life after multiple trauma: the effect of early onset psychotherapy on quality of life in trauma patients

Abstract

Background and aims

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background and aims

Materials and methods

Results

Conclusions

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