ArticleInternational journal of nursing studies2017
The effect of early psychological symptom severity on long-term functional recovery: A secondary analysis of data from a cohort study of minor injury patients.
Article in International journal of nursing studies, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- The Contribution of Neighborhood Characteristics to Psychological Symptom Severity in a Cohort of Injured Black Men.Journal of racial and ethnic health disparities · 2023Article
- Article
- Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study.Injury epidemiology · 2021Article
- Vocational rehabilitation to enhance return to work after trauma (ROWTATE): protocol for a non-randomised single-arm mixed-methods feasibility study.Pilot and feasibility studies · 2021Article
- The feasibility and acceptability of mobile health monitoring for real-time assessment of traumatic injury outcomes.mHealth · 2021Article
- 'Sharing things with people that I don't even know': help-seeking for psychological symptoms in injured Black men in Philadelphia.Ethnicity & health · 2020Article
- Secondary Data Analysis in Nursing Research: A Contemporary Discussion.Clinical nursing research · 2020Article
- Health status and psychological outcomes after trauma: A prospective multicenter cohort study.PloS one · 2020Article
- Psychological Prophylaxis: An Integrated Psychological Services Program in Trauma Care.Journal of clinical psychology in medical settings · 2019Review
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Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe mental health consequences of injuries can interfere with recovery to pre-injury levels of function and long term wellbeing.
objectivesThe purpose of this study was to explore the relationship between psychological symptoms after minor injury and long-term functional recovery and disability.
designThis exploratory study uses secondary data derived from a longitudinal cohort study of psychological outcomes after minor injury.
settingParticipants were recruited from the Emergency Department of an urban hospital in the United States.
participantsA cohort of 275 patients was randomly selected from 1100 consecutive emergency department admissions for minor injury. Potential participants were identified as having sustained minor injury by the combination of three standard criteria including: presentation to the emergency department for medical care within 24h of a physical injury, evidence of anatomical injury defined as minor by an injury severity score between 2 and 8 and normal physiology as defined by a triage-Revised Trauma Score of 12. Patients with central nervous system injuries, injury requiring medical care in the past 2 years and/or resulting from domestic violence, and those diagnosed with major depression or psychotic disorders were excluded.
methodsPsychological symptom severity was assessed within 2 weeks of injury, and outcome measures for functional limitations and disability were collected at 3, 6 and 12 months. A quasi-least squares approach was used to examine the relationship between psychological symptom scores at intake and work performance and requirement for bed rest in the year after injury.
resultsAdjusting for demographic and injury covariates, depression symptoms at the time of injury predicted (p≤0.05) both poorer work performance and increased number of days in bed due to health in the year after injury. Anxiety symptoms predicted (p≤0.05) bed days at 3, 6, and 12 months and work performance at 3 months.
conclusionsDepression and anxiety soon after minor injury may help predict important markers of long-term recovery. With further research, simple assessment tools for psychological symptoms may be useful to screen for patients who are at higher risk for poor long-term recoveries and who may benefit from targeted interventions.
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