ArticleFrontiers in medicine2026
Prognostic value of initial psychological assessment for long-term outcomes in multiple trauma patients: a retrospective cohort study using posttraumatic growth, disability acceptance, and resilience scales.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Multiple trauma, resulting from high-energy traumatic events such as traffic accidents or falls from height, involves severe injuries to multiple body parts and is often associated with high mortality and long-term psychological sequelae, posing significant challenges to patients' quality of life and functional recovery. Posttraumatic growth, as a positive psychological concept, refers to positive psychological changes following trauma, including enhanced personal strength and improved relationships. Initial psychological assessment is used in trauma care for early risk identification, but its prognostic value for long-term posttraumatic growth is limited in existing studies due to issues such as small sample sizes and short follow-up periods, lacking systematic evaluation. Objective: To explore the prognostic value of initial psychological assessment on long-term posttraumatic growth in patients with multiple trauma, by evaluating psychological and clinical outcome indicators to verify its early predictive capability. Methods: This retrospective cohort study included 160 multiple trauma patients treated between May 2022 and December 2024. Based on electronic health records, patients who had undergone a standardized psychological assessment (HADS) within 24 h of admission constituted the observation group ( Results: The observation group showed significantly higher PTGI total scores compared to the control group ( Conclusion: Receipt of an initial psychological assessment is associated with more favorable long-term psychological and clinical outcomes in patients with multiple trauma, including higher levels of posttraumatic growth, greater disability acceptance, enhanced resilience, shorter hospitalization, and reduced pain intensity. These findings suggest the potential prognostic value of early psychological screening and support its consideration in holistic trauma care, although prospective validation is required before definitive clinical recommendations can be made.
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