PMID: 9555835Apr 29, 1998Paper

Psychosocial factors limit outcomes after trauma

The Journal of Trauma
A J MichaelsJ L Rodriguez

Abstract

Psychological morbidity compromises return to work after trauma. We demonstrate this relationship and present methods to identify risks for significant psychological morbidity. Thirty-five adults were evaluated prospectively for return to functional employment after injury using demographic data, validated psychological and health measures, and the Michigan Critical Events Perception Scale. Evaluation was conducted at admission and at 1 and 5 months after injury. Poor return to work at 5 months was attributable to physical disability (p < 0.05) and psychological disturbance (p < 0.05) in a regression model that controlled for preinjury employment and psychopathologic factors as well as injury severity. A high score on the Impact of Events Scale administered during acute admission predicted development of acute stress disorder at 1 month (p < 0.01, odds ratio (OR) = 9.4) and posttraumatic stress disorder at 5 months (p < 0.05, OR = 6.7). Peritraumatic dissociation on the Michigan Critical Events Perception Scale was predictive for development of acute stress disorder (p < 0.05, OR = 5.8) at 1 month and posttraumatic stress disorder (p < 0.05, OR = 7.5) at 5 months. Psychological morbidity after injury compromises return to work ...Continue Reading

References

May 1, 1979·Psychosomatic Medicine·M HorowitzW Alvarez
Dec 1, 1992·Annals of Plastic Surgery·B K GrunertN J Yousif
Oct 1, 1992·The Journal of Trauma·K E GlancyG H Tinkoff
Apr 1, 1992·American Journal of Physical Medicine & Rehabilitation·D G Tate
Jul 1, 1992·The American Journal of Psychiatry·S PerryL Jacobsberg
Jun 1, 1991·The Journal of Trauma·J A MorrisE J MacKenzie
Dec 1, 1990·Journal of Behavioral Medicine·I S LandsmanH R Champion
Dec 1, 1988·The British Journal of Psychiatry : the Journal of Mental Science·U Malt
Jan 1, 1988·The Journal of Nervous and Mental Disease·A C McFarlane
Mar 1, 1987·American Journal of Public Health·E J MacKenzieA Pitt
Oct 1, 1995·The Journal of Trauma·G JurkovichM Swiontkowski
Apr 1, 1995·The American Journal of Psychiatry·N BreslauP Andreski
Sep 1, 1994·The American Journal of Psychiatry·A FreinkelD Spiegel
Oct 18, 1993·The Medical Journal of Australia·M M GreenW M Griggs
Feb 1, 1996·The American Journal of Psychiatry·A Y ShalevS Schreiber

❮ Previous
Next ❯

Citations

Jul 14, 2006·Journal of Occupational Rehabilitation·Corinna LangeGereon Heuft
Oct 13, 2006·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Carin OttossonSari Ponzer
Jun 6, 2003·Clinical Psychology Review·Meaghan L O'DonnellArik Shalev
Feb 6, 2008·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Mohit BhandariEmil H Schemitsch
Jan 15, 2010·The New England Journal of Medicine·Troy Lisa HolbrookAmber L Dougherty
Dec 2, 2008·Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)·Onno van der HartGerty Lensvelt-Mulders
Jun 10, 2004·Journal of the American Academy of Child and Adolescent Psychiatry·Nancy Kassam-Adams, Flaura Koplin Winston
Jul 20, 2002·The Journal of Trauma·Suzanne MasonAlison Rowlands
Sep 4, 2004·The Journal of Trauma·Douglas ZatzickFrederick Rivara
Aug 13, 2005·The Journal of Trauma·Kerstin SluysLennart Iselius
Dec 24, 2005·The Journal of Trauma·Glenn N SaxeSteve Moulton
Dec 13, 2006·The Journal of Trauma·Alasdair George SutherlandJames D Hutchison
Dec 6, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·L HorowitzJ Bergstein
May 14, 2009·Journal of Occupational Rehabilitation·Lonneke OpsteeghCorry K van der Sluis
Mar 15, 2011·Journal of Orthopaedic Trauma·Alasdair George SutherlandJames D Hutchison
Nov 24, 1999·The Journal of Trauma·A J MichaelsC Peterson
Mar 4, 2000·The Journal of Trauma·S PonzerH Törnkvist
Aug 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·T TecicE Neugebauer
May 19, 2011·Disability and Rehabilitation·François LuthiOlivier Deriaz
Jul 26, 2005·Disability and Rehabilitation·Thomas StollGerold Stucki
Jul 26, 2005·Disability and Rehabilitation·Monika ScheuringerThomas Stoll
May 4, 2010·Archives of Physical Medicine and Rehabilitation·Kristin R ArcherUNKNOWN LEAP Study Group
May 27, 2008·Clinical Psychology Review·Gerty Lensvelt-MuldersLinda Breeman
Mar 15, 2008·Journal of Pediatric Nursing·Jeffrey I GoldSeok Hyeon Kim
Nov 28, 2007·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Elizabeth HalcombRhonda Griffiths
Jul 29, 2009·Journal of Traumatic Stress·Nancy Kassam-AdamsFlaura Koplin Winston
Sep 9, 2009·Archives of Physical Medicine and Rehabilitation·Cyrille BurrusFrançois Luthi
Jun 21, 2003·Journal of Traumatic Stress·Lisa H JaycoxMaria Orlando
Aug 10, 2016·Archives of Orthopaedic and Trauma Surgery·Peter LarsenRasmus Elsoe

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.