Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study.
Soc Psychiatry Psychiatr Epidemiol
; 55(3): 371-383, 2020 Mar.
Article
em En
| MEDLINE
| ID: mdl-31628512
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
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Acidentes de Trânsito
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Angústia Psicológica
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article