Attributions of responsibility and recovery within a no-fault insurance compensation system.

Abstract:

OBJECTIVE:Although a great deal of literature supports the negative relationship between postinjury health outcomes and compensation, it has not fully examined the relative influence of the diverse factors that underlie compensable status. In particular, this study sought to understand the relative influence that attributions of responsibility for accidents have on mental and physical health outcomes. METHOD:Using a structural equation modeling approach, we assessed the strength of relationships between demographic and accident circumstance variables, and postinjury mental and physical health for 934 road-trauma survivors compensated under a single no-fault insurance system. RESULTS:Analysis of direct and indirect effects demonstrated that although a range of standard demographic and accident circumstance variables influenced health outcomes, by far the greatest effect was generated from perceptions of responsibility for the accident. People who reported lower levels of responsibility for their accident showed significantly poorer mental and physical health outcomes. CONCLUSIONS:Perceptions of responsibility for accidents are strongly associated with postaccident mental and physical health outcomes within compensable road trauma populations. Future studies should control for attributions of responsibility when assessing the effect of compensation, or any other variable, on health outcomes among injured populations. Mechanisms underlying the effect of attributions of responsibility on outcomes, particularly in relation to its association with self-blame, warrant further exploration.

journal_name

Rehabil Psychol

authors

Thompson J,Berk M,O'Donnell M,Stafford L,Nordfjaern T

doi

10.1037/a0036543

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

247-55

issue

3

eissn

0090-5550

issn

1939-1544

pii

2014-12677-001

journal_volume

59

pub_type

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