Anxiety and depression disorders 5 years after severe injuries: a prospective follow-up study.

Abstract:

:Individuals with severe injuries were investigated 5 years after the traumatic events, and predictors of anxiety and depression disorders were identified. Trauma victims were selected who had an Injury Severity Score of > or = 16 and were brought to all hospitals in the Mersey region and North Wales over 1 year. The 212 patients aged > or = 15 years who left the hospital alive and lived within an accessible distance of the study hospital in Warrington were contacted 5 years later and 158 (74.5%) received follow-up assessment. Thirty-eight subjects (36.9%) reported "definite" anxiety and/or depression disorders and, of these, only 21.1% reported taking psychotropic medications. Factors associated with anxiety and/or depression disorders at follow-up were: sequelae of head injury (i.e., cognitive problems, posttraumatic seizures, facial pain): writing impairment: disability due to thorax problems; and a new trauma during follow-up. Initial severity or types of injuries and overall residual disability rated by the investigator were not strong predictors of anxiety and/or depression disorders at follow-up.

journal_name

J Psychosom Res

authors

Piccinelli M,Patterson M,Braithwaite I,Boot D,Wilkinson G

doi

10.1016/s0022-3999(98)00126-3

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

455-64

issue

5

eissn

0022-3999

issn

1879-1360

pii

S0022399998001263

journal_volume

46

pub_type

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