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Research article summary:
Psychological distress associated with severe lower-limb injury.
Abstract Extract:
BACKGROUND: Little is known about the psychological morbidity associated with limb-threatening injuries. It was hypothesized that a substantial proportion of patients who sustain a severe lower-limb injury will report serious psychological distress. ... (Full abstract text below) Published 2003Sep
in Journal: J Bone Joint Surg Am
(Language : eng)
Full Pubmed Extract
This information was retrieved, real-time, on your behalf from the public area of the Pubmed website:
1. J Bone Joint Surg Am.
2003 Sep;85-A(9):1689-97
Psychological distress associated with severe lower-limb injury.
McCarthy ML, MacKenzie EJ, Edwin D, Bosse MJ, Castillo RC, Starr A,
mmcarth@jhmi.edi
BACKGROUND: Little is known about the psychological morbidity associated with limb-threatening injuries. It was hypothesized that a substantial proportion of patients who sustain a severe lower-limb injury will report serious psychological distress. METHODS: Adult patients who were admitted to one of eight level-I trauma centers for treatment of an injury threatening the lower limb were enrolled during their initial hospitalization. Patients were recontacted at three, six, twelve, and twenty-four months after the injury and asked to complete the Brief Symptom Inventory (BSI), a fifty-three-item, self-reported measure of psychological distress. Patients who screen positive on the BSI are considered likely to have a psychological disorder and should receive a mental health evaluation. Longitudinal regression techniques were used to model positive case status (i.e., likely to have a psychological disorder) as a function of patient, injury, and treatment characteristics. RESULTS: Of the 569 patients enrolled, 545 (96%) completed at least one BSI and 385 (68%) completed all four. Forty-eight percent of the patients screened positive for a likely psychological disorder at three months after the injury, and this percentage remained high (42%) at twenty-four months. Two years after the injury, almost one-fifth of the patients reported severe phobic anxiety and/or depression. While these two subscales reflected the highest prevalence of severe psychological distress, none of the BSI subscales reflected the prevalence expected from a normal sample (i.e., 2% to 3%). Factors associated with a likely psychological disorder included poorer physical function, younger age, non-white race, poverty, a likely drinking problem, neuroticism, a poor sense of self-efficacy, and limited social support. Relatively few patients reported receiving any mental health services following the injury (12% at three months and 22% at twenty-four months). CONCLUSIONS: Severe lower-limb injury is associated with considerable psychological distress. More attention to the psychological as well as the physical health of patients who sustain a limb-threatening injury may be needed to ensure an optimal recovery following these devastating injuries.
PMID : 12954826 [PubMed - Indexed for MEDLINE]
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Full Author Information
| First Name | LastName | Initials |
| Melissa L | McCarthy | ML |
| Ellen J | MacKenzie | EJ |
| David | Edwin | D |
| Michael J | Bosse | MJ |
| Renan C | Castillo | RC |
| Adam | Starr | A |
| | |
Affiliation: mmcarth@jhmi.edi
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MESH categories and related page links
This article was linked to the MESH categories shown on the left below. The links on the right are related Memletics pages.
Category links from this article:- Adolescent
- Adult
- Aged
- Chi-Square Distribution
- Female
- Humans
- Lower Extremity - injuries
- Male
- Middle Aged
- Neuropsychological Tests
- Prevalence
- Prospective Studies
- Regression Analysis
- Risk Factors
- Stress Disorders, Post-Traumatic - diagnosis, epidemiology, etiology
| | Related Memletics topics: |
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