C Pélissier1,2, E Fort3, L Fontana4,5, M Hours6. 1. Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, Université Jean Monnet, UMRESTTE, UMR T_9405, 42100, St Etienne, France. pelissier.carole.chu@gmail.com. 2. Pole de Santé Publique, Service de Médecine et Santé au Travail, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite, France. pelissier.carole.chu@gmail.com. 3. Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, UMRESTTE, UMR T_9405, 69373, Lyon, France. 4. Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, Université Jean Monnet, UMRESTTE, UMR T_9405, 42100, St Etienne, France. 5. Service de Santé au Travail, CHU de Saint-Etienne, Saint-Priest-en-Jarez, France. 6. Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, UMRESTTE, UMR T_9405, 69500, Bron, France.
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.
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.
Authors: Hadley K H Wesson; Nonkululeko Boikhutso; Abdulgafoor M Bachani; Karen J Hofman; Adnan A Hyder Journal: Health Policy Plan Date: 2013-10-04 Impact factor: 3.344