Naslov
Mental health outcomes in road traffic accident survivors: prospective cohort study

Autori
Kovacevic, Jelena ; Miskulin, Maja ; Degmecic, Dunja ; Vcev, Aleksandar ; Palenkic, Hrvoje ; Miskulin, Ivan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
European Journal of Public Health / McKee, Martin ; Walter Ricciardi, Walter ; Signorelli, Carlo ; Zeegers Paget, Dineke - Stockholm : Oxford University Press, 2020, 1045-1046

Skup
16th World Congress on Public Health

Mjesto i datum
Rim, Italija, 12.10.2020. - 16.10.2020

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
road traffic accident ; posttraumatic stress disorder ; depression ; anxiety ; injury severity ; injury ; mental health

Sažetak
Background Mental health outcomes of road traffic accidents (RTAs) are always investigated amongst the injured. The aim of this study was to investigate psychological consequences and associated factors in all RTA survivors irrelevant of their injury status. Methods A cohort of 200 Croatian RTA survivors was assessed one month after experiencing a RTA using the posttraumatic stress disorder (PTSD) Checklist for civilians, the Beck Depression Inventory and the Beck Anxiety Inventory. The New Injury Severity Scale was used for the injury severity assessment. Results RTA survivors reported substantial rates of PTSD (35.5%) and depression (20.0%) symptoms, and low rates of anxiety (4.5%). Symptoms of depression were associated with under-average self-perceived economic status (SES) (P=0.001), irreligiousness (P=0.001), medication use (P<0.001), injury severity (P<0.001), self-perceived threat to life (P<0.022), hospitalization (P=0.003), hospitalization duration (P=0.004), surgical treatment of the injury (P<0.001), unconsciousness in the RTA (P=0.033) and post-RTA amnesia (0.039). PTSD symptoms were associated with unemployment (P=0.034), under average SES (P=0.004), lack of previous RTA experience (P=0.025), previous psychiatric illness (P=0.001), medication use (P=0.001), psychiatric medication use (P<0.001), injury affliction (P=0.001), injury severity (P<0.001), self- perceived threat to life (P<0.001), pain after RTA (P=0.009), hospitalization duration (P=0.017) and claiming compensation (P=0.008). Anxiety symptoms were associated with previous chronic (P=0.037) or psychiatric illness (P=0.010), previous permanent pain (P<0.001), psychiatric medication use (P=0.013) and rehabilitation after injury (P=0.032). Conclusion A RTA is a traumatic event that can result in physical injuries, but also with psychological consequences depending on pre-RTA survivor’s characteristics. Psychological support to those at risk may prevent psychological disorders after a RTA.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

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