Psychiatric Comorbidities in Adult Survivors of Major Trauma: Findings From the Midland Trauma Registry

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aut.relation.endpage302
aut.relation.issue4en_NZ
aut.relation.journalJournal of Primary Health Careen_NZ
aut.relation.startpage292
aut.relation.volume10en_NZ
aut.researcherJones, Kelly
dc.contributor.authorSpijker, EEen_NZ
dc.contributor.authorJones, Ken_NZ
dc.contributor.authorDuijff, JWen_NZ
dc.contributor.authorSmith, Aen_NZ
dc.contributor.authorChristey, GRen_NZ
dc.date.accessioned2019-01-08T23:23:39Z
dc.date.available2019-01-08T23:23:39Z
dc.date.copyright2018en_NZ
dc.date.issued2018en_NZ
dc.description.abstractINTRODUCTION: Information for primary care providers about the outcomes of adult survivors of major medical trauma in the first year of recovery is not widely available. In particular, risks of impairment across multiple domains of functioning are poorly understood. AIM: To determine the extent to which adults' experience impaired health-related quality of life (QoL), symptoms of post-traumatic stress disorder, depression, chronic pain and harmful alcohol use during the year following major trauma, and to identify factors associated with outcomes. METHODS: Adults (aged ≥16 years) admitted to Waikato Hospital following major trauma sustained in Waikato District between 1 June 2010 and 1 July 2011 were sent a questionnaire in their first year of recovery. They were asked about their QoL, mental health, experiences of pain, post-traumatic stress disorder symptoms and use of alcohol. RESULTS: Sixty-five questionnaires were completed (40% response rate). In the year following major trauma, trauma survivors met criteria for post-traumatic stress disorder (45%), harmful alcohol use (26%), moderate to severe chronic pain (23%) and depression (18%). Reports of poor health-related QoL were common, ranging from self-care difficulties (31%) to pain and discomfort (72%). Younger age, previous psychiatric illness, substance use, intensive care unit admission and length of hospitalisation were associated with symptoms. Thirty-seven adults (57%) reported symptoms in at least two domains. DISCUSSION: A significant proportion of adults experience adverse psychosocial outcomes in the first year following major trauma. Screening and management of potentially comorbid psychosocial needs could improve care and outcomes for survivors.en_NZ
dc.identifier.citationJournal of Primary Health Care, 10(4), pp. 292-302, https://doi.org/10.1071/HC17091
dc.identifier.doi10.1071/HC17091en_NZ
dc.identifier.issn1172-6164en_NZ
dc.identifier.issn1172-6156en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12138
dc.publisherCSIRO
dc.relation.urihttp://www.publish.csiro.au/hc/HC17091
dc.rightsThis is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
dc.rights.accessrightsOpenAccessen_NZ
dc.titlePsychiatric Comorbidities in Adult Survivors of Major Trauma: Findings From the Midland Trauma Registryen_NZ
dc.typeJournal Article
pubs.elements-id351157
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Public Health & Psych Studies
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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