Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study - Archive ouverte HAL
Article Dans Une Revue Social Psychiatry and Psychiatric Epidemiology Année : 2019

Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study

Résumé

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. Language: en
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Dates et versions

hal-02441999 , version 1 (16-01-2020)

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Carole Pelissier, Emmanuel Fort, Luc Fontana, Martine Hours. Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study. Social Psychiatry and Psychiatric Epidemiology, 2019, 13 p, 13 p. ⟨10.1007/s00127-019-01780-0⟩. ⟨hal-02441999⟩
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