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The Psychiatric Sequelae of Traumatic Injury

The American journal of psychiatry, 2010-03, Vol.167 (3), p.312-320 [Peer Reviewed Journal]

Copyright © American Psychiatric Association 2010 ;2015 INIST-CNRS ;Copyright American Psychiatric Association Mar 2010 ;ISSN: 0002-953X ;EISSN: 1535-7228 ;DOI: 10.1176/appi.ajp.2009.09050617 ;PMID: 20048022 ;CODEN: AJPSAO

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Title:
The Psychiatric Sequelae of Traumatic Injury
Author: Bryant, Richard A ; O'Donnell, Meaghan L ; Creamer, Mark ; McFarlane, Alexander C ; Clark, C. Richard ; Silove, Derrick
Subjects: Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Agoraphobia - diagnosis ; Agoraphobia - epidemiology ; Agoraphobia - psychology ; Anxiety Disorders - diagnosis ; Anxiety Disorders - epidemiology ; Anxiety Disorders - psychology ; Australia ; Biological and medical sciences ; Brain damage ; Brain Injuries - diagnosis ; Brain Injuries - epidemiology ; Brain Injuries - psychology ; Cohort Studies ; Cross-Sectional Studies ; Depressive Disorder, Major - diagnosis ; Depressive Disorder, Major - epidemiology ; Depressive Disorder, Major - psychology ; Disability Evaluation ; Female ; Follow-Up Studies ; Health services ; Hospitals ; Humans ; Injuries ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental health care ; Mental Health Services - utilization ; Middle Aged ; Organic mental disorders. Neuropsychology ; Panic Disorder - diagnosis ; Panic Disorder - epidemiology ; Panic Disorder - psychology ; Phobic Disorders - diagnosis ; Phobic Disorders - epidemiology ; Phobic Disorders - psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of Life - psychology ; Risk Assessment - statistics & numerical data ; Risk factors ; Socioeconomic Factors ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; Studies ; Trauma ; Trauma centers ; Traumas. Diseases due to physical agents ; Utilization Review - statistics & numerical data ; Young Adult
Is Part Of: The American journal of psychiatry, 2010-03, Vol.167 (3), p.312-320
Description: ObjectiveTraumatic injury affects millions of people each year. There is little understanding of the extent of psychiatric illness that develops after traumatic injury or of the impact of mild traumatic brain injury (TBI) on psychiatric illness. The authors sought to determine the range of new psychiatric disorders occurring after traumatic injury and the influence of mild TBI on psychiatric status. MethodIn this prospective cohort study, patients were drawn from recent admissions to four major trauma hospitals across Australia. A total of 1,084 traumatically injured patients were initially assessed during hospital admission and followed up 3 months (N=932, 86%) and 12 months (N=817, 75%) after injury. Lifetime psychiatric diagnoses were assessed in hospital. The prevalence of psychiatric disorders, levels of quality of life, and mental health service use were assessed at the follow-ups. The main outcome measures were 3- and 12-month prevalence of axis I psychiatric disorders, levels of quality of life, and mental health service use and lifetime axis I psychiatric disorders. ResultsTwelve months after injury, 31% of patients reported a psychiatric disorder, and 22% developed a psychiatric disorder that they had never experienced before. The most common new psychiatric disorders were depression (9%), generalized anxiety disorder (9%), posttraumatic stress disorder (6%), and agoraphobia (6%). Patients were more likely to develop posttraumatic stress disorder (odds ratio=1.92, 95% CI=1.08-3.40), panic disorder (odds ratio=2.01, 95% CI=1.03-4.14), social phobia (odds ratio=2.07, 95% CI=1.03-4.16), and agoraphobia (odds ratio=1.94, 95% CI=1.11-3.39) if they had sustained a mild TBI. Functional impairment, rather than mild TBI, was associated with psychiatric illness. ConclusionsA significant range of psychiatric disorders occur after traumatic injury. The identification and treatment of a range of psychiatric disorders are important for optimal adaptation after traumatic injury.
Publisher: Arlington, VA: American Psychiatric Association
Language: English
Identifier: ISSN: 0002-953X
EISSN: 1535-7228
DOI: 10.1176/appi.ajp.2009.09050617
PMID: 20048022
CODEN: AJPSAO
Source: MEDLINE
Alma/SFX Local Collection

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The Psychiatric Sequelae of Traumatic Injury

Copyright © American Psychiatric Association 2010 ;2015 INIST-CNRS ;Copyright American Psychiatric Association Mar 2010 ;ISSN: 0002-953X ;EISSN: 1535-7228 ;DOI: 10.1176/appi.ajp.2009.09050617 ;PMID: 20048022 ;CODEN: AJPSAO

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