Increased psychological distress remains elevated in SCI , mTBI and WAD for at least 3 years post-MVC .
OBJECTIVE The aim of this meta- analysis was to determine the psychological impact associated with motor vehicle crash (MVC)-related physical injuries .
The psychiatric sequelae of traumatic injury.
OBJECTIVE Traumatic injury affects millions of people each year . There is little underst and ing 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 . METHOD In this prospect i ve 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 . RESULTS Twelve 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 . CONCLUSIONS A 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
Increased psychological distress remains elevated in SCI , mTBI and WAD for at least 3 years post-MVC .
OBJECTIVE The aim of this meta- analysis was to determine the psychological impact associated with motor vehicle crash (MVC)-related physical injuries .