scholarly journals Outcomes after traffic injury: mental health comorbidity and relationship with pain interference

2020 ◽  
Author(s):  
Ilaria Pozzato ◽  
Ashley Craig ◽  
Bamini Gopinath ◽  
Annette Kifley ◽  
Yvonne Tran ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Psychological Distress ◽  
Pain Catastrophizing ◽  
Pain Interference ◽  
Mental Health Symptoms ◽  
Post Injury ◽  
Health Symptoms ◽  
Traffic Injury ◽  
Health Trajectories

Abstract Background: Mental health symptoms, like depressive mood (DM) and post-traumatic stress (PTS), and pain interference (PI) with daily functioning often co-occur following traffic injury and their comorbidity can complicate recovery. This study aimed to map the course and overlapping trajectories of mental health symptoms, and associations with PI in a traffic injury population. Methods: In total, 2019 adults sustaining minor-to-moderate traffic injury were recruited within 28 days post-injury and assessed using phone interviews at 1, 6 and 12-months post-injury. Trajectories of DM, PTS and PI were established and relationships between DM, PTS and PI trajectories were explored using dual trajectory modelling. Bio-psychosocial predictors (e.g. pre-injury health, catastrophizing, acute distress, quality of life, social support) of mental health trajectories were investigated.Results: Up to five typical post-trauma trajectories were identified for DM, PTS and PI. Most people were in a resilient mental health trajectory (over 60%, DM or PTS), or in a chronic PI trajectory (almost 60%) 12 months post-injury. While recovery/resilient mental health trajectories were strongly interrelated (73.4% joint probability and >94% conditional probabilities), DM/PTS comorbidity in chronic trajectories was not straightforward, suggesting a possibly asymmetric relationship. That is, persistent DM was more likely associated with persistent PTS (90.4%), than vice versa (31.9%), with a 22.5% probability that persistent PTS was associated with none or milder depression (i.e. following a recovery/resilient DM trajectory). An asymmetrical relationship was also found between mental health and PI. The majority of those with persistent PI were likely to be in a recovery/resilient DM/PTS trajectory (almost 70%), but those in a non-resilient DM/PTS trajectory showed a high risk of persistent PI. Predictors of non-resilient mental health trajectories included poorer pre-injury health and social support, and shared factors like acute psychological distress and pain catastrophizing. Conclusions: Strong interrelations were confirmed between mental health symptoms and PI following traffic injury. However, persistent DM was more strongly linked to persistent PTS, than vice versa. Persistent PI was only linked with persistent DM/PTS in vulnerable subgroups. Early psychiatric/psychological interventions should target elevated psychological distress and negative appraisals in vulnerable individuals, to reduce long-term mental health morbidity/comorbidity and PI. Trial registration: ACTRN12613000889752.

scholarly journals Outcomes after traffic injury: mental health comorbidity and relationship with pain interference

2020 ◽  
Author(s):  
Ilaria Pozzato ◽  
Ashley Craig ◽  
Bamini Gopinath ◽  
Annette Kifley ◽  
Yvonne Tran ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Psychological Distress ◽  
Pain Catastrophizing ◽  
Pain Interference ◽  
Mental Health Symptoms ◽  
Post Injury ◽  
Health Symptoms ◽  
Traffic Injury ◽  
Health Trajectories

Abstract Background: Mental health symptoms, like depressive mood (DM) and post-traumatic stress (PTS), and pain interference (PI) with daily functioning often co-occur following traffic injury and their comorbidity can complicate recovery. This study aimed to map the course and overlapping trajectories of mental health symptoms, and associations with PI in a traffic injury population. Methods: In total, 2019 adults sustaining minor-to-moderate traffic injury were recruited within 28 days post-injury and assessed using phone interviews at 1, 6 and 12-months post-injury. Trajectories of DM, PTS and PI were established and relationships between DM, PTS and PI trajectories were explored using dual trajectory modelling. Bio-psychosocial predictors (e.g. pre-injury health, catastrophizing, acute distress, quality of life, social support) of mental health trajectories were investigated.Results: Up to five typical post-trauma trajectories were identified for DM, PTS and PI. Most people were in a resilient mental health trajectory (over 60%, DM or PTS), or in a chronic PI trajectory (almost 60%) 12 months post-injury. While recovery/resilient mental health trajectories were strongly interrelated (73.4% joint probability and >94% conditional probabilities), DM/PTS comorbidity in chronic trajectories was not straightforward, suggesting a possibly asymmetric relationship. That is, persistent DM was more likely associated with persistent PTS (90.4%), than vice versa (31.9%), with a 22.5% probability that persistent PTS was associated with none or milder depression (i.e. following a recovery/resilient DM trajectory). An asymmetrical relationship was also found between mental health and PI. The majority of those with persistent PI were likely to be in a recovery/resilient DM/PTS trajectory (almost 70%), but those in a non-resilient DM/PTS trajectory showed a high risk of persistent PI. Predictors of non-resilient mental health trajectories included poorer pre-injury health and social support, and shared factors like acute psychological distress and pain catastrophizing. Conclusions: Strong interrelations were confirmed between mental health symptoms and PI following traffic injury. However, persistent DM was more strongly linked to persistent PTS, than vice versa. Persistent PI was only linked with persistent DM/PTS in vulnerable subgroups. Early psychiatric/psychological interventions should target elevated psychological distress and negative appraisals in vulnerable individuals, to reduce long-term mental health morbidity/comorbidity and PI. Trial registration: ACTRN12613000889752.

Association of coping strategies with mental health trajectories during the first twenty-one weeks of COVID-19 lockdown

2020 ◽  
Author(s):  
Meg Fluharty ◽  
Feifei Bu ◽  
Andrew Steptoe ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Depressive Symptoms ◽  
Coping Strategies ◽  
Negative Impact ◽  
Social Study ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Health Trajectories ◽  
Over Time

The negative impact of the COVID-19 pandemic on mental health is well evidenced. However, there is little research on how individuals’ coping strategies during the pandemic were related to changes in mental health over time. The current study used data from the COVID-19 Social Study (N=26,505) to explore whether particular coping strategies (problem-focused, emotion-focused, avoidant, and supportive) were associated with (i) better mental health as lockdown was introduced, and (ii) faster recovery from symptoms across 21 weeks. People with greater use of problem-focused, avoidant, and supportive coping displayed more mental health symptoms, while greater use of emotion-focused coping was associated with fewer mental health symptoms. Symptoms decreased over time for all coping strategies, but only supportive coping was associated with a faster decrease in anxiety and depressive symptoms, indicating a potential protective effect of social support on psychological distress.

scholarly journals Outcomes after traffic injury: mental health comorbidity and relationship with pain interference

2019 ◽  
Author(s):  
Ilaria Pozzato ◽  
Ashley Craig ◽  
Bamini Gopinath ◽  
Annette Kifley ◽  
Yvonne Tran ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Psychological Distress ◽  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Post Injury ◽  
Pain Disability ◽  
Traffic Injury ◽  
Health Trajectories ◽  
Post Traumatic

Abstract Background Mental health symptoms, like depressive mood (DM) and post-traumatic stress (PTS), and pain-related disability, known as pain interference (PI) often co-occur following traffic injury and their comorbidity can complicate recovery. Clarification is required on mental health comorbidity and relationships with PI, to enhance care and outcomes after a traffic injury. Methods 2019 adults sustaining minor-to-moderate traffic injury were recruited within 28 days post-injury and assessed using phone interviews at 1, 6 and 12-months post-injury. Trajectories of DM, PTS and PI were established and relationships between DM, PTS and PI trajectories were explored using dual trajectory modelling. Predictors of mental health trajectories were also investigated. Results Up to five typical post-trauma trajectories were identified for DM, PTS and PI. Most people were in a resilient mental health trajectory (over 60%, DM or PTS), or in a chronic pain disability trajectory (almost 60%, PI) 12 months post-injury. While recovery/resilient mental health trajectories were strongly interrelated (73.4% joint probability and >94% conditional probabilities), DM/PTS comorbidity in chronic trajectories was not straightforward, suggesting a possibly asymmetric relationship. That is, persistent DM was more likely associated with persistent PTS (90.4%), than vice versa (31.9%), with a 22.5% probability that persistent PTS was associated with none or milder depression (i.e. following a recovery/resilient DM trajectory). An asymmetrical relationship was also found between mental health and PI. The majority of those with persistent PI were likely to be in a recovery/resilient DM/PTS trajectory (almost 70%), but those in a non-resilient DM/PTS trajectory showed a high risk of persistent PI. Predictors of non-resilient mental health trajectories included poorer pre-injury health and social support, and shared factors like acute psychological distress and pain catastrophizing. Conclusions Strong interrelations were confirmed between mental health problems and pain disability following traffic injury. However, persistent depression was more strongly linked to persistent post-traumatic stress, than vice versa. Persistent pain disability was only linked with persistent mental health symptoms in vulnerable subgroups. Early psychiatric/psychological interventions should target elevated psychological distress and negative appraisals in vulnerable individuals, to reduce mental health morbidity/comorbidity and chronic pain disability.

scholarly journals Prevalence of mental health symptoms among male and female Australian professional footballers

2021 ◽  
Vol 7 (3) ◽  
pp. e001043
Author(s):  
Özgür Kilic ◽  
Sean Carmody ◽  
Judith Upmeijer ◽  
Gino M M J Kerkhoffs ◽  
Rosemary Purcell ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Problem Gambling ◽  
Sleep Disturbance ◽  
Alcohol Misuse ◽  
Control Group ◽  
Psychological Resilience ◽  
Mental Health Symptoms ◽  
Male And Female ◽  
Health Symptoms

ObjectiveDetermining the prevalence of mental health symptoms (MHS) among Australian professional footballers compared with former players. A secondary aim was to assess whether MHS were associated with recent injury and psychological resilience.MethodsThis cross-sectional study included 149 male (mean age: 24 years) and 132 female (mean age: 23 years) Australian A-League and W-League professional footballers (study group) and 81 former male footballers (control group, mean age: 39 years) for analysis. MHS and psychological resilience were assessed through validated questionnaires. Severe injuries were assessed through a single question. The adjusted Wald method was used to assess the primary aim. Logistic regression analyses was used to assess the secondary aim.ResultsThe most prevalent MHS among active footballers and former footballers was sport-related psychological distress (63%) and alcohol misuse (69%), respectively. Global psychological distress, sleep disturbance, alcohol misuse and substance misuse were significantly lower among active male footballers than among former players. Increased psychological resilience among active male footballers was associated with a decrease in symptoms of sport-related and global psychological distress, anxiety and depression of 9%, 14%, 23% and 20%, respectively. Increased psychological resilience among female players was associated with 10% decrease in symptoms of depression. Problem gambling and sleep disturbance was associated with injury in the previous 6 months among active male and female footballers, respectively.ConclusionsMHS are prevalent among active and former professional footballers. Higher level of psychological resilience is associated with decreased reporting of MHS. Severe injury is associated with problem gambling and sleep disturbance.

Living in Uncertain Times: Pre-existing Mental Health Symptoms, Intolerance of Uncertainty and Perceived COVID-19 Threat as Predictors of Psychological Distress During the Pandemic

2021 ◽  
Author(s):  
Kathryn M Bell ◽  
Diane Holmberg
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Mental Health Problems ◽  
Intolerance Of Uncertainty ◽  
Health Problems ◽  
Trauma Symptoms ◽  
Mental Health Symptoms ◽  
Distress Intolerance ◽  
Health Symptoms ◽  
Threat Levels

Amidst the ongoing COVID-19 pandemic, people are facing heightened uncertainty about the future and increasing rates of psychological distress. Intolerance of uncertainty (IU) and perceived COVID-19 threat may be contributing to mental health problems. This study investigated changes in mental health problems prior to and during the first two pandemic waves in the U.S., and the extent to which IU and perceived COVID-19 threat predicted these problems. MTurk participants (n=192; 50% women) were recruited from a pre-pandemic study in December 2019/January 2020 for a follow-up study on COVID-19 experiences, across five timepoints between April and August 2020. IU, perceived COVID-19 threat, and mental health problems (i.e., worry, COVID-19 fear, and trauma symptoms) were assessed. On average, mental health problems were not elevated, relative to pre-pandemic levels, and remained stable across time. Heightened IU and perceived COVID-19 threat were associated with more mental health problems. Surprisingly, objective measures of COVID-19 threat (e.g., state case rates) showed no associations with IU, and were slightly negatively correlated with psychological distress and perceived threat. Pre-existing mental health symptoms, IU and perceived COVID-19 threat may foster vulnerability to mental health problems during the pandemic, more so than objective threat levels.

Parent and child mental health trajectories April 2020 to May 2021: Strict lockdown versus no lockdown in Australia

2021 ◽  
pp. 000486742110653
Author(s):  
Elizabeth M Westrupp ◽  
Christopher J Greenwood ◽  
Matthew Fuller-Tyszkiewicz ◽  
Craig A Olsson ◽  
Emma Sciberras ◽  
...  
Keyword(s):  
Mental Health ◽  
Child Mental Health ◽  
Community Sample ◽  
Depression Symptoms ◽  
Mental Health Symptoms ◽  
Related Factors ◽  
Health Symptoms ◽  
Health Trajectories ◽  
Second Wave ◽  
Parent Child

Objective: To control a second-wave COVID-19 outbreak, the state of Victoria in Australia experienced one of the world’s first long and strict lockdowns over July–October 2020, while the rest of Australia experienced ‘COVID-normal’ with minimal restrictions. We (1) investigate trajectories of parent/child mental health outcomes in Victoria vs non-Victoria and (2) identify baseline demographic, individual and COVID-19-related factors associated with mental health trajectories. Methods: Online community sample of 2004 Australian parents with rapid repeated assessment over 14 time-points over April 2020 to May 2021. Measures assessed parent mental health (Depression, Anxiety and Stress Scales-21), child depression symptoms (13-item Short Mood and Feelings Questionnaire) and child anxiety symptoms (four items from Brief Spence Children’s Anxiety Scale). Results: Mental health trajectories shadowed COVID-19 infection rates. Victorians reported a peak in mental health symptoms at the time of the second-wave lockdown compared to other states. Key baseline predictors, including parent and child loneliness (standardized regression coefficient [β] = 0.09–0.46), parent/child diagnoses (β = 0.07–0.21), couple conflict (β = 0.07–0.18) and COVID-19 stressors, such as worry/concern about COVID-19, illness and loss of job (β = 0.12–0.15), predicted elevated trajectories. Effects of predictors on parent and child mental health trajectories are illustrated in an online interactive app for readers ( https://lingtax.shinyapps.io/CPAS_trend/ ). Conclusion: Our findings provide evidence of worse trajectories of parent and child mental health symptoms at a time coinciding with a second COVID-19 outbreak involving strict lockdown in Victoria, compared to non-locked states in Australia. We identified several baseline factors that may be useful in detecting high-risk families who are likely to require additional support early on in future lockdowns.

Associations Between Interpersonal Violence, Psychological Distress, and Suicidal Ideation Among Formerly Incarcerated Men and Women

2020 ◽  
pp. 088626052093304
Author(s):  
Madeleine Newman ◽  
Lisa Fedina ◽  
Boyoung Nam ◽  
Jordan DeVylder ◽  
Binta Alleyne-Green
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Sexual Violence ◽  
Interpersonal Violence ◽  
Violence Exposure ◽  
Mental Health Symptoms ◽  
Formerly Incarcerated ◽  
Health Symptoms ◽  
Incarcerated Men

Survivors of interpersonal violence are at increased risk of negative mental health outcomes; however, scant research has explored the relationship between violence exposure and mental health symptoms among formerly incarcerated individuals. This cross-sectional survey study investigates the demographic characteristics and mental health symptoms (i.e., psychological distress and suicidal ideation) associated with interpersonal violence exposure, including physical and sexual intimate partner violence, non-partner sexual violence, and sexual violence perpetrated by prison employees in a sample of formerly incarcerated men and women, with the aim that the findings both deepen the understanding of the effects of sexual violence exposure and help inform prison and jail policies. Surveys were administered to English-speaking adults ages 18 and older to recruit a sample of adults who were formerly incarcerated ( N = 201). Questions on the survey included questions regarding demographic details, sexual violence exposure, mental health symptoms, and time incarcerated. Findings show that higher levels of sexual violence exposure were significantly associated with higher levels of psychological distress and reporting of suicidal ideation. Results also suggest that higher levels of income and education and younger age were significantly associated with sexual violence perpetrated by prison employees. In addition, most forms of interpersonal violence were independently associated with psychological distress and suicidal ideation in this population. The findings make recommendations for prison and jail policies to include targeted treatment for individuals with sexual victimization histories, to mitigate the risk of revictimization and appropriately treat adverse mental health outcomes from sexual victimization within and outside the confines of incarceration.

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