Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study.
Identifieur interne : 000162 ( Main/Exploration ); précédent : 000161; suivant : 000163Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study.
Auteurs : C. Pélissier [France] ; E. Fort [France] ; L. Fontana [France] ; M. Hours [France]Source :
- Social psychiatry and psychiatric epidemiology [ 1433-9285 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- Accidents, Traffic (psychology), Adolescent (MeSH), Adult (MeSH), Anxiety (MeSH), Cohort Studies (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Mental Disorders (MeSH), Middle Aged (MeSH), Prospective Studies (MeSH), Psychological Distress (MeSH), Quality of Life (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
Abstract
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.
DOI: 10.1007/s00127-019-01780-0
PubMed: 31628512
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Pélissier</name><affiliation wicri:level="3"><nlm:affiliation>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, Université Jean Monnet, UMRESTTE, UMR T_9405, 42100, St Etienne, France. pelissier.carole.chu@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, Université Jean Monnet, UMRESTTE, UMR T_9405, 42100, St Etienne</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">St Etienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Pole de Santé Publique, Service de Médecine et Santé au Travail, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite, France. pelissier.carole.chu@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pole de Santé Publique, Service de Médecine et Santé au Travail, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Pierre-Bénite</settlement></placeName></affiliation></author><author><name sortKey="Fort, E" sort="Fort, E" uniqKey="Fort E" first="E" last="Fort">E. 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Pélissier</name><affiliation wicri:level="3"><nlm:affiliation>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, Université Jean Monnet, UMRESTTE, UMR T_9405, 42100, St Etienne, France. pelissier.carole.chu@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, Université Jean Monnet, UMRESTTE, UMR T_9405, 42100, St Etienne</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">St Etienne</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Pole de Santé Publique, Service de Médecine et Santé au Travail, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite, France. pelissier.carole.chu@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pole de Santé Publique, Service de Médecine et Santé au Travail, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Pierre-Bénite</settlement></placeName></affiliation></author><author><name sortKey="Fort, E" sort="Fort, E" uniqKey="Fort E" first="E" last="Fort">E. Fort</name><affiliation wicri:level="3"><nlm:affiliation>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, UMRESTTE, UMR T_9405, 69373, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, UMRESTTE, UMR T_9405, 69373, Lyon</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Fontana, L" sort="Fontana, L" uniqKey="Fontana L" first="L" last="Fontana">L. 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Hours</name><affiliation wicri:level="3"><nlm:affiliation>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, UMRESTTE, UMR T_9405, 69500, Bron, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, UMRESTTE, UMR T_9405, 69500, Bron</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Bron</settlement></placeName></affiliation></author></analytic><series><title level="j">Social psychiatry and psychiatric epidemiology</title><idno type="eISSN">1433-9285</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidents, Traffic (psychology)</term><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Anxiety (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Mental Disorders (MeSH)</term><term>Middle Aged (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Psychological Distress (MeSH)</term><term>Quality of Life (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accidents de la route (psychologie)</term><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Anxiété (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Troubles mentaux (MeSH)</term><term>Études de cohortes (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Accidents de la route</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Accidents, Traffic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Anxiety</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Mental Disorders</term><term>Middle Aged</term><term>Prospective Studies</term><term>Psychological Distress</term><term>Quality of Life</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anxiété</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Qualité de vie</term><term>Troubles mentaux</term><term>Études de cohortes</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Early-stage improvement in the screening and care of mental disorders in road accident casualties should help to reduce long-term psychological distress.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31628512</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>09</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-9285</ISSN><JournalIssue CitedMedium="Internet"><Volume>55</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Social psychiatry and psychiatric epidemiology</Title><ISOAbbreviation>Soc Psychiatry Psychiatr Epidemiol</ISOAbbreviation></Journal><ArticleTitle>Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study.</ArticleTitle><Pagination><MedlinePgn>371-383</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00127-019-01780-0</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">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.</AbstractText><AbstractText Label="METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Early-stage improvement in the screening and care of mental disorders in road accident casualties should help to reduce long-term psychological distress.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pélissier</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, Université Jean Monnet, UMRESTTE, UMR T_9405, 42100, St Etienne, France. pelissier.carole.chu@gmail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Pole de Santé Publique, Service de Médecine et Santé au Travail, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite, France. pelissier.carole.chu@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fort</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, UMRESTTE, UMR T_9405, 69373, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fontana</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, Université Jean Monnet, UMRESTTE, UMR T_9405, 42100, St Etienne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Service de Santé au Travail, CHU de Saint-Etienne, Saint-Priest-en-Jarez, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hours</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Univ Lyon, Université Claude Bernard Lyon1, Ifsttar, UMRESTTE, UMR T_9405, 69500, Bron, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>SU0400066</GrantID><Agency>the French Ministry of Equipment, Transport Housing, Tourism and SEA</Agency><Country></Country></Grant><Grant><GrantID>ANR-07-TSFA-007-01</GrantID><Agency>National Agency for Research</Agency><Country></Country></Grant><Grant><GrantID>PHRC-N03</GrantID><Agency>the French Ministry of Health</Agency><Country></Country></Grant><Grant><GrantID>PCRD 2005: N051</GrantID><Agency>the French Ministry of Health</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>10</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Soc Psychiatry Psychiatr Epidemiol</MedlineTA><NlmUniqueID>8804358</NlmUniqueID><ISSNLinking>0933-7954</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000063" MajorTopicYN="Y">Accidents, Traffic</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000079225" MajorTopicYN="Y">Psychological Distress</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ESPARR cohort</Keyword><Keyword MajorTopicYN="N">Long-term follow-up</Keyword><Keyword MajorTopicYN="N">Predictive factors</Keyword><Keyword MajorTopicYN="N">Psychosocial distress</Keyword><Keyword MajorTopicYN="N">Road 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