Journal of Occupational Rehabilitation

, Volume 24, Issue 1, pp 1–10

Long-Term Psychological Outcome of Workers After Occupational Injury: Prevalence and Risk Factors

  • Kuan-Han Lin
  • Judith Shu-Chu Shiao
  • Nai-Wen Guo
  • Shih-Cheng Liao
  • Chun-Ya Kuo
  • Pei-Yi Hu
  • Jin-Huei Hsu
  • Yaw-Huei Hwang
  • Yue Leon Guo
Article

DOI: 10.1007/s10926-013-9431-3

Cite this article as:
Lin, KH., Shiao, J.SC., Guo, NW. et al. J Occup Rehabil (2014) 24: 1. doi:10.1007/s10926-013-9431-3

Abstract

Introduction This study aimed to examine the prevalence rates of both post-traumatic stress disorder (PTSD) and major depression at 12 months in workers experiencing different types of occupational injury in Taiwan. Demographic and injury-related risk factors for psychological symptoms were also evaluated. Methods Our study candidates were injured workers in Taiwan who were hospitalized for 3 days or longer and received hospitalization benefits from the Labor Insurance program. A two-staged survey study was conducted. A self-reported questionnaire including the Brief Symptom Rating Scale and Post-traumatic Symptom Checklist was sent to workers at 12 months after injury. Those who met the criteria were recruited for the second-stage phone interview with a psychiatrist using the Mini-international Neuropsychiatric Interview (MINI). Results A total of 1,233 workers completed the questionnaire (response rate 28.0 %). Among them, 167 (13.5 %) fulfilled the criteria for the MINI interview and were invited. A total of 106 (63.5 %) completed the phone interview. The estimated rate of either PTSD/PPTSD or major depression was 5.2 %. The risk factors for psychological symptoms were female gender, lower education level, loss of consciousness after occupational injury, injury affecting physical appearance, occupational injury experience before this event, life experience before and after this injury, length of hospital stay, self-rated injury severity, and percentage of income to the family. Conclusions These results showed that occupational injury can cause long-term psychological impact in workers. Key demographic and injury characteristics may enhance the identification of at-risk occupational injured workers who would benefit from targeted screening and early intervention efforts.

Keywords

Major depression Occupational injury Partial post-traumatic stress disorder (PPTSD) Post-traumatic stress disorder (PTSD) Risk factor 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Kuan-Han Lin
    • 1
  • Judith Shu-Chu Shiao
    • 7
  • Nai-Wen Guo
    • 3
  • Shih-Cheng Liao
    • 4
  • Chun-Ya Kuo
    • 5
  • Pei-Yi Hu
    • 6
  • Jin-Huei Hsu
    • 6
  • Yaw-Huei Hwang
    • 1
  • Yue Leon Guo
    • 1
    • 2
  1. 1.Institute of Occupational Medicine and Industrial Hygiene, School of Public HealthNational Taiwan UniversityTaipeiTaiwan, ROC
  2. 2.Department of Environmental and Occupational Medicine, College of Medicine and NTU HospitalNational Taiwan University (NTU)Taipei City 100Taiwan, ROC
  3. 3.Institute of Behavioral MedicineNational Cheng Kung UniversityTainanTaiwan, ROC
  4. 4.Department of PsychiatryNational Taiwan University HospitalTaipeiTaiwan, ROC
  5. 5.Department of PsychiatryChung Shan Medical University HospitalTaichungTaiwan, ROC
  6. 6.Institute of Occupational Safety and HealthCouncils of Labor AffairsTaipeiTaiwan, ROC
  7. 7.Department of Nursing, College of MedicineNational Taiwan University (NTU) and NTU Hospital Taipei Taiwan

Personalised recommendations