Depressive, anxiety and post-traumatic stress disorders at six years after occupational injuries
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The aim of this study is to determine the prevalence rates of depressive, anxiety and PTSDs, and the risk factors for psychological symptoms at 6 years after occupational injury. This longitudinal study followed workers who were occupationally injured in 2009. Psychological symptoms and return to work were assessed at 3 and 12 months after injury. Injured workers who had completed the initial questionnaire survey at 3 or 12 months after injury were recruited. A self-administered questionnaire was mailed to the participants. For workers with high Brief Symptom Rating Scale and Post-traumatic Symptom Checklist scores, an in-depth psychiatric evaluation was performed using the Mini-international Neuropsychiatric Interview. A total of 570 workers completed the questionnaire (response rate, 28.7%). Among them, 243 (42.6%) had high psychological symptom scores and were invited for a phone interview; 135 (55.6%) completed the interview. The estimated rates of major depression and post-traumatic stress disorder (PTSD)/partial PTSD were 9.2 and 7.2%, respectively, and both these rates were higher at 6 years after injury than at 12 months after injury (2.0 and 5.1%). After adjustment for family and social factors, the risk factors for high psychological scores were length of hospitalization immediately after injury, affected physical appearance, repeated occupational injuries, unemployment, and number of quit jobs after the injury. At 6 years after occupational injury, the re-emergence of psychiatric disorders was observed. Relevant factors for poor psychological health were severity of injury and instability of work. Periodic monitoring of psychological and physical health and economic stability are warranted.
KeywordsPost-traumatic stress disorder Depression Psychological symptoms Occupational injury
We would like to thank Hsueh-Ching Wu, RN. PhD (National Taiwan University School of Nursing), Li-Jie Wang, RN, Yichuan Chen, RN, and I-Ju Lee, RN, provided help and input on performing MINI telephone interview of this study. There was no financial compensation.
Compliance with ethical standards
Conflict of interest
This work was supported by Ministry of Science and Technology, R.O.C. (Taiwan) Grant MOST 103-2314-B-002-042.
- 1.The International Labour Organization (2014) Safety and health at work : a vision for sustainable prevention: Xx world congress on safety and health at work 2014: global forum for prevention, 24–27 august 2014, frankfurt, germany. In: ILO, GenevaGoogle Scholar
- 15.Chen HC, Wu CH, Lee YJ, Liao SC, Lee MB (2005) Validity of the five-item brief symptom rating scale among subjects admitted for general health screening. Taiwan yi zhi=J Formos Med Assoc 104:824–829Google Scholar
- 16.American Psychiatry Association (1994) Diagnostic and statistical manual of mental disorder. (dsm-iv-tr). American Psychiatry Association, Washington, DCGoogle Scholar
- 17.Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E et al (1998) The Mini-international neuropsychiatric interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33PubMedGoogle Scholar
- 20.Forbes D, Nickerson A, Alkemade N, Bryant RA, Creamer M, Silove D, McFarlane AC, Van Hooff M, Fletcher SL, O’Donnell M (2015) Longitudinal analysis of latent classes of psychopathology and patterns of class migration in survivors of severe injury. J Clin Psychiatry 76:1193–1199CrossRefPubMedGoogle Scholar
- 28.Molarius A, Berglund K, Eriksson C, Eriksson HG, Lindén-Boström M, Nordström E, Persson C, Sahlqvist L, Starrin B, Ydreborg B (2009) Mental health symptoms in relation to socio-economic conditions and lifestyle factors—a population-based study in sweden. BMC Public Health 9:302–302CrossRefPubMedPubMedCentralGoogle Scholar
- 30.Tsai KY, Chou P, Chou FHC, Su TTP, Lin SC, Lu MK, Ou-Yang WC, Su CY, Chao SS, Huang MW, Wu HC, Sun WJ, Su SF, Chen MC (2007) Three-year follow-up study of the relationship between posttraumatic stress symptoms and quality of life among earthquake survivors in Yu-Chi, Taiwan. J Psychiatr Res 41:90–96CrossRefPubMedGoogle Scholar
- 39.Ferrie JE, Shipley MJ, Stansfeld SA, Marmot MG (2002) Effects of chronic job insecurity and change in job security on self reported health, minor psychiatric morbidity, physiological measures, and health related behaviours in british civil servants: the whitehall ii study. J Epidemiol Community Health 56:450–454CrossRefPubMedPubMedCentralGoogle Scholar