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Posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department
BACKGROUND: Among injury victims relatively high prevalence rates of posttraumatic stress disorder (PTSD) have been found. PTSD is associated with functional impairments and decreased health-related quality of life (HRQoL). Previous studies that addressed the latter were restricted to injuries at th...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3276433/ https://www.ncbi.nlm.nih.gov/pubmed/22230388 http://dx.doi.org/10.1186/1471-244X-12-1 |
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author | Haagsma, Juanita A Polinder, Suzanne Olff, Miranda Toet, Hidde Bonsel, Gouke J van Beeck, Ed F |
author_facet | Haagsma, Juanita A Polinder, Suzanne Olff, Miranda Toet, Hidde Bonsel, Gouke J van Beeck, Ed F |
author_sort | Haagsma, Juanita A |
collection | PubMed |
description | BACKGROUND: Among injury victims relatively high prevalence rates of posttraumatic stress disorder (PTSD) have been found. PTSD is associated with functional impairments and decreased health-related quality of life (HRQoL). Previous studies that addressed the latter were restricted to injuries at the higher end of the severity spectrum. This study examined the association between PTSD symptoms and health-related quality of life (HRQoL) in a comprehensive population of injury patients of all severity levels and external causes. METHODS: We conducted a self-assessment survey which included items regarding demographics of the patient, accident type, sustained injuries, EuroQol health classification system (EQ-5D) and Health Utilities Index (HUI) to measure functional outcome and HRQoL, and the Impact of Event Scale (IES) to measure PTSD symptoms. An IES-score of 35 or higher was used as indication for the presence of PTSD. The survey was completed by 1,781 injury patients two years after they were treated at the Emergency Department (ED), followed by either hospital admission or direct discharge to the home environment. RESULTS: Symptoms indicative of PTSD were associated with more problems on all EQ-5D and HUI3 domains of functional outcome and a considerable utility loss in both hospitalized (0.23-0.24) and non-hospitalized (0.32-0.33) patients. Differences in reported problems between patients with IES scores higher or lower than 35 were largest for EQ-5D health domains pain/discomfort (82% versus 28%) and anxiety/depression (53% versus 11%) and HUI domains emotion (92% versus 33%) and pain (84% versus 38%). After adjusting for potential confounders, PTSD remained strongly associated with adverse HRQoL. CONCLUSIONS: Among patients treated at an ED posttraumatic stress symptoms indicative of PTSD were associated with a considerable decrease in HRQoL in both hospitalized and non-hospitalized patients. PTSD symptoms may therefore raise a major barrier for full recovery of injury patients of even minor levels of severity. |
format | Online Article Text |
id | pubmed-3276433 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32764332012-02-10 Posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department Haagsma, Juanita A Polinder, Suzanne Olff, Miranda Toet, Hidde Bonsel, Gouke J van Beeck, Ed F BMC Psychiatry Research Article BACKGROUND: Among injury victims relatively high prevalence rates of posttraumatic stress disorder (PTSD) have been found. PTSD is associated with functional impairments and decreased health-related quality of life (HRQoL). Previous studies that addressed the latter were restricted to injuries at the higher end of the severity spectrum. This study examined the association between PTSD symptoms and health-related quality of life (HRQoL) in a comprehensive population of injury patients of all severity levels and external causes. METHODS: We conducted a self-assessment survey which included items regarding demographics of the patient, accident type, sustained injuries, EuroQol health classification system (EQ-5D) and Health Utilities Index (HUI) to measure functional outcome and HRQoL, and the Impact of Event Scale (IES) to measure PTSD symptoms. An IES-score of 35 or higher was used as indication for the presence of PTSD. The survey was completed by 1,781 injury patients two years after they were treated at the Emergency Department (ED), followed by either hospital admission or direct discharge to the home environment. RESULTS: Symptoms indicative of PTSD were associated with more problems on all EQ-5D and HUI3 domains of functional outcome and a considerable utility loss in both hospitalized (0.23-0.24) and non-hospitalized (0.32-0.33) patients. Differences in reported problems between patients with IES scores higher or lower than 35 were largest for EQ-5D health domains pain/discomfort (82% versus 28%) and anxiety/depression (53% versus 11%) and HUI domains emotion (92% versus 33%) and pain (84% versus 38%). After adjusting for potential confounders, PTSD remained strongly associated with adverse HRQoL. CONCLUSIONS: Among patients treated at an ED posttraumatic stress symptoms indicative of PTSD were associated with a considerable decrease in HRQoL in both hospitalized and non-hospitalized patients. PTSD symptoms may therefore raise a major barrier for full recovery of injury patients of even minor levels of severity. BioMed Central 2012-01-09 /pmc/articles/PMC3276433/ /pubmed/22230388 http://dx.doi.org/10.1186/1471-244X-12-1 Text en Copyright ©2012 Haagsma et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Haagsma, Juanita A Polinder, Suzanne Olff, Miranda Toet, Hidde Bonsel, Gouke J van Beeck, Ed F Posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department |
title | Posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department |
title_full | Posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department |
title_fullStr | Posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department |
title_full_unstemmed | Posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department |
title_short | Posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department |
title_sort | posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3276433/ https://www.ncbi.nlm.nih.gov/pubmed/22230388 http://dx.doi.org/10.1186/1471-244X-12-1 |
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