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Cited by 50Medical Practices and RehabilitationTraumatic Brain Injury ResearchTraffic and Road Safety

Effect of mental health on long-term disability after a road traffic crash: results from the UQ SuPPORT study

Kenardy, Justin, Heron-Delaney, Michelle, Warren, Jacelle, Brown, Erin A.·2015·Archives of Physical Medicine and Rehabilitation
DOI 10.1016/j.apmr.2014.10.007
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Abstract

Objective To investigate the relation between mental health and disability after a road traffic crash (RTC) up to 24 months for claimants with predominantly minor injuries in an Australian sample.Design Longitudinal cohort study with survey and telephone interview data collected at approximately 6, 12, and 24 months post-RTC.Setting Not applicable.Participants Claimants (N=382) within a common-law, fault-based compulsory third-party motor accident insurance scheme in Queensland, Australia, consented to participate when invited and were approached at each wave. Retention was high (65%) at 2-year follow-up. Disability scores from at least 1 wave were known for 363 participants, with the mean age of participants being 48.4 years and 62% being women.Interventions Not applicable.Main outcome measure Self-reported disability (via the World Health Organization Disability Assessment Schedule 2).Results Participants reported higher disability (mean, 10.9±9.3) compared with the Australian norms (mean, 3.1±5.3). A multilevel regression analysis found that predictors of disability included present diagnosis of posttraumatic stress disorder (PTSD), anxiety, or depression, mental health history, perceived threat to life, and pain. PTSD moderated the relation between age and disability such that older age predicted higher disability in the PTSD group only, whereas anxiety moderated the relation between expectation to return to work and disability such that those with low expectations and anxiety reported significantly higher disability.Conclusions Claimants with predominantly minor physical injuries report high disability, particularly when comorbid psychiatric disorders are present, pain is high, and expectations regarding return to work are low. Developing tools for detecting those at risk of poor recovery after an RTC is necessary for informing policy and practice in injury management and postinjury rehabilitation.

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  • A recent study found that males endorsing more masculine gender traits are more likely to participate in pain studies, which may help explain sex differences in pain responses.

    “a recent study demonstrated that males endorsing greater masculine gender traits are more likely to participate pain studies, offering a potential explanation for sex differences in pain responses 199.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [199]

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Authors
Kenardy, J., Heron-Delaney, M., Warren, J., & Brown, E. A.
Affiliations
The University of Queensland (AU)
Corresponding author
Kenardy, Justin
ORCID
Venue
Archives of Physical Medicine and Rehabilitation
Publisher
Elsevier BV
Published
2015-03
Volume
96
Issue
3
Pages
410-417
ISSN
0003-9993 (ISSN-L)
DOI
10.1016/j.apmr.2014.10.007
OpenAlex
W2011528375
Cited by
50
References
44
Citations by year
2026: 3 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 11 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 7 · 2015: 1
FWCI
11.23
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Archives of Physical Medicine and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
Funders
Motor Accident Insurance Commission
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Physical Sciences › Engineering › Safety, Risk, Reliability and Quality › Traffic and Road Safety
Keywords
mental health, long-term disability, road traffic crashes, post-traumatic stress disorder, anxiety, depression, pain, age and disability, minor injuries
MeSH terms
Accidents, Traffic, Adult, Aged, Aged, 80 and over, Anxiety, Depression, Disability Evaluation, Female, Disabled Persons, Persons with Disabilities, Humans, Longitudinal Studies, Male, Middle Aged, Pain Measurement, Queensland, Surveys and Questionnaires, Social Support, Stress Disorders, Post-Traumatic

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