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Psychological Distress and Post-Traumatic Symptoms Following Occupational Accidents

DOI: 10.3390/bs3040587

Keywords: work accidents, trauma, psychological distress, post-traumatic stress disorder, assessment

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Abstract:

Depression and post-traumatic stress disorder frequently occur as a consequence of occupational accidents. To date, research has been primarily focused on high-risk workers, such as police officers or firefighters, and has rarely considered individuals whose occupational environment involves the risk of severe, but not necessarily life-threatening, injury. Therefore, the present study was aimed at assessing the psychological consequences of accidents occurring in several occupational settings (e.g., construction and industry). Thirty-eight victims of occupational accidents (injured workers) and 38 gender-, age-, and years of education-matched workers who never experienced a work accident (control group) were recruited. All participants underwent a semi-structured interview administered by a trained psychologist, and then were requested to fill in the questionnaires. Injured workers reported more severe anxious, post-traumatic and depressive symptoms, and poorer coping skills, as compared to controls. In the injured group low levels of resilience predicted post-traumatic symptomatology, whereas the degree of physical injury and the length of time since the accident did not play a predictive role. The results suggest that occupational accidents may result in a disabling psychopathological condition, and that a brief psychological evaluation should be included in the assessment of seriously injured workers.

References

[1]  EUROSTAT. Health and safety at work statistics. Available online: http://epp.eurostat.ec.europa.eu/statistics_explained/index.php/Health_and_safety_at_work_statistics (accessed on 12 July 2013).
[2]  Cheyne, A.; Cox, S.; Oliver, A.; Tomás, J.M. Modelling safety climate in the prediction of levels of safety activity. Work Stress 1998, 12, 255–271, doi:10.1080/02678379808256865.
[3]  Cox, S.; Flin, R. Safety culture: Philosopher’s stone or man of straw? Work Stress 1998, 12, 189–201, doi:10.1080/02678379808256861.
[4]  Reason, J. Achieving a safe culture: Theory and practice. Work Stress 1998, 12, 293–306.
[5]  Chau, N.; Mur, N.M.; Benamghar, L.; Siegfried, C.; Dangelzer, J.L.; Fran?ais, M.; Jacquin, R.; Sourdot, A. Relationships between some individual characteristics and occupational accidents in construction industry: A case-control study on 880 victims of accidents occurred during two-year period. J. Occup. Health. 2002, 44, 131–139, doi:10.1539/joh.44.131.
[6]  Clarke, S.; Robertson, I.T. A meta-analytic review of the Big Five personality factors and accident involvement in occupational and non-occupational settings. J. Occup. Organ. Psychol. 2005, 78, 353–376.
[7]  Dembe, A.D. The social consequences of occupational injuries and illness. Am. J. Ind. Med. 2001, 40, 403–417, doi:10.1002/ajim.1113.
[8]  Evanoff, B.; Abedin, S.; Grayson, D.; Dale, A.M.; Wolf, L.; Bohr, P. Is disability underreported following work injury? J. Occup. Rehabil. 2002, 12, 139–150, doi:10.1023/A:1016838510682.
[9]  Asmundson, G.J.; Norton, G.R.; Allerdings, M.D.; Norton, P.J.; Larsen, D.K. Posttraumatic stress disorder and work related injury. J. Anxiety Disord. 1998, 1, 57–69.
[10]  Wall, C.L.; Ogloff, J.R.P.; Morrissey, S.A. Psychological consequences of work injury: Personality, trauma and psychological distress symptoms of noninjured workers and injured workers returning to, or remaining at work. I.J.D.M.R. 2008, 2, 37–46.
[11]  Dersh, J.; Gatchel, R.J.; Polatin, P.; Mayer, T. Prevalence of psychiatric disorders in patients with chronic work-related musculoskeletal pain disability. J. Occup. Environ. Med. 2002, 44, 459–68, doi:10.1097/00043764-200205000-00014.
[12]  Keogh, J.P.; Nuwayhid, I.; Gordon, J.L.; Gucer, P. The impact of occupational injury on injured worker and family: Outcomes of upper extremity cumulative trauma disorders in Maryland workers. Am. J. Ind. Med. 2000, 38, 498–506, doi:10.1002/1097-0274(200011)38:5<498::AID-AJIM2>3.0.CO;2-I.
[13]  Burgess, E.S.; Hibler, R.; Keegan, D.; Everly, G.S. Symptoms of posttraumatic stress disorder in worker’s compensation patients attending a work rehabilitation program. Int. J. Rehab. Health 1996, 2, 29–39, doi:10.1007/BF02213562.
[14]  Grunert, B.K.; Devine, C.; Matloub, H.S.; Sanger, J.R.; Yousif, N.J.; Anderson, R.C.; Roell, S.M. Psychological adjustment following work-related hand injury: 18-month follow-up. Ann. Plast. Surg. 1992, 29, 537–542, doi:10.1097/00000637-199212000-00010.
[15]  Grunert, K.; Weis, J.M.; Smucker, M.R.; Christianson, H. Imagery rescripting and reprocessing therapy after failed prolonged imaginal exposure for posttraumatic stress disorder following industrial injury. J. Behav. Ther. Exp. Psychiatry 2007, 38, 317–328, doi:10.1016/j.jbtep.2007.10.005.
[16]  Mayou, R. Psychiatric aspects of road traffic accidents. Int. Rev. Psychiatry 1992, 4, 45–54, doi:10.3109/09540269209066301.
[17]  Novara, C.; Buodo, G.; Ghisi, M.; Poli, S.; Bichescu, D.M.; Sanavio, E.; Palomba, D. Integrated assessment of emotional distress after work-related accidents. Stress Health 2009, 25, 195–204, doi:10.1002/smi.1236.
[18]  Gustafsson, M.; Ahlstr?m, G. Problems experienced during the first year of an acute traumatic hand injury—a prospective study. J. Clin. Nurs. 2004, 13, 986–995, doi:10.1111/j.1365-2702.2004.01019.x.
[19]  Nyberg, E.; Stieglitz, R.D.; Frommberger, U.; Berger, M. Psychological disorders after sever occupational accidents. Versicherungs Medizin 2003, 55, 76–81.
[20]  Matthews, L.R. Posttrauma employability of people with symptoms of PTSD and the contribution of work environments. I.J.D.M.R. 2006, 1, 87–96.
[21]  Matthews, L.R.; Harris, L.M.; Cumming, S. Trauma-related appraisals and coping styles of injured adults with and without symptoms of PTSD and their relationship to work potential. Disabil. Rehabil. 2009, 31, 1577–1583, doi:10.1080/09638280802639012.
[22]  Kamphuis, J.H.; Emmelkamp, P.M.G. Crime-related Trauma: Psychological distress in victim of bankrobbery. J. Anxiety Disord. 1998, 12, 199–208, doi:10.1016/S0887-6185(98)00009-7.
[23]  Lee, J.M.; Botteman, M.F.; Xanthakos, N.; Nicklasson, L. Needlestick injuries in the United States: Epidemiologic, economic, and quality of life issues. A.A.O.H.N.J. 2005, 53, 117–133.
[24]  Liao, H.; Arvey, R.D.; Butler, R.J.; Nutting, S.M. Correlates of work injury frequency and duration among firefighters. J. Occup. Health Psychol. 2001, 6, 329–342, doi:10.1177/135910530100600306.
[25]  MacDonald, H.A.; Coltola, V.; Flamer, S.; Karlinsky, H. Posttraumatic stress disorder (PTSD) in the workplace: A descriptive study of workers experiencing PTSD resulting from work injury. J. Occup. Rehabil. 2003, 13, 63–77, doi:10.1023/A:1022563930482.
[26]  Scheibe, S.; Miller, L.S.; Bagby, R.M.; Dorian, B.J. Assessing posttraumatic stress disorder with MMPI-2 in a sample of workplace accident victims. Psychol. Assess. 2001, 13, 369–374.
[27]  American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. ed.; American Psychiatric Publishing: Arlington, VA, USA, 2013.
[28]  Davidson, J.R.; Payne, V.M.; Connor, K.M.; Foa, E.B.; Rothbaum, B.O.; Hertzberg, M.A.; Weisler, R.H. Trauma, resilience and saliostasis: Effects of treatment in post-traumatic stress disorder. Int. Clin. Psychopharmacol. 2005, 20, 43–48, doi:10.1097/00004850-200501000-00009.
[29]  Foa, E.B.; Steketee, G.; Rothbaum, B.O. Behavioral-cognitive conceptualization of post-traumatic stress disorder. Behav. Ther. 1989, 20, 155–176, doi:10.1016/S0005-7894(89)80067-X.
[30]  McFarlane, A.C.; Papay, P. Multiple diagnoses in posttraumatic stress disorder in the victims of a natural disaster. J. Nerv. Ment. Dis. 1992, 180, 498–504, doi:10.1097/00005053-199208000-00004.
[31]  Kessler, R.C.; Frank, R.G. The impact of psychiatric disorders on work loss days. Psychol. Med. 1997, 27, 861–873, doi:10.1017/S0033291797004807.
[32]  Matthews, L.R.; Chinnery, D.L.; Blaszczynski, A.; Silove, D.; Hillman, K. Posttraumatic Stress Disorder: A risk factor for poor work outcomes in survivors of road trauma. AJRC 2001, 7, 95–105.
[33]  Matthews, L.R.; Chinnery, D.L. Prediction of work functioning following accidental injury: The contribution of PTSD severity and other established risk factors. Int. J. Psychol. 2005, 40, 339–438, doi:10.1080/00207590444000320.
[34]  Zlotnick, C.; Franklin, C.L.; Zimmerman, M. Does ‘subthreshold’ posttraumatic stress disorder have any clinical relevance? Compr. Psychiatry 2002, 43, 413–419, doi:10.1053/comp.2002.35900.
[35]  Pransky, G.; Benjamin, K.; Hill-Fatouhi, C.; Himmelstein, J.; Fletcher, K.; Katz, J.; Johnson, W. Outcomes in work-related upper extremity and low back injuries: Results of a retrospective study. Am. J. Ind. Med. 2000, 37, 400–409, doi:10.1002/(SICI)1097-0274(200004)37:4<400::AID-AJIM10>3.0.CO;2-C.
[36]  Buodo, G.; Ghisi, M.; Novara, C.; Scozzari, S.; Di Natale, A.; Sanavio, E.; Palomba, D. Assessment of cognitive functions in individuals with post-traumatic symptoms after work-related accidents. J. Anxiety Disord. 2011, 25, 64–70.
[37]  U.S. Federal Record, Part 1904; Occupational Safety and Health Administration: Washington, DC, USA, 2001.
[38]  Beck, A.; Steer, R.; Brown, G. BeckDepression Inventory, 2nd ed. ed.; The Psychological Corporation: San Antonio, TX, USA, 1996.
[39]  Ghisi, M.; Flebus, G.B.; Montano, A.; Sanavio, E.; Sica, C. Beck Depression Inventory—II. Adattamento Italiano: Manuale. (In Italian); Organizzazioni Speciali: Firenze, Italy, 2006.
[40]  Spielberger, C.D. Manual for the State-Trait Anxiety Inventory (Form Y); Consulting Psychologist Press: Palo Alto, CA, USA, 1983.
[41]  Pedrabissi, L.; Santinello, M. Inventario per l’Ansia di ‘Stato’ e di ‘Tratto’: Nuova Versione Italiana dello STAI—Forma Y: Manuale. (In Italian); Organizzazioni Speciali: Firenze, Italy, 1989.
[42]  Spielberger, C.D. Manual for the State-Trait Anger Expression Inventory; Psychological Assessment Resources: Odessa, FL, USA, 1988.
[43]  Comunian, A.L. STAXI State-Trait Anger Expression Inventory: Versione e Adattamento Italiano: Manuale. (In Italian); Organizzazioni Speciali: Firenze, Italy, 1992.
[44]  Foa, E.B.; Riggs, D.S.; Dancu, C.V.; Rothbaum, B.O. Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. J. Trauma Stress 1993, 6, 459–473, doi:10.1002/jts.2490060405.
[45]  Connor, K.M.; Davidson, J.R.T. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress. Anxiety 2003, 18, 76–82, doi:10.1002/da.10113.
[46]  Cohen, J. Statistical Power Analyses for the Behavioral Sciences, 2nd ed. ed.; Erlbaum: Hillsdale, NJ, USA, 1988.
[47]  Weathers, F.W.; Keane, T.M.; Foa, E.B. Assessment and diagnosis of adults. In Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies, 2nd ed.; Foa, E.B., Keane, T.M., Friedman, M.J., Judith, A.C., Eds.; Guilford Press: New York, NY, USA, 2008; pp. 23–60.
[48]  Kulka, R.A.; Schlenger, W.E.; Fairbank, J.A.; Hough, R.L.; Jordan, B.K.; Marmar, C.R.; Weiss, D.S. Trauma and the Vietnam War Generation: Report of Findings from the National Vietnam Veterans Readjustment Study; Brunner/Mazel: New York, NY, USA, 1990.
[49]  Tanielian, T.; Jaycox, L.H. Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery; RAND Corporation: Santa Monica, CA, USA, 2008.
[50]  Hoge, C.W.; Terrhakopian, A.; Castro, C.A.; Messer, S.C.; Engel, C.C. Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq war veterans. Am. J. Psychiatr. 2007, 164, 150–153, doi:10.1176/appi.ajp.164.1.150.
[51]  Koren, D.; Norman, D.; Cohen, A.; Berman, J.; Klein, E.M. Increased PTSD risk with combat-related injury: A matched comparison study of injured and uninjured soldiers experiencing the same combat events. Am. J. Psychiatr. 2005, 162, 276–282, doi:10.1176/appi.ajp.162.2.276.
[52]  Koren, D.; Hemel, D.; Klein, E.M. Injury increases the risk for PTSD: An examination of potential neurobiological and psychological mediators. CNS Spectr. 2006, 11, 616–624.
[53]  Martz, E.; Cook, D.W. Physical impairments as risk factors for the development of posttraumatic stress disorder. Rehabil. Couns. Bull. 2001, 44, 217–221, doi:10.1177/003435520104400404.
[54]  Miller, L. Shocks to the System: Psychotherapy of Traumatic Disability Syndromes; Norton: New York, NY, USA, 1998.
[55]  Gregurek, R.; Pavi?, L.; Vuger-Kova?i?, D.; Vuku?i?, H.; Potrebica, S.; Bitar, Z.; Kova?i?, D.; Dani?, S.; Klain, E. Increase of frequency of Post-Traumatic Stress Disorder in disabled war veterans during prolonged stay in a rehabilitation hospital. Croat. Med. J. 2001, 42, 161–164.
[56]  Schutzwohl, M.; Maereker, A. Effects of varying diagnostic criteria for posttraumatic stress disorder are endorsing the concept of partial PTSD. J. Trauma. Stress 1999, 12, 155–165, doi:10.1023/A:1024706702133.
[57]  Stice, B.D.; Dik, B.J. Depression among injured workers receiving vocational rehabilitation: Contributions of work values, pain, and stress. J. Occup. Rehabil. 2009, 19, 354–363, doi:10.1007/s10926-009-9190-3.
[58]  Smith, E.M.; North, C.S.; McCool, R.E.; Shea, J.M. Acute postdisaster psychiatric disorders: Identification of persons at risk. Am. J. Psychiatr. 1990, 147, 202–206.
[59]  Shalev, A.Y.; Freedman, S.; Peri, T.; Brandes, D.; Sahar, T.; Orr, S.P.; Pitman, R.K. Prospective study of posttraumatic stress disorder and depression following trauma. Am. J. Psychiatr. 1998, 155, 630–637.
[60]  Connor, K.M.; Sutherland, S.M.; Tupler, L.A.; Malik, M.L.; Davidson, J.R. Fluoxetine in post-traumatic stress disorder: Randomised, double-blind study. Br. J. Psychiatr. 1999, 175, 17–22, doi:10.1192/bjp.175.1.17.
[61]  Feeny, N.C.; Zoellner, L.A.; Foa, E.B. Anger, dissociation, and posttraumatic stress disorder among female assault victims. J. Trauma. Stress 2000, 13, 89–100, doi:10.1023/A:1007725015225.
[62]  Foa, E.B.; Riggs, D.S.; Masie, E.D.; Yarczower, M. The impact of fear activation and anger on the efficacy of exposure treatment for posttraumatic stress disorder. Behav. Ther. 1995, 26, 487–499.
[63]  D?rfel, D.; Rabe, S.; Karl, A. Coping strategies in daily life as protective and risk factors for post traumatic stress in motor vehicle accident survivors. J. Loss Trauma 2008, 13, 422–440, doi:10.1080/15325020701742136.
[64]  Ehlers, A.; Mayou, R.A.; Bryant, B. Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. J. Abnorm. Psychol. 1998, 107, 508–519, doi:10.1037/0021-843X.107.3.508.
[65]  Koren, D.; Arnon, I.; Klein, E.M. Acute stress response and posttraumatic stress disorder in traffic accident victims: A one-year prospective, follow-up study. Am. J. Psychiatr. 1999, 156, 367–373.
[66]  Schnyder, U.; Moergeli, H.; Klaghofer, R.; Buddeberg, C. Incidence and prediction of posttraumatic stress disorder symptoms in severely injured accident victims. Am. J. Psychiatr. 2001, 158, 594–599, doi:10.1176/appi.ajp.158.4.594.
[67]  Zatzick, D.F.; Kang, S.M.; Müller, H.G.; Russo, J.E.; Rivara, F.P.; Katon, W.; Jurkovich, G.J.; Roy-Byrne, P. Predicting posttraumatic distress in hospitalized trauma survivors with acute injuries. Am. J. Psychiatr. 2002, 159, 941–946, doi:10.1176/appi.ajp.159.6.941.
[68]  Blanchard, E.B.; Hickling, E.J.; Mitnick, N.; Taylor, A.E.; Loos, W.R.; Buckley, T.C. The impact of severity of physical injury and perception of life threat in the development of post-traumatic stress disorder in motor vehicle accident victims. Behav. Res. Ther. 1995, 33, 529–534.
[69]  Blanchard, E.B.; Hickling, E.J.; Taylor, A.E.; Loos, W.R.; Forneris, C.A.; Jaccard, J. Who develops PTSD from motor vehicle accidents? Behav. Res. Ther. 1996, 34, 1–10, doi:10.1016/0005-7967(95)00058-6.
[70]  Blanchard, E.B.; Hidding, E.J.; Forneris, C.A.; Taylor, A.E.; Buckley, T.C.; Loos, W.R.; Jaccard, J. Prediction of remission of acute posttraumatic stress disorder in motor vehicle accident victims. J. Trauma. Stress 1997, 10, 215–234.
[71]  Coronas, R.; Garcìa-Parés, G.; Viladrich, C.; Santos, J.M.; Menchón, J.M. Clinical and sociodemographic variables associated with the onset of posttraumatic stress disorder in road traffic accidents. Depress. Anxiety 2008, 25, E16–E23, doi:10.1002/da.20324.
[72]  Hamanaka, S.; Asukai, N.; Kamijo, Y.; Hatta, K.; Kishimoto, J.; Miyaoka, H. Acute stress disorder and posttraumatic stress disorder symptoms among patients severely injured in motor vehicle accidents in Japan. Gen. Hosp. Psychiatr. 2006, 28, 234–241, doi:10.1016/j.genhosppsych.2006.02.007.
[73]  MacGregor, A.J.; Corson, K.S.; Larson, G.E.; Shaffer, R.A.; Dougherty, A.L.; Galarneau, M.R.; Raman, R.; Baker, D.G.; Lindsay, S. P.; Golomb, B.A. Injury-specific predictors of posttraumatic stress disorder. Injury 2009, 40, 1004–1010, doi:10.1016/j.injury.2009.04.006.
[74]  Mason, S.; Wardrope, J.; Turpin, G.; Rowlands, A. Outcomes after injury: A comparison of workplace and non workplace injury. J. Trauma. 2002, 53, 98–103, doi:10.1097/00005373-200207000-00019.
[75]  Corbière, M.; Sullivan, M.J.L.; Stanish, W.D.; Adams, H. Pain and depression in injured workers and their return to work: A longitudinal study. Can. J. Behav. Sci. 2007, 39, 23–31, doi:10.1037/cjbs2007002.

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