Authors
Meaghan L O'Donnell, Genevieve Grant, Nathan Alkemade, Matthew Spittal, Mark Creamer, Derrick Silove, Alexander McFarlane, Richard A Bryant, David Forbes, David M Studdert
Publication date
2015/8/26
Journal
The Journal of clinical psychiatry
Volume
76
Issue
8
Pages
3527
Publisher
Physicians Postgraduate Press, Inc.
Description
Objective: Claiming for compensation after injury is associated with poor health outcomes. This study examined the degree to which compensation-related stress predicts long-term disability and the mental health factors that contribute to this relationship.
Method: In a longitudinal, multisite cohort study, 332 injury patients (who claimed for compensation) recruited from April 2004 to February 2006 were assessed during hospitalization and at 3 and 72 months after injury. Posttraumatic stress, depression, and anxiety symptoms (using the Mini-International Neuropsychiatric Interview) were assessed at 3 months; compensation-related stress and disability levels (using the World Health Organization Disability Assessment Schedule II) were assessed at 72 months.
Results: A significant direct relationship was found between levels of compensation-related stress and levels of long-term disability (β= 0.35, P<. 001). Three …
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