4.6 Article

RISK FACTORS FOR POST-INJURY MENTAL HEALTH PROBLEMS

Journal

DEPRESSION AND ANXIETY
Volume 30, Issue 4, Pages 321-327

Publisher

WILEY-BLACKWELL
DOI: 10.1002/da.22077

Keywords

injury; burns; risk factor; posttraumatic stress; adjustment; anxiety; biopsychosocial; mental health

Funding

  1. Manitoba Medical Services Foundation
  2. Health Sciences Foundation
  3. Manitoba Health Research Council Chair
  4. Manitoba Health Research Council Chair award

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Serious nonfatal physical injuries and burns are common occurrences that can have substantial implications for personal, social, and occupational functioning. Such injuries are frequently associated with significant mental health issues, and compromised quality of life and well-being. The purpose of this review is to summarize the current literature on physical, psychological, and social risk factors for mental health issues post-injury and to contextualize findings using Engel's biopsychosocial framework. We distinguish between pre-injury, injury-related, and post-injury risk factors for mental health problems. Female sex, history of mental health problems or trauma, type of injury, and level of pain are among the strong risk factors for mental health problems post-injury. We highlight inconsistent findings in the literature, identify directions for future research, and explore the implications of the risk factors identified for treatment and prevention.

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