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The psychological impact of traffic injuries sustained in a road crash by bicyclists: A prospective study
- Source :
- Traffic Injury Prevention, 18(3), 273-280. Taylor & Francis Inc, Craig, A, Elbers, N A, Jagnoor, J, Gopinath, B, Kifley, A, Dinh, M, Pozzato, I, Ivers, R, Nicholas, M & Cameron, I 2017, ' The psychological impact of traffic injuries sustained in a road crash by bicyclists: A prospective study ', Traffic Injury Prevention, vol. 18, no. 3, pp. 273-280 . https://doi.org/10.1080/15389588.2016.1248760
- Publication Year :
- 2017
- Publisher :
- Informa UK Limited, 2017.
-
Abstract
- Objective: The objective of this study was to investigate the psychological impact of traffic injuries in bicyclists (cyclists) in comparison to car occupants who also sustained traffic injuries. Factors predictive of elevated psychological distress were also investigated.Methods: An inception cohort prospective design was used. Participants included cyclists aged ≥17 years (mean age 41.7 years) who sustained a physical injury (n = 238) assessed within 28 days of the crash, following medical examination by a registered health care practitioner. Injury included musculoskeletal and soft tissue injuries and minor/moderate traumatic brain injury (TBI), excluding severe TBI, spinal cord injury, and severe multiple fractures. Assessment also occurred 6 months postinjury. Telephone-administered interviews assessed a suite of measures including sociodemographic, preinjury health and injury factors. Psychological impact was measured by pain catastrophization, trauma-related distress, and general psychological distress. The psychological health of the cyclists was compared to that of the car occupants (n = 234; mean age 43.1 years). A mixed model repeated measures analysis, adjusted for confounding factors, was used to determine differences between groups and regression analyses were used to determine contributors to psychological health in the cyclists 6 months postinjury.Results: Cyclists had significantly better psychological health (e.g., lower pain catastrophizing, lower rates of probable posttraumatic stress disorder [PTSD], and lower general distress levels) compared to car occupants at baseline and 6 months postinjury. Factors predictive of cyclists' psychological distress included younger age, greater perceived danger of death, poorer preinjury health, and greater amount of time in hospital after the injury.Conclusions: These data provide insight into how cyclists perceive and adjust to their traffic injuries compared to drivers and passengers who sustain traffic injuries, as well as direction for preventing the development of severe psychological injury. Future research should examine the utility of predictors of psychological health to improve recovery.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Traumatic brain injury
Poison control
Occupational safety and health
Stress Disorders, Post-Traumatic
03 medical and health sciences
0302 clinical medicine
SDG 3 - Good Health and Well-being
Injury prevention
medicine
Humans
Prospective Studies
030212 general & internal medicine
Prospective cohort study
Spinal cord injury
Depression (differential diagnoses)
business.industry
Accidents, Traffic
Public Health, Environmental and Occupational Health
Middle Aged
medicine.disease
SDG 11 - Sustainable Cities and Communities
Bicycling
Physical therapy
Female
Pain catastrophizing
Medical emergency
business
human activities
Safety Research
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1538957X and 15389588
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Traffic Injury Prevention
- Accession number :
- edsair.doi.dedup.....aa3f927ce5491cea78a0240c1db18957