Perceived injustice after traumatic injury: Associations with pain, psychological distress, and quality of life outcomes 12 months after injury.
Perceived injustice after traumatic injury: Associations with pain, psychological distress, and quality of life outcomes 12 months after injury.
复制标题
创伤后感受到的不公正：与受伤后 12 个月的疼痛、心理困扰和生活质量结果的关联。
作者：
Z. Trost;S. Agtarap;W. Scott;S. Driver;A. Guck;K. Roden;M. Reynolds;M. Foreman;A. Warren
目的
人们日益认识到，遭受创伤的个人认为自己是不公正的受害者，而且认为不公正程度的提高与有问题的身体和心理后果有关。到目前为止，关于不公正的看法和伤害的结果的研究已被限制在少数肌肉骨骼疼痛的条件。到目前为止，还没有研究探讨了接受创伤护理的个人中感知到的不公正的潜在影响。
方法
作为这项横断面研究的一部分，个人（n = 155）承认一级创伤中心完成的措施，感知不公正，疼痛，抑郁，创伤后应激反应，和健康相关的（身体和精神/情感）生活质量（HRQoL）的创伤入院后12个月的结果。
结果
双变量分析显示，感知的不公正和人口统计学变量（教育，收入，种族和年龄）以及伤害相关变量（受伤类型和住院时间）之间存在显着关联。感知不公正与更大的疼痛强度，抑郁和PTSD症状，以及较差的身体和精神HRQoL相关。控制相关的人口统计学和伤害相关的变量，认为不公正占独特的差异，疼痛强度，抑郁的严重程度，PTSD症状的存在和强度，精神HRQoL，并轻微显着的身体HRQoL。
结论
这是第一个研究在创伤样本中检查感知不公正的研究。结果支持存在的不公正的看法，在这组和它的关联与疼痛和生活质量的结果。建议进行更多的研究，以探讨持续创伤的个人之间的恢复结果的影响，感知不公正。
OBJECTIVE
There is growing recognition that individuals who experience traumatic injuries perceive themselves as victims of injustice and that elevated levels of perceived injustice are associated with problematic physical and psychological outcomes. To date, research regarding injustice perception and injury outcomes has been restricted to a small number of musculoskeletal pain conditions. No research to date has examined the potential impact of perceived injustice among individuals admitted for trauma care.
METHOD
As part of this cross-sectional study, individuals (n = 155) admitted to a Level-1 trauma center completed measures of perceived injustice, pain, depression, posttraumatic stress, and health related (physical and mental/emotional) quality of life (HRQoL) outcomes 12 months after trauma admission.
RESULTS
Bivariate analyses revealed significant associations between perceived injustice and demographic variables (education, income, race, and age) as well as injury-related variables (type of injury and length of hospital stay). Perceived injustice was correlated with greater pain intensity, depression, and PTSD symptoms, as well as poorer physical and mental HRQoL. Controlling for relevant demographic and injury-related variables, perceived injustice accounted for unique variance in pain intensity, depression severity, the presence and intensity of PTSD symptoms, mental HRQoL, and was marginally significant for physical HRQoL.
CONCLUSIONS
This is the first study to examine perceived injustice in a trauma sample. Results support the presence of injustice perception in this group and its associations with pain and quality of life outcomes. Additional research is suggested to explore the impact of perceived injustice on recovery outcomes among individuals who have sustained traumatic injury.