Are trauma surgical societies adequately addressing mental health after injury?
Are trauma surgical societies adequately addressing mental health after injury?
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创伤外科协会是否充分解决了受伤后的心理健康问题？
DOI：
10.1016/j.surg.2022.06.022
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发表时间：
2022-11
期刊：
影响因子：
3.8
通讯作者：
Ho, Vanessa P.
中科院分区：
文献类型：
--
作者：
Kishawi, Sami K.;Badrinathan, Avanti;Thai, Anthony P.;Benuska, Sarah E.;Breslin, Mary A.;Hendrickson, Sarah B.;Ho, Vanessa P.
身体创伤的幸存者，他们的家庭照顾者和他们的医疗提供者都有更大的风险发展心理困扰和创伤相关的精神疾病。本研究的目的是描述创伤社会研究报告中关于心理健康的频率和随时间的变化，以确定成长的机会。审查了美国创伤外科协会、东部创伤外科协会和西部创伤协会2018-2020年的摘要档案。对测量精神疾病、社会心理困扰和其他社会心理因素的研究进行了评估：（1）使用患者报告的结局测量（PROM），（2）社会心理变量与结局的关联，（3）调查的干预措施。使用卡方分析评估随时间的变化。在1，239篇摘要中，57篇（4.6%）涉及至少一个心理健康相关因素。随着时间的推移，对心理健康的研究越来越频繁（2018年[3.2%]，2019年[3.5%]，2020年[7.7%]，p = 0.003）。最常测量的因素是创伤后应激障碍（PTSD），生活质量，一般心理健康和抑郁症。17篇（29.8%）摘要涉及药物滥用，最常见的是阿片类药物滥用。7篇（12.3%）摘要测量了照顾者或医疗提供者的心理健康状况。32项研究（56.1%）使用了PROM。三分之二的研究报告表明，精神疾病会损害与创伤有关的结果。只有五个（8.8%）调查旨在减少不良后果的干预措施。虽然创伤后心理健康的学术讨论从2018年到2020年有所增加，但该主题仍然是年度计划的有限组成部分，PROMs仍然未得到充分利用，干预研究也很少见。
Survivors of physical trauma, their home caregivers, and their medical providers all have an increased risk of developing psychological distress and trauma-related psychiatric disease. The purpose of this study was to describe the frequency and change over time of trauma society research presentations regarding mental health to identify opportunities for growth. Abstract archives from 2018-2020 from the American Association for the Surgery of Trauma, the Eastern Association for the Surgery of Trauma, and the Western Trauma Association were reviewed. Studies that measured mental illness, psychosocial distress, and other psychosocial factors were assessed for: (1) use of patient-reported outcome measures (PROM), (2) association of psychosocial variables with outcomes, and (3) interventions investigated. Change over time was assessed using Chi-square analysis. Of 1,239 abstracts, 57 (4.6%) addressed at least one mental health-related factor. Mental health was more frequently studied over time (2018 [3.2%], 2019 [3.5%], 2020 [7.7%], p = 0.003). The most frequently measured factors were post-traumatic stress disorder (PTSD), quality of life, general mental health, and depression. Seventeen (29.8%) abstracts addressed substance abuse, most commonly opioid abuse. Seven (12.3%) abstracts measured mental health in caregivers or medical providers. PROMs were utilized in 32 studies (56.1%). Two-thirds of studies reported findings suggesting that mental illness impairs trauma-related outcomes. Only five (8.8%) investigated interventions designed to reduce adverse outcomes. Although academic discussion of mental health after trauma increased from 2018 to 2020, the topic remains a limited component of annual programs, PROMs remain underutilized, and intervention studies are rare.
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影响因子：
7.4
作者：
Connor, KM;Davidson, JRT
通讯作者：
Davidson, JRT
影响因子：
1.9
作者：
Fisher, Lauren B.;Pedrelli, Paola;Zafonte, Ross
通讯作者：
Zafonte, Ross
DOI：
10.1016/j.injury.2018.03.013
发表时间：
2018-05-01
影响因子：
2.5
作者：
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通讯作者：
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影响因子：
3.4
作者：
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通讯作者：
Zarzaur, Ben L.
影响因子：
2.1
作者：
OLEARY, MP;FOWLER, FJ;BARRY, MJ
通讯作者：
BARRY, MJ