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dc.contributor.authorPonsford, Jennie-
dc.contributor.otherGiummarra, Melita-
dc.contributor.otherBaker, Katharine-
dc.contributor.otherIoannou, Liane-
dc.contributor.otherGwini, Stella-
dc.contributor.otherArnold, Carolyn-
dc.contributor.otherCameron, Peter-
dc.contributor.otherGibson, Stephen-
dc.identifier.citationBMJ Open. 2017 Oct 5;7(10):e017350en_US
dc.description.abstractOBJECTIVES: Compensable injury increases the likelihood of having persistent pain after injury. Three-quarters of patients report chronic pain after traumatic injury, which is disabling for about one-third of patients. It is important to understand why these patients report disabling pain, in order to develop targeted preventative interventions. This study examined the experience of pain and disability, and investigated their sequential interrelationships with, catastrophising, kinesiophobia and self-efficacy 1 year after compensable and non-compensable injury. DESIGN: Observational registry-based cohort study. SETTING: Metropolitan Trauma Service in Melbourne, Victoria, Australia. PARTICIPANTS: Participants were recruited from the Victorian State Trauma Registry and Victorian Orthopaedic Trauma Outcomes Registry. 732 patients were referred to the study, 82 could not be contacted or were ineligible, 217 declined and 433 participated (66.6% response rate). OUTCOME MEASURES: The Brief Pain Inventory, Glasgow Outcome Scale, EuroQol Five Dimensions questionnaire, Pain Catastrophising Scale, Pain Self-Efficacy Questionnaire, Injustice Experience Questionnaire and the Tampa Scale of Kinesiophobia. METHODS: Direct and indirect relationships (via psychological appraisals of pain/injury) between baseline characteristics (compensation, fault and injury characteristics) and pain severity, pain interference, health status and disability were examined with ordinal, linear and logistic regression, and mediation analyses. RESULTS: Injury severity, compensable injury and external fault attribution were consistently associated with moderate-to-severe pain, higher pain interference, poorer health status and moderate-to-severe disability. The association between compensable injury, or external fault attribution, and disability and health outcomes was mediated via pain self-efficacy and perceived injustice. CONCLUSIONS: Given that the associations between compensable injury, pain and disability was attributable to lower self-efficacy and higher perceptions of injustice, interventions targeting the psychological impacts of pain and injury may be especially necessary to improve long-term injury outcomes.en_US
dc.publisherBMJ Journalsen_US
dc.subjectTrauma and Stressor Related Disordersen_US
dc.subjectMusculoskeletal Painen_US
dc.subjectChronic Painen_US
dc.subjectPreventative Interventionsen_US
dc.subjectTraumatic Injuryen_US
dc.subjectPsychological Impacts of Pain and Injuryen_US
dc.subjectCompensable Injuryen_US
dc.subjectNon-Compensible Injuryen_US
dc.subjectBrief Pain Inventoryen_US
dc.subjectGlasgow Outcome Scaleen_US
dc.subjectEuroQol Five Dimensions Questionnaireen_US
dc.subjectPain Catastrophising Scaleen_US
dc.subjectPain Self-Efficacy Questionnaireen_US
dc.subjectInjustice Experience Questionnaireen_US
dc.subjectTampa Scale of Kinesiophobiaen_US
dc.subjectRehabilitation, Mental Health and Chronic Pain, Epworth HealthCare, Richmond, Victoria, Australia.en_US
dc.subjectMonash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australiaen_US
dc.titleAssociations between compensable injury, perceived fault and pain and disability 1 year after injury: a registry-based Australian cohort study.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleBMJ Openen_US
dc.description.affiliatesDepartment of Epidemiology and Preventive Medicine, School of Public Health & Preventive Medicine, Monash University, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesInstitute for Safety, Compensation & Recovery Research, Monash University, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesCaulfield Pain Management & Research Centre, Caulfield Hospital, Caulfield, Victoria, Australia.en_US
dc.description.affiliatesSchool of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Faculty of Medicine, Nursing and Health Sciences, Clayton, Victoria, Australia.en_US
dc.description.affiliatesAcademic Board of Anaesthesia & Perioperative Medicine, School of Medicine Nursing & HealthSciences, Monash University, Clayton, Victoria, Australia.en_US
dc.type.studyortrialCohort Study Observational Studyen_US
Appears in Collections:Mental Health
Pain Management

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