The Mind Continues to Matter: Psychologic and Physical Recovery 5 Years After Musculoskeletal Trauma

Alasdair George Sutherland, Stuart Suttie, David A. Alexander, James D. Hutchison

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    9 Citations (Scopus)

    Abstract

    Objectives: Posttraumatic psychopathology may complicate recovery from musculoskeletal injury. This article details the 5-year follow-up of a cohort study examining the relationship between posttraumatic psychopathology and recovery after musculoskeletal trauma.

    Design: A prospective cohort study of patients with musculoskeletal injuries (Grampian Trauma Outcomes Study) assessed 5 years after their injury.

    Setting: Orthopaedic trauma unit, Level I equivalent.

    Patients: One hundred four of the initial group of 200 patients with musculoskeletal injuries.

    Intervention: Trauma care and prospective evaluation of physical and psychologic recovery.

    Main Outcome Measures: Development of psychopathology (measured by the General Health Questionnaire [GHQ]) and functional outcome (measured by Short Form-36 [SF-36] and Musculoskeletal Function Assessment [MFA]).

    Results: Follow-up at 5 years was 104 patients (52%). GHQ caseness was predictive of physical dysfunction (SF-36, MFA), which had not returned to baseline levels by 5 years. Although injury severity was strongly predictive of psychological disturbance (GHQ caseness) at 5 years, linear regression analysis demonstrated that GHQ score was an important predictor of outcome, whereas Injury Severity Score contributed very little.

    Conclusions: Psychologic disturbance after musculoskeletal trauma is related to adverse functional outcome. This is not influenced by preinjury state, but constitutes a sustained posttraumatic effect that is only weakly related to severity of injury.

    Original languageEnglish
    Pages (from-to)228-232
    Number of pages5
    JournalJournal of Orthopaedic Trauma
    Volume25
    Issue number4
    DOIs
    Publication statusPublished - Apr 2011

    Keywords

    • stress disorders
    • posttraumatic
    • multiple trauma/complications
    • treatment outcome
    • POSTTRAUMATIC-STRESS-DISORDER
    • QUALITY-OF-LIFE
    • FUNCTION ASSESSMENT INSTRUMENT
    • GENERAL HEALTH QUESTIONNAIRE
    • MOTOR-VEHICLE ACCIDENTS
    • INJURY SEVERITY SCORE
    • TERM-FOLLOW-UP
    • ORTHOPEDIC TRAUMA
    • TRAFFIC ACCIDENTS
    • MAJOR TRAUMA

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