Heruti Irit, Levy Sigal, Avitsur Ronit
School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel; Psychology Department, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel.
School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel.
Injury. 2018 Aug;49(8):1546-1551. doi: 10.1016/j.injury.2018.06.022. Epub 2018 Jun 20.
Physical injuries are common occurrences that can have substantial implications for mental health and well-being. Ample studies indicated that increased levels of perceived stress is associated with increased prevalence of general health problems, as well as reduced health-related quality of life. Thus, the goal of the present study was to examine the long-lasting association between bodily injuries and general health. In addition, the role of stress perception in moderating the association between injury and general health was assessed.
Two-hundred and forty victims of past injury and 251 non-injured participants completed a self-report health inventory questionnaire assessing illness prevalence during the six-month period prior to the study. In addition, they completed the short-form Medical Outcomes Survey (MOS SF-36) questionnaire and the Perceived Stress Scale.
Victims of past injuries reported higher incidences of illness, mainly upper respiratory infections and fever, compared to non-injured participants. In addition, injured participants reported poorer perceived health status, including reduced general health, physical functioning, and health beliefs. Perceived stress levels were similar in injured and non-injured participants, however, correlations between perceived stress and self-reported medical outcomes were stronger in injured participants compared to non-injured controls.
Past physical injuries are associated with increased incidence of general health concerns and poorer health-related well-being. Moreover, injured individuals do not report increased stress perception; however, when stressed, injured individuals are more affected and health-related quality of life is reduced. Promoting well-being in individuals who have suffered a significant injury is, thus, a clinical necessity and a pressing social priority. This study highlights the role of stress perception in the association between physical injury and health, and may assist in providing better multi-disciplinary care for the injured.
身体损伤是常见的情况，可能对心理健康和幸福感产生重大影响。大量研究表明，感知压力水平的升高与一般健康问题患病率的增加以及与健康相关的生活质量下降有关。因此，本研究的目的是检验身体损伤与一般健康之间的长期关联。此外，还评估了压力感知在调节损伤与一般健康之间关联中的作用。
240名既往受伤的受害者和251名未受伤的参与者完成了一份自我报告健康状况调查问卷，评估研究前六个月期间的疾病患病率。此外，他们还完成了简短形式的医疗结果调查（MOS SF - 36）问卷和感知压力量表。
与未受伤的参与者相比，既往受伤的受害者报告的疾病发生率更高，主要是上呼吸道感染和发烧。此外，受伤的参与者报告的感知健康状况较差，包括总体健康、身体功能和健康信念的下降。受伤和未受伤参与者的感知压力水平相似，然而，与未受伤的对照组相比，受伤参与者中感知压力与自我报告的医疗结果之间的相关性更强。
既往身体损伤与一般健康问题发生率的增加以及与健康相关的幸福感较差有关。此外，受伤个体并未报告压力感知增加；然而，在感到压力时，受伤个体受到的影响更大，与健康相关的生活质量会降低。因此，促进遭受重大损伤的个体的幸福感是临床必需且紧迫的社会优先事项。本研究强调了压力感知在身体损伤与健康关联中的作用，并可能有助于为受伤者提供更好的多学科护理。
