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Association of physical injury and mental health: Results from the national comorbidity survey- adolescent supplement
Journal article   Open access   Peer reviewed

Association of physical injury and mental health: Results from the national comorbidity survey- adolescent supplement

Jessica L. Jenness, Cordelie E. Witt, D. Alex Quistberg, Brian D. Johnston, Ali Rowhani-Rahbar, Jessica L. Mackelprang, Katie A. McLaughlin, Monica S. Vavilala and Frederick P. Rivara
Journal of psychiatric research, v 92, pp 101-107
Sep 2017
DOI: https://doi.org/10.1016/j.jpsychires.2017.03.022
PMID: 28414929
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc5689078View
Accepted (AM) Open Open Access (License Unspecified)

Abstract

Adolescents Epidemiologic studies Injuries Mental disorders Trauma
Nonfatal injury is common among adolescents in the U.S., but little is known about the bi-directional associations between injury and mental health. Utilizing a nationally representative sample of U.S. adolescents, we examined 1) associations between lifetime mental health history and subsequent injury; 2) concurrent associations between injury and mental health; and 3) associations between injury and subsequent mental disorders. Data were drawn from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A), a national survey of adolescents aged 13 through 17 years (N = 10,123). Twelve-month prevalence of nonfatal injury requiring medical attention was assessed along with lifetime, 12-month, and 30-day prevalence of DSM-IV depressive, anxiety, behavior, substance use, and bipolar disorders. We used Poisson regression to examine associations between 1) lifetime history of mental disorders and 12-month exposure to injury; 2) concurrent associations between 12-month exposure to injury and 12-month prevalence of mental disorders; and 3) 12-month exposure to injury and 30-day prevalence of mental disorders. A total of 11.6% of adolescents experienced an injury requiring medical attention in the year before the survey. Lifetime history of mental disorders was not associated with past-year injury. Behavior and bipolar disorders were concurrently associated with past-year injury. Past-year injury occurrence predicted increased risk for past-month anxiety disorders and decreased risk of past-month depressive disorders. Our findings reveal reciprocal associations between injury and mental disorders and highlight the need for systematic assessment, prevention, and treatment of mental disorders among injured youth.

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23 citations in Web of Science
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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
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