Posttraumatic Stress Disorder and Work-Related Injury

Department of Psychology, University of Winnipeg, Manitoba, Canada.
Journal of Anxiety Disorders (Impact Factor: 2.96). 02/1998; 12(1):57-69. DOI: 10.1016/S0887-6185(97)00049-2
Source: PubMed


The literature indicates a substantial overlap between chronic pain and posttraumatic stress disorder (PTSD) symptoms in individuals who sustain accidental injury. To date, however, there have been no studies of PTSD symptoms in individuals who experience work-related injury. Consequently, we assessed 139 consecutive injured workers using the Modified PTSD Symptom Scale (Falsetti, Resnick, & Kirkpatrick, 1993), as well as a number of general measures of psychopathology. Most participants reported chronic pain and all were receiving workers compensation. Results indicated that 34.7% and 18.2% of the sample reported symptoms consistent with PTSD and partial PTSD, respectively. When PTSD symptom frequency and severity were considered criterion variables in multiple regression analyses, depression was found to be significantly associated with the former and anxiety sensitivity, social fears, and somatic focus with the later. Finally, these measures of general psychopathology correctly classified 78.6% of individuals with PTSD and 81.3% of those with no PTSD. These results suggest that a considerable proportion of injured workers display symptoms consistent with PTSD and that these symptoms are related to general negative affect. Implications, including the suggestion of clinical intake screening of PTSD in this population, are discussed.

8 Reads
  • Source
    • "AS is conceptualized as the fear of anxiety-related sensations based on beliefs about their harmful physical, social, or cognitive consequences (Reiss and McNally 1985). Interoceptive cues associated with AS and panic attacks are posited to exacerbate PTSD symptomatology (Hinton et al. 2008), and in fact there is strong evidence for an association between AS and severity of concurrent and prospective PTSD symptoms (Asmundson et al. 1998; Feldner et al. 2006, 2008). Furthermore, PTSD treatment has been shown to reduce AS severity (Gutner et al. 2013). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Individuals with posttraumatic stress disorder (PTSD) exhibit deficits in cognitive and emotional processes. PTSD severity is positively associated with anxiety sensitivity (AS) and difficulties in emotion regulation, and difficulties in emotion regulation mediate the relation between AS and PTSD. However, previous research has not examined the interactive nature of these variables. Associations between PTSD, AS, and difficulties in emotion regulation were examined in patients with PTSD in a residential substance use treatment program (N = 120). Conditional process analyses indicated an interactive effect of difficulties in emotion regulation and AS for predicting PTSD symptom severity. For individuals high in emotion regulation difficulties, PTSD symptom severity was high regardless of level of AS; conversely, for individuals high in AS, increased PTSD severity was observed regardless of level of emotion regulation difficulties. Results suggest directions for future research, including examination of whether targeting patient-specific cognitive-affective processes enhances PTSD treatment response among substance-dependent individuals.
    Full-text · Article · Apr 2015 · Cognitive Therapy and Research
    • "The bounty of those early career years between 1993 and the new millennium was plentiful. We systematically tackled a number of issues, including the role of anxiety sensitivity in pain-related fear and avoidance in patients with chronic musculoskeletal (Asmundson & Norton, 1995;Asmundson & Taylor, 1996;Asmundson, Norton, & Allerdings, 1997) and headache (Asmundson, Norton, & Veloso, 1999) pain, attentional biases in chronic pain (Asmundson, Kuperos, & Norton, 1997;Snider, Asmundson, & Wiese, 2000), associations between work-related injury and PTSD (Asmundson, Bonin, Frombach, & Norton, 2000;Asmundson, Norton, Allerdings, Norton, & Larsen, 1998), the factorial validity of various constructs (e.g., the three symptom clusters of PTSD as described in the fourth edition of theAsmundson, Frombach, McQuaid, Pedrelli, Lenox, & Stein, 2000) and measures (e.g., Illness Attitude Scales;Hadjistavropoulos & Asmundson, 1998), among various other things. The products of our efforts and the successes of those I was supervising and training fulfilled me and prompted further expansion of my research and mentorship efforts. "
    [Show abstract] [Hide abstract]
    ABSTRACT: In June 2014 I had the honour and privilege of receiving the Donald O. Hebb Award for Distinguished Contributions to Psychology as a Science from the Canadian Psychological Association. Although I was the individual upon whom this award was bestowed, my career contributions to the science of psychology have required the labours of many. In this article I pay homage to the "village" that helped me tackle the complexities of various forms of fear and eventually shape current understanding of chronic and disabling pain and its associations with posttraumatic stress disorder. In the spirit of paying forward some of the wisdom graciously imparted on me by that village, and with hopes that this may in some small way benefit others venturing down the career path of Canadian academic psychology, I reflect on some of the most important learning experiences from childhood and throughout my training and early career. To conclude, I briefly comment on what I perceive to be a bright future for Canadian psychology.
    No preview · Article · Feb 2015
  • Source
    • "Other than PTSD, depression is also commonly observed following injury (Franche and Krause, 2002). Only few studies examined the rates of psychiatric disorders after occupational injuries (Asmundson et al., 1998; MacDonald et al., 2003). In Taiwan, the previous study found that at 3 months after occupational injuries, a significant proportion of workers suffered from psychiatric disorders; however, the diagnosis of psychiatric disorders was obtained by phone interview and not by face-to-face evaluation by a psychiatrist. "
    [Show abstract] [Hide abstract]
    ABSTRACT: This study aimed to determine the incidence rates of psychiatric disorders within 1 year after occupational injury and to examine the association between occupational injury and the incidence of psychiatric disorders using National Health Insurance Research Database (NHIRD). We used cohort approach in this investigation. All eligible subjects were from the NHIRD, and aged 18-65 years old. A total of 542,208 patients were enrolled in this study. Among them, 1038 patients sustained occupational injury, 6891 patients sustained non-occupational injury. The reference group in this study was 534,279 patients who ever used the NHI for any medical condition in 2001. The incidence rates of any psychiatric disorders within 1 year after occupational injury (inpatient), occupational injury (outpatient), non-occupational injury (inpatient), non-occupational injury (outpatient), and any disease were 9.5%, 2.5%, 7.4%, 1.5%, and 1.1%, respectively. Occupational injury was found as a significant factor for developing psychiatric disorders within 1 year after the target injury. The incidence rate of any psychiatric disorders was higher in patients after occupational injury than those after non-occupational injury and any medical condition.
    Full-text · Article · Jun 2014 · Psychiatry Research
Show more