Confirmatory Factor Analysis of the Injustice Experience Questionnaire in an Australian Compensable Population

Kennedy, Linda M.; Dunstan, Debra A.

doi:10.1007/s10926-013-9462-9

Cited by 26 publications

(45 citation statements)

References 24 publications

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“…Just over a third of the present cohort had clinically elevated perceptions of injustice, and at the group level perceived injustice ratings were lower than those reported in studies where all patients have chronic pain conditions [2, 4–6, 37]. The differences likely lie in the fact that although most of the participants in this cohort had sustained very serious injuries; they were prospectively recruited 12-months after hospital admission, via well-established trauma registries, whereas many other studies into perceived injustice selectively recruit persons who were disabled, or were seeking treatment for pain.…”

Section: Discussioncontrasting

confidence: 53%

Traumatic injury and perceived injustice: Fault attributions matter in a “no-fault” compensation state

et al. 2017

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BackgroundTraumatic injury can lead to loss, suffering and feelings of injustice. Previous research has shown that perceived injustice is associated with poorer physical and mental wellbeing in persons with chronic pain. This study aimed to identify the relative association between injury, compensation and pain-related characteristics and perceived injustice 12-months after traumatic injury.Methods433 participants were recruited from the Victorian Orthopedic Trauma Outcomes Registry and Victorian State Trauma Registry, and completed questionnaires at 12–14 months after injury as part of an observational cohort study. Using hierarchical linear regression we examined the relationships between baseline demographics (sex, age, education, comorbidities), injury (injury severity, hospital length of stay), compensation (compensation status, fault, lawyer involvement), and health outcomes (SF-12) and perceived injustice. We then examined how much additional variance in perceived injustice was related to worse pain severity, interference, self-efficacy, catastrophizing, kinesiophobia or disability.ResultsOnly a small portion of variance in perceived injustice was related to baseline demographics (especially education level), and injury severity. Attribution of fault to another, consulting a lawyer, health-related quality of life, disability and the severity of pain-related cognitions explained the majority of variance in perceived injustice. While univariate analyses showed that compensable injury led to higher perceptions of injustice, this did not remain significant when adjusting for all other factors, including fault attribution and consulting a lawyer.ConclusionsIn addition to the “justice” aspects of traumatic injury, the health impacts of injury, emotional distress related to pain (catastrophizing), and the perceived impact of pain on activity (pain self-efficacy), had stronger associations with perceptions of injustice than either injury or pain severity. To attenuate the likelihood of poor recovery from injury, clinical interventions that support restoration of health-related quality of life, and adjustment to the impacts of trauma are needed.

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Section: Discussioncontrasting

confidence: 53%

Traumatic injury and perceived injustice: Fault attributions matter in a “no-fault” compensation state

et al. 2017

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“…Initial checks of internal consistency in Trost et al (2015) showed psychometric properties similar to those of previous studies; however, further validation of the IEQ in a heterogeneous trauma sample has yet to be formally conducted. Accordingly, the current study had two primary aims: 1) to validate the measurement model of the IEQ proposed by Sullivan et al (2008) and confirmed by Kennedy & Dunstan (2014) in a heterogeneous sample of patients admitted to a Level -1 trauma center, and 2) to test the reliability and validity of the IEQ in the same sample. A third aim was to examine the associations between IEQ scores and measures of pain, injury-appraisal measures, psychological distress, and health-related quality of life (HRQOL) to evaluate its clinical relevance.…”

Section: Impactmentioning

confidence: 99%

Validation of the Injustice Experiences Questionnaire in a heterogeneous trauma sample.

Agtarap¹,

Scott²,

Warren

et al. 2016

Rehabilitation Psychology

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IEQ IN TRAUMA 2 AbstractPurpose/Objective: A recent study by Trost et al. (2015) investigated the influence of perceived injustice-reflecting appraisals of the severity and irreparability of loss following injury, blame, and unfairness-on physical and psychological outcomes in a sample of patients 12 months after sustaining traumatic injury. This brief report examines the psychometric properties of the Injustice Experiences Questionnaire (IEQ) using the previous sample from Trost et al. (2015) with added trauma patients (total N = 206).Research Method/Design: Primary analyses included confirmatory and exploratory factor analyses to validate the measurement model of the IEQ in patients 12-months after traumatic injury. Reliability analyses were conducted and construct validity was assessed by examining associations between the IEQ and other pain-related, psychological, and health-related outcome variables of interest. Results:Results replicated both one-and two-factor structures from past research, with a high factor correlation in CFA analyses and cross-loadings in EFA analyses. Item characteristics analysis demonstrated overall strong internal consistency ( = .95). In addition, significant associations with psychosocial variables provide further support for the utility of measuring injustice perception using the IEQ in a trauma sample. Conclusions/Implications

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“…A growing body of research highlights the deleterious impact of injustice perception on psychological outcomes in the context of chronic musculoskeletal pain [1][2][3][4] and the following physical trauma. [5][6][7] Injustice perception has been conceptualized as a cognitive appraisal reflecting the severity and irreparability of injury or condition-related loss, as well as externalized blame and perceived unfairness.…”

Section: Introductionmentioning

confidence: 99%

The association between injustice perception and psychological outcomes in an inpatient spinal cord injury sample: the mediating effects of anger

et al. 2017

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Consistent with previous research, perceived injustice was associated with greater depression and post-traumatic stress symptoms. The results support previous findings that anger inhibition mediates between perceived injustice and depression, and provides novel findings regarding mediation of post-traumatic stress symptoms. Results provide preliminary evidence for the role of perceived injustice in SCI and potential mechanisms by which it may exert its effects.

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Confirmatory Factor Analysis of the Injustice Experience Questionnaire in an Australian Compensable Population

Cited by 26 publications

References 24 publications

Traumatic injury and perceived injustice: Fault attributions matter in a “no-fault” compensation state

Traumatic injury and perceived injustice: Fault attributions matter in a “no-fault” compensation state

Validation of the Injustice Experiences Questionnaire in a heterogeneous trauma sample.

The association between injustice perception and psychological outcomes in an inpatient spinal cord injury sample: the mediating effects of anger

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