Long-Term Psychological Outcome of Workers After Occupational Injury: Prevalence and Risk Factors

Lin, Kuan-Han; Shiao, Judith Shu-Chu; Guo, Nai-Wen; Liao, Shih‐Cheng; Kuo, Chun Ya; Hu, Pei Yi; Hsu, Jin Huei; Hwang, Yaw-Huei; Guo, Yujun

doi:10.1007/s10926-013-9431-3

Cited by 29 publications

(20 citation statements)

References 36 publications

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“…We were unable to identify occupational factors that were significantly associated with SPD in our study, including recent occupational injury and work area. This observation is discordant with findings from studies of other occupational populations that observe a significant association between occupational injury and poor mental health [1,3,11,20,21]. However, our findings are consistent with a recent study by Lander and colleagues of a similar workforce in the US [22].…”

Section: Discussionsupporting

confidence: 86%

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Prevalence of serious psychological distress among slaughterhouse workers at a United States beef packing plant

Leibler

Janulewicz

Perry

2017

WOR

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Abstract. BACKGROUND:Workers in the animal slaughter and processing industry in the United States experience high rates of occupational injury as well as stressful work conditions, yet mental health in this workforce remains largely unstudied. OBJECTIVE: To assess prevalence of serious psychological distress (SPD) in a sample of industrial US slaughterhouse workers. PARTICIPANTS: Workers at an industrial beef packing plant in Nebraska, United States (n = 137). METHODS: We interviewed workers using the Kessler-6, a well-validated measure of non-specific anxiety disorders, to assess SPD. We compared SPD prevalence with national estimates from 2009 CDC's Behavioral Risk Factor Surveillance Study. RESULTS: Prevalence of SPD among workers was 4.4%, compared to United States population-wide prevalence of 3.6%. Prevalence of mild and moderate psychological distress among these workers (14.6%) was also higher than national estimates. Recent occupational injury, work area and job activities were not associated with elevated prevalence of SPD. Non-Hispanic white workers experienced elevated prevalence of SPD compared to Hispanic or Latino workers (prevalence odds ratio: 6.4; CI: 1.3, 30.5; p = 0.012). CONCLUSION: Workers at a US industrial slaughterhouse experienced higher prevalence of SPD compared to United States population-wide estimates, but occupational risk factors for this outcome were not identified.

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Section: Discussionsupporting

confidence: 86%

“…A growing body of literature documents the association between occupational injury and poor mental health [1][2][3][4]. Although animal slaughter and meatpacking workers in the United States experience among the highest rates of occupational injury of all industries, there have been few studies of mental health in this workforce [5].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of serious psychological distress among slaughterhouse workers at a United States beef packing plant

Leibler

Janulewicz

Perry

2017

WOR

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“…Risk factors for post-injury depression in our study were consistent with the previous studies: female gender, injury severity, and higher levels of perceived stress or pain [14,34,35]. Although female workers tend to get depressed more after an injury, our subgroup analysis by gender revealed a relatively higher impact of occupational injury on depression in males.…”

Section: Discussionsupporting

confidence: 90%

Gender Differences in the Longitudinal Association between Work-Related Injury and Depression

Kim

Choi

2016

IJERPH

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Little is known about gender differences in the association between occupational injury and depression. We investigated the bidirectional association and gender differences between work-related injury and depression using the same cohort in the US Medical Expenditure Panel Survey (MEPS). In Analysis 1, the association of occupational injury and subsequent depression was investigated from 35,155 employees without depression. Analysis 2 included 32,355 participants without previous injury and examined the association of depression and work-related injury. The multivariable-adjusted odds ratio was estimated using a discrete time-proportional odds model. Male workers who had experienced workplace injury were more vulnerable to post-injury depression than non-injured male workers (OR = 2.35, 95% CI: 1.52, 3.65). Female workers with depression were more prone to get injured at the workplace than the non-depressed female workers (OR = 1.44, 95% CI: 1.07, 1.96). These results did not hold in the reverse direction for both genders. Workers compensation benefit was positively associated with the risk of post-injury depression among males, whereas anti-depressant medication and duration of depression were related to workplace injury among females. Gender differences in the direction and associated factors of the relationship between occupational injury and depression highlight the need for gender-specific intervention to the vicious cycle of workplace injury and depression.

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“…Being the victim of an occupational (or any) accident can be traumatic and lead to increased psychological problems (Chin et al 2017;Lin et al 2014) and this is evidently the case also for electrical accidents Piotrowski et al 2014;Pliskin et al 1998;Ramati et al 2009). Andrews (2012) indicates that psychological disability may be the biggest problem for an EI patient.…”

Section: Introductionmentioning

confidence: 99%

Cognition and mental wellbeing after electrical accidents: a survey and a clinical study among Swedish male electricians

Thomée

Österberg

Rådman

et al. 2020

Int Arch Occup Environ Health

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Purpose The purpose was to examine long-term consequences of exposure to electrical current passing through the body. We investigated (1) whether electricians after having experienced an electrical accident report more cognitive problems and lower mental wellbeing and (2) have objectively verifiable reduced cognitive function; and (3) which circumstances at the time of the accident affect long-term subjective cognitive function and mental wellbeing? Methods A survey of male electricians who had experienced electrical accidents (n = 510) and a clinical study in a subsample (n = 23) who reported residual health problems was carried out. Both groups were examined regarding subjective cognitive function (Euroquest-9) and mental wellbeing (Symptom Checklist-90 subscales). The clinical study included neuropsychological tests of memory, attention, spatial function, and premorbid intellectual capacity. A matched control group was retrieved from reference data. Results The survey participants reported more cognitive problems and lower mental wellbeing than referents. Of the examined circumstances, having experienced mortal fear at the time of the accident and health complaints, especially mental symptoms, for > 1 week after the accident were the most significant risk factors for later subjective cognitive problems and lower mental wellbeing. The only statistically significant difference in neuropsychological tests was better performance in part of the memory tests by the clinical study group compared to the control group. Conclusions The participants reported more cognitive problems and lower mental wellbeing than referents, but no long-term objective cognitive dysfunction was detected. Emotional response at the time of the accident and health complaints in the aftermath of the accident may constitute important indications for medical and psychological follow-ups.

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Long-Term Psychological Outcome of Workers After Occupational Injury: Prevalence and Risk Factors

Abstract: These results showed that occupational injury can cause long-term psychological impact in workers. Key demographic and injury characteristics may enhance the identification of at-risk occupational injured workers who would benefit from targeted screening and early intervention efforts.

Cited by 29 publications

References 36 publications

Prevalence of serious psychological distress among slaughterhouse workers at a United States beef packing plant

Prevalence of serious psychological distress among slaughterhouse workers at a United States beef packing plant

Gender Differences in the Longitudinal Association between Work-Related Injury and Depression

Cognition and mental wellbeing after electrical accidents: a survey and a clinical study among Swedish male electricians

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