The impact of motor vehicle injury on distress: Moderators and trajectories over time |
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| Affiliation: | 1. Department of Neurology, University Hospital “12 de Octubre”, Madrid, Spain;2. Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas, (CIBERNED), Madrid, Spain;3. Department of Medicine, Complutense University, Madrid, Spain;4. Department of Neurology, Yale School of Medicine, New Haven, CT, USA;5. Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA;6. Center for Neuroepidemiology and Clinical Neurological Research, Yale School of Medicine and Yale School of Public Health, New Haven, CT, USA;7. Faculty of Biosanitary Sciences, Francisco de Vitoria University, Pozuelo de Alarcón, Madrid, Spain;8. Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA, USA;9. HM CINAC, HM Hospitales, Móstoles, Madrid, Spain;1. Department of Neurology, Mount Sinai Beth Israel, New York, NY, United States;2. Department of Radiology, Weill Cornell Medicine, New York, NY, United States;3. Department of Pain Management, Mount Sinai Beth Israel, New York, NY, United States |
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| Abstract: | Research reveals that motor vehicle injuries (MVIs) can result in severe and debilitating psychological distress. Yet, not every person who has sustained a MVI suffers psychologically. It appears that risk of distress varies by demographic and psychosocial characteristics. The present study aimed to explore the trajectories of post-MVI distress and the effect of pre-MVI psychological functioning on post-MVI distress. Hierarchical linear modeling was used to explore the longitudinal dataset from the Canadian National Population Health Survey. Participants were assessed up to nine years post-MVI. Post-MVI distress increased over time. Men experienced greater overall distress than women and a greater increase in distress over time. Pre-MVI distress predicted post-MVI distress. This relationship was strongest for those with greater pre-MVI alcohol consumption. At low levels of pre-MVI distress, greater pre-MVI alcohol consumption was related to lower post-MVI distress, but at high levels of pre-MVI distress, greater pre-MVI alcohol consumption predicted increased post-MVI distress. Those with partners experienced less distress than the unpartnered. This study supports the general findings of other post-MVI and post-trauma studies, although the current study’s main and interaction effects reveal more complex and nuanced relationships among variables in their prediction of post-MVI psychological distress. |
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| Keywords: | Motor vehicle injury Distress Alcohol |
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