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|Title: ||Mental health and traumatic physical injury: an explanatory sequential mixed-methods study|
|Authors: ||Wiseman, Taneal Anne|
|Issue Date: ||13-Mar-2015|
|Publisher: ||University of Sydney|
Sydney Nursing School
Traumatic physical injury and mental health disorders are independent and co-associated global burdens of disease. Timely referral may reduce long-term mental health impacts after injury.
1. To measure incidence / severity of depression, anxiety and stress (DAS) over time
2. To explore experience and management of emotional wellbeing following injury
Phase one (quantitative) of this mixed-methods explanatory sequential study, interviewed participants using the DASS-21 at three time-points. Descriptive statistics, correlations and logistic regression evaluated participant characteristics, DAS incidence / severity, and associated factors.
In phase two (qualitative) semi-structured interviews were conducted in those reporting high levels of DAS in phase one to explore the experience of emotional wellbeing. Thematic analysis was done. Findings were integrated in the final stage.
Above normal levels of depression, anxiety and/or stress was reported by 54% of participants at least once. Intensive care unit (ICU) admission and high DAS levels at three months were predictors for ongoing DAS.
Qualitative findings: Experiencing injury impacts; Emotional journey following injury; Being supported/ managing injury impacts.
Integration findings: High DAS and poor physical wellbeing; Emotional support facilitates impacts management; Male suicidality is linked with poor physical recovery.
Mental health outcomes are linked with traumatic physical injury. In-hospital screening, support network and resilience are important.|
|Access Level: ||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.|
|Rights and Permissions: ||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.|
|Type of Work: ||PhD Doctorate|
|Type of Publication: ||Doctor of Philosophy Ph.D.|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|
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|WISEMAN Teneal - Final Thesis.pdf||Thesis||7.51 MB||Adobe PDF|
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