Psychological impact of injuries sustained in motor vehicle crashes: systematic review and meta-analysis

Craig, Ashley, Tran, Yvonne, Guest, Rebecca, Gopinath, Bamini, Jagnoor, Jagnoor, Bryant, Richard A., Collie, Alex, Tate, Robyn, Kenardy, Justin, Middleton, James W. and Cameron, Ian (2016) Psychological impact of injuries sustained in motor vehicle crashes: systematic review and meta-analysis. BMJ Open, 6 9: . doi:10.1136/bmjopen-2016-011993

Author Craig, Ashley
Tran, Yvonne
Guest, Rebecca
Gopinath, Bamini
Jagnoor, Jagnoor
Bryant, Richard A.
Collie, Alex
Tate, Robyn
Kenardy, Justin
Middleton, James W.
Cameron, Ian
Title Psychological impact of injuries sustained in motor vehicle crashes: systematic review and meta-analysis
Journal name BMJ Open   Check publisher's open access policy
ISSN 2044-6055
Publication date 2016-09-01
Sub-type Article (original research)
DOI 10.1136/bmjopen-2016-011993
Open Access Status DOI
Volume 6
Issue 9
Total pages 14
Place of publication London, United Kingdom
Publisher B M J Group
Language eng
Formatted abstract
Objective: The aim of this meta-analysis was to determine the psychological impact associated with motor vehicle crash (MVC)-related physical injuries.

Design: Systematic review and meta-analysis.

Data sources: Multiple search engines included MEDLINE (via OVID), PsycINFO and Embase, and studies were sourced from scientific journals, conference papers and doctoral theses.

Study selection: A high-yield search strategy was employed. Terms like 'psychological distress', 'depression', 'PTSD' and 'motor vehicle accident' were employed. These key words were run primarily and secondary searches were then conducted in association with the major injury types. Studies needed to compare psychological distress in people injured in an MVC with uninjured controls who had not recently experienced an MVC.

Data extraction: Searches resulted in the identification of 2537 articles, and after eliminating duplicates and studies not meeting inclusion criteria, 24 studies were selected involving 4502 injured participants. These studies were entered into separate meta-analyses for mild to moderate traumatic brain injury (mTBI), whiplash-associated disorder (WAD) and spinal cord injury (SCI).

Results: Elevated psychological distress was associated with MVC-related injuries with a large summary effect size in WAD (0.90), medium to large effect size in SCI (0.69) and small to medium effect size in mTBI (0.23). No studies meeting inclusion criteria were found for burns, fractures and low back injury. Increased psychological distress remains elevated in SCI, mTBI and WAD for at least 3 years post-MVC.

Conclusions: Rehabilitation strategies are needed to minimise distress subsequent to MVC-related physical injuries and the scientific robustness of studies requires improvement.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Psychology Publications
Child Health Research Centre Publications
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
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