Purpose/Objective Research: This study aimed to examine patterns of pain and mental health after injury, and the patient characteristics associated with reductions in those symptoms. RESEARCH METHOD/DESIGN This registry-based observational cohort study included all people ≥ 16 years old hospitalized for unintentional injuries from 2007 to 2014 who were included in the Victorian State Trauma Registry or Victorian Orthopaedic Trauma Outcomes Registry, survived to 12-months postinjury and did not have severe brain injury or spinal cord injury (N = 31,073). Symptoms and related impacts were measured with pain Numerical Rating Scale, EuroQol Five Dimensions Three Level questionnaire (EQ-5D-3L), and 12-item Short Form Health Survey (SF-12) pain and mental health items at 6-, 12-, and 24-months postinjury. Symptom patterns over time, and their predictors, were examined using Latent Class and Transition Analyses and multinomial logistic regression. RESULTS Four classes were identified: (1) Low pain and mental health problems (49-54%); (2) mental health problems only (11-12%); (3) pain problems only (18-23%); and (4) pain and mental health problems (16-17%). Most people stayed within the same class over time, or transitioned to fewer problems. People who transitioned to lower problems had higher socioeconomic status (e.g., higher education level, higher neighborhood-level advantage, and employment), better preinjury health (e.g., no disability or substance use condition) and noncompensable injuries. CONCLUSION/IMPLICATIONS Reduced pain and mental health symptoms and related impairments were primarily associated with nonmodifiable biological, social, or economic characteristics. People with persistent symptoms were often already living with social disadvantage preinjury, and may have benefited from risk screening and proactive interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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一项基于登记的观察性队列研究，检查疼痛和心理健康症状的模式及其对受伤后工作或其他活动的影响。

目的/目标研究：本研究旨在检查受伤后疼痛和心理健康的模式，以及与这些症状减轻相关的患者特征。研究方法/设计 这项基于登记的观察性队列研究包括所有 2007 年至 2014 年因意外伤害住院的 ≥ 16 岁的人，这些人被纳入维多利亚州创伤登记处或维多利亚州骨科创伤结果登记处，在受伤后存活至 12 个月，并且没有严重的脑损伤或脊髓损伤（N = 31,073）。症状和相关影响通过疼痛数字评定量表、EuroQol 五维三级问卷 (EQ-5D-3L) 和 12 项简短健康调查 (SF-12) 疼痛和心理健康项目在 6-、12-和伤后 24 个月。随着时间的推移症状模式，及其预测因子，使用潜在类别和转换分析以及多项逻辑回归进行检查。结果 确定了四类：（1）低疼痛和心理健康问题（49-54%）；(2) 仅心理健康问题 (11-12%)；(3) 仅疼痛问题 (18-23%)；(4) 疼痛和心理健康问题 (16-17%)。随着时间的推移，大多数人都留在同一个班级，或者转向更少的问题。过渡到较低问题的人具有更高的社会经济地位（例如，更高的教育水平、更高的社区优势和就业）、更好的受伤前健康状况（例如，没有残疾或物质使用状况）和不可补偿的伤害。结论/意义 减轻疼痛和心理健康症状及相关损害主要与不可改变的生物、社会、或经济特征。有持续症状的人通常在受伤前就已经处于社会不利地位，并且可能已经从风险筛查和积极干预中受益。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。