Health-related quality of life after injury: examining the roles of perceived daily-life stress and injury perceptions
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Health‑related quality of life after injury: examining the roles of perceived daily‑life stress and injury perceptions Shoshana Shiloh1 · Sigal Levy2 · Irit Heruti2,3 · Ronit Avitsur2 Accepted: 8 June 2020 © Springer Nature Switzerland AG 2020
Abstract Purpose The present study aimed to examine the effects of injury perceptions and perceived daily stress on health-related quality of life (HRQL) of individuals affected by a physical injury. Methods Two hundred and forty injured individuals completed questionnaires assessing HRQL (Medical Outcome Health Survey short-form 36), perceived daily-life stress (Perceived Stress Scale), and injury perceptions (Brief-InjPQ). Results The direct effects of stress on HRQL scores were not moderated by gender. Emotional representation of the injury significantly mediated the links between PSS and all HRQL subscales only among women, but not among men. However, the mediation of the HRQL total score by emotional representations was significant for both genders. In addition, treatment control perceptions of the injury mediated the link between PSS and self-assessed health among men but not women, and injury-self perceptions mediated the link between PSS and physical functioning among men but not women. Conclusion These findings underscore the importance of perceived daily stress, gender, and injury perceptions as key factors for explaining variance in HRQL following injury. In addition to their conceptual contributions, the findings have clinical implications for treating injured populations. Keywords Injury · Perceptions · Stress · Health-related quality of life
Introduction Physical injury is a common, uncontrollable, overwhelming experience. Injuries are caused by traumatic events, such as road traffic accidents, sports accidents, falls, fires, interpersonal violence, wars, or terror attacks. Survivors of physical injuries experience impaired health and well-being [1–4]. Many of them also demonstrate symptoms of posttraumatic stress disorder (PTSD), depression, and anxiety [5, 6]. The Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11136-020-02548-9) contains supplementary material, which is available to authorized users. * Ronit Avitsur [email protected] 1
The School of Psychological Sciences, The Gordon Faculty of Social Sciences, Tel Aviv University, Tel Aviv, Israel
2
School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, PO Box 8401, 68114 Tel Aviv, Israel
3
Department of Psychology, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel
present study sought to investigate the prolonged effects of injury on health-related quality of life and to examine injury perceptions and perceived daily stress as potential moderating factors of those consequences. The central role of perceptions in modulating reactions to injuries has long been recognized. Responses to injury were found to be dynamic and influenced by personal traits (e.g., coping skills) and situational experiences (e.g., so
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