Dataset Information

Socio-demographic and trauma-related predictors of depression within eight weeks of motor vehicle collision in the AURORA study.

ABSTRACT:

Background

This is the first report on the association between trauma exposure and depression from the Advancing Understanding of RecOvery afteR traumA(AURORA) multisite longitudinal study of adverse post-traumatic neuropsychiatric sequelae (APNS) among participants seeking emergency department (ED) treatment in the aftermath of a traumatic life experience.

Methods

We focus on participants presenting at EDs after a motor vehicle collision (MVC), which characterizes most AURORA participants, and examine associations of participant socio-demographics and MVC characteristics with 8-week depression as mediated through peritraumatic symptoms and 2-week depression.

Results

Eight-week depression prevalence was relatively high (27.8%) and associated with several MVC characteristics (being passenger v. driver; injuries to other people). Peritraumatic distress was associated with 2-week but not 8-week depression. Most of these associations held when controlling for peritraumatic symptoms and, to a lesser degree, depressive symptoms at 2-weeks post-trauma.

Conclusions

These observations, coupled with substantial variation in the relative strength of the mediating pathways across predictors, raises the possibility of diverse and potentially complex underlying biological and psychological processes that remain to be elucidated in more in-depth analyses of the rich and evolving AURORA database to find new targets for intervention and new tools for risk-based stratification following trauma exposure.

SUBMITTER: Joormann J

PROVIDER: S-EPMC9341273 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Socio-demographic and trauma-related predictors of depression within eight weeks of motor vehicle collision in the AURORA study.

Joormann Jutta J McLean Samuel A SA Beaudoin Francesca L FL An Xinming X Stevens Jennifer S JS Zeng Donglin D Neylan Thomas C TC Clifford Gari G Linnstaedt Sarah D SD Germine Laura T LT Rauch Scott L SL Musey Paul I PI Hendry Phyllis L PL Sheikh Sophia S Jones Christopher W CW Punches Brittany E BE Fermann Gregory G Hudak Lauren A LA Mohiuddin Kamran K Murty Vishnu V McGrath Meghan E ME Haran John P JP Pascual Jose J Seamon Mark M Peak David A DA Pearson Claire C Domeier Robert M RM Sergot Paulina P Merchant Roland R Sanchez Leon D LD Rathlev Niels K NK Peacock William F WF Bruce Steven E SE Barch Deanna D Pizzagalli Diego A DA Luna Beatriz B Harte Steven E SE Hwang Irving I Lee Sue S Sampson Nancy N Koenen Karestan C KC Ressler Kerry J KJ Kessler Ronald C RC

Psychological medicine 20201029 10

<h4>Background</h4>This is the first report on the association between trauma exposure and depression from the <i>A</i>dvancing <i>U</i>nderstanding of <i>R</i>ec<i>O</i>very afte<i>R</i> traum<i>A</i>(AURORA) multisite longitudinal study of adverse post-traumatic neuropsychiatric sequelae (APNS) among participants seeking emergency department (ED) treatment in the aftermath of a traumatic life experience.<h4>Methods</h4>We focus on participants presenting at EDs after a motor vehicle collision ...[more]

PMID: 33118917

Similar Datasets

Project description:ImportanceMotor vehicle crashes (MVCs) are an important public health concern. Recent trends suggest that introducing rideshare services has decreased the incidence of MVCs. However, detailed analyses linking rideshare volume, convictions for impaired driving, and nonfatal MVC traumas remain inconclusive.ObjectiveTo determine if there is an association between rideshare use and MVC traumas and convictions for impaired driving in Houston, Texas.Design, setting, and participantsThis multicenter cohort study was conducted between January 2007 and November 2019 with hospital data from the Red Duke Trauma Institute within the Memorial Hermann Hospital-Texas Medical Center and Ben Taub General Hospital. Rideshare data from Uber and Google covered trips taken within Houston, Texas, from February 2014 (the date of deployment of Uber to Houston) to December 2018. Impaired driving convictions included all indictments made by the Harris County, Texas, District Attorney's office from January 2007 to December 2018. All adults with MVC traumas evaluated at both centers in the study population (individuals >16 years with a mechanism of injury classified under "motor vehicle collision") were included. Impaired driving incidents were included only if the final legal outcome was conviction.Main outcomes and measuresThe primary study outcomes were the incident rate ratios for hourly MVC traumas and daily impaired driving convictions.ResultsA total of 23 491 MVC traumas (involving patients with a mean [SD] age of 37.9 [17.8] years and 14 603 male individuals [62.1%]), 93 742 impaired driving convictions, and more than 24 million Uber rides were analyzed. Following the introduction of Uber in February 2014, MVC traumas decreased by 23.8% (from a mean [SD] of 0.26 [0.04] to 0.21 [0.06] trauma incidents per hour) during peak trauma periods (Friday and Saturday nights). The incident rate ratio of MVC traumas following Uber deployment was 0.33 (95% CI, 0.17-0.67) per 1000 indexed rides (P = .002). Furthermore, rideshare use was associated with a significant, geographically linked reduction in impaired driving convictions between January 2014 to December 2019 (incidence rate ratio, 0.76 [95% CI, 0.73-0.78]; P < .001).Conclusions and relevanceIn this study, introducing rideshare services in the Houston metropolitan area was associated with significant reductions in MVC traumas and impaired driving convictions. Increased use of rideshares may be an effective means of reducing impaired driving and decreasing rate of MVC traumas.

Dataset Information

Socio-demographic and trauma-related predictors of depression within eight weeks of motor vehicle collision in the AURORA study.

Background

Methods

Results

Conclusions

Publications

Socio-demographic and trauma-related predictors of depression within eight weeks of motor vehicle collision in the AURORA study.

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