Psychiatric disorders after occupational injury among National Health Insurance enrollees in Taiwan

• Published in: Psychiatry research 2014-11, Vol.219 (3), p.645-650
• Main Authors: Lin, Kuan-Han, Chu, Po-Ching, Kuo, Chun-Ya, Hwang, Yaw-Huei, Wu, Shiao-Chi, Guo, Yue Leon
• Format: Article
• Language: English
• Subjects: Accidents, Occupational - psychology; Accidents, Occupational - statistics & numerical data; Adolescent; Adult; Adult and adolescent clinical studies; Aged; Anxiety disorders. Neuroses; Biological and medical sciences; Depression; Epidemiology; Female; General aspects; Humans; Incidence; Inpatients - statistics & numerical data; Major depression; Male; Medical sciences; Mental Disorders - epidemiology; Mental health; Middle Aged; Miscellaneous; Mood disorders; National Health Programs - statistics & numerical data; Occupational health; Occupational Injuries - epidemiology; Occupational Injuries - psychology; Outpatients - statistics & numerical data; Post-traumatic stress disorder; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Stress Disorders, Post-Traumatic - epidemiology; Stress Disorders, Post-Traumatic - psychology; Taiwan - epidemiology; Young Adult
• ISSN: 0165-1781; 1872-7123
• DOI: 10.1016/j.psychres.2014.06.015

Abstract This study aimed to determine the incidence rates of psychiatric disorders within 1 year after occupational injury and to examine the association between occupational injury and the incidence of psychiatric disorders using National Health Insurance Research Database (NHIRD). We used cohort approach in this investigation. All eligible subjects were from the NHIRD, and aged 18–65 years old. A total of 542,208 patients were enrolled in this study. Among them, 1038 patients sustained occupational injury, 6891 patients sustained non-occupational injury. The reference group in this study was 534,279 patients who ever used the NHI for any medical condition in 2001. The incidence rates of any psychiatric disorders within 1 year after occupational injury (inpatient), occupational injury (outpatient), non-occupational injury (inpatient), non-occupational injury (outpatient), and any disease were 9.5%, 2.5%, 7.4%, 1.5%, and 1.1%, respectively. Occupational injury was found as a significant factor for developing psychiatric disorders within 1 year after the target injury. The incidence rate of any psychiatric disorders was higher in patients after occupational injury than those after non-occupational injury and any medical condition.