Health-related quality of life after injury: examining the roles of perceived daily-life stress and injury perceptions

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.

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Notes

  1. 1.

    Comparisons between this sample and a comparable healthy sample were reported elsewhere (10).

  2. 2.

    We did not ask participants for the specific treatments they have received, but the health system in Israel is universal and participation in a medical insurance plan is compulsory. Every resident has a right to receive all of the services included in the medical services basket at a reasonable quality level. The Health Basket covers all costs of medical diagnosis and treatment in a variety areas of medicine, including first aid, hospitalization, surgery, and paramedical services such as physiotherapy and occupational therapy, and mental healthcare. (see also: https://www.israel.org/mfa/aboutisrael/israelat50/pages/the%20health%20care%20system%20in%20israel-%20an%20historical%20pe.aspx).

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Acknowledgements

The authors would like to thank the following students for contributing to the data collection as a part of this study: MA students: Gabriela Alimi, Amiad Abrahams, Elena Gurevich, Naama Reiter, Or Aharon-Dvir; BA students: Adar Elharar, Sheer Almagor, Shay Bejerano, Moran Zohar Harshoshanim, Liat Genkin, Anton Kotlyar, Dorli Kuntz, and Nitzan Shlessinger.

Funding

This study was partially supported by a seed grant provided by the Academic College of Tel Aviv-Yaffo (SL, IH, RA). The funding source had no involvement in the study design, analysis of the data, or writing the manuscript.

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Correspondence to Ronit Avitsur.

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Shiloh, S., Levy, S., Heruti, I. et al. Health-related quality of life after injury: examining the roles of perceived daily-life stress and injury perceptions. Qual Life Res (2020). https://doi.org/10.1007/s11136-020-02548-9

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Keywords

  • Injury
  • Perceptions
  • Stress
  • Health-related quality of life