physical injury and depression

There are a variety of reasons why an athlete may battle with depression, but this article will focus on the vulnerability to depression as a result of an injury. Sign up for our various e-newsletters featuring mental health and substance use resources. About half of the workers in our study frequently felt symptoms of depression at some point in the 12 months following the injury. Currently you have JavaScript disabled. Anyone who is unlucky enough to experience one likely knows that this type of incident can reshape life priorities to such a degree that it can be difficult to maintain motivation. After an injury, many people feel sad, frustrated, depressed, anxious, nervous, and fearful, Dr. Roche says. Among workers in our study who reported feeling depressed at 1 month, 6 months and 12 months after the injury, only 10% were able to return to work and stay at work. Note that therapists working with injured athletes also use things like visualisation, goal-setting, and relaxation techniques. Depression affects each person in different ways, so symptoms caused by depression vary from person to person. Just as treating your depression will help with the physical pain, continuing to do all you can to improve the physical pain will help greatly with your depression. How student-athletes respond to injury may differ, and there is no predictable sequence or reaction. Pain makes it more difficult for anyone to feel good. Issue Briefing. Almost 1 in 10 were diagnosed by a physician with depression during this period. These statements are based upon the results of a study1 by a team of researchers at the Institute for Work & Health, a not-for-profit research organization based in Toronto. This is often due to factors such as rehabilitation scheduling and the athlete’s impaired physical ability to … This six-month period may be a window of opportunity to screen for symptoms of depression (and to provide the necessary support to those who need it) in order to prevent mental health problems in future. Try Skype therapy from the comfort of your home. I suffered a pretty serious compound fracture to my ankle last year, followed by an … However, as it is with your physical injuries… Depression doesn't just occur with pain resulting from an injury. If you have any issues with repressed anger, you might find this leaves you snapping at others or pushing away those you love. Can physical injury cause depression? Research has clearly shown that returning to work after a work injury is good for both physical and mental health.2 It’s a virtuous circle: people who return to work are likely to feel better mentally, and people who feel better mentally are more likely to be working. If your low moods or psychological symptoms are too hard to handle, or go on for six weeks or more, do consider seeking professional support in the form of a counsellor or psychotherapist. Read our free and easy-to-follow Guide to Mindfulness.]. A great tactic in battling depression is to use the experience of sitting out during injury to remind you why you love the sport so much. Our findings suggest that the first six months after a workplace injury are particularly important to an injured worker’s future mental health. Founded in 2006, we are an award-winning group connecting you to highly experienced therapists in our London rooms and online worldwide. Toronto, ON: Institute for Work & Health. It’s likely that losing a “good” job is even harder on one’s mental health. How much can physical injuries really affect your mental health? Depressive symptoms may also stem from the loss of a physical outlet and a change in exercise schedule. They also trigger or make worse any mental health issue you might have already had. Required fields are marked *. So it goes to show that taking care of our mental health really is as important as taking care of our physical health. From athletes to sports lovers and those who are just unfortunate, physical injuries happen. The links between depression, anxiety and exercise aren't entirely clear — but working out and other forms of physical activity can definitely ease symptoms of depression or anxiety and make you feel better. Unexplained physical problems, such as back pain or headaches; For some people, depression symptoms are so severe that it’s obvious something isn’t right. Sadly, if you are just a regular patient, psychological health when injured rarely gets a mention in hospitals and with your GP, and it becomes a case of taking care of yourself and finding the support you need. Host Dr Sheri speaks to distinguished guests about their childhoods, psychological health challenges and their experiences of therapy, good and bad. Here’s another sobering fact – the same comprehensive study mentioned above also found a connection to mental health issues and being likely having an injury in the first place. A study by the Institute for Work and Health of workers who missed at least five days of work due to work-related musculoskeletal injuries showed that half frequently felt symptoms of depression in the year following their injuries. The mental health issues that an injury might cause or trigger include things like: Here’s a very interesting thing about injuries – they don’t just cause depression. A podcast dedicated to therapy, thought and the art of wellbeing! If you are a journalist writing about this subject, do get in touch - we may be able to comment or provide a pull quote from a professional therapist. Subscribe and listen now to how others have coped with issues like anxiety, depression, bereavement, OCD and trauma and their tips for keeping well. We do not post advertisements on this website or link to other websites aside from reputable, official sources of further information. Injuries disrupt our daily lives and our ways of being. However, some treatments may help with both: Harley Therapy connects you with professional therapists who can help you with depression caused by injury. And if you were previously reasonably active, your body would be used to the feel-good chemicals that exercise releases. The link between loss of employment and poorer mental health could be related to a number of things. See the author box at the bottom of the article for more about the contributor. For a substantial number of people, possibly up to half of depression sufferers, bodily pain is the way depression presents itself. Almost 1 in 10 were diagnosed by a physician with depression during this period. Can a sports injury cause depression and other mental health issues? Many times, injuries require athletes to spend a lot of time away from their teammates and coaches. How they felt at the 6-month mark, however, did turn out to be a good indicator of whether they would feel depressed at 12 months. A Canadian research study that looked at over 20,000 patients hospitalised for injuries found an increased risk of mental health issues for at minimum 10 years following the event, with the greatest risk being in the year immediately following the injury. Drop y, ❌ This is not about positive thinking. A reminder that this article from our magazine Visions was published more than 1 year ago. Treating disability as the result of injuries may also be effective in the prevention of depressive disorders. Depression is an area of mental health that has arguably gained the most attention in recent times especially in relation to athletes. Signs of Aspergers in Adults – Sound Familiar? For example, a construction worker takes a serious fall from a roof and suffers a spinal cord injury. City of London Unfortunately, physical injury and depression afterwards can go hand in hand. 1.Injuries can have physical effects that directly affect mood. [Don’t know what mindfulness is? American Journal of Public Health, 102(3):541–56; Epub; doi: 10.2105/AJPH.2011.300401, Saunders, R. (2009, August). Monday – Friday 7am-10pm Even if the injury itself has chronic tendencies, you will find ways to improve and regain your physical health. The kind of depression you get as a result of a work-related injury is indirectly caused by your workplace or conditions. This might be mindfulness, journaling, or reading about self-compassion. 2. Symptoms of depression are also linked in some ways to returning to work, given that our study found that only 1 in 10 who reported frequent symptoms of depression at all three points during the year had returned to work. Without this … The emotional trauma of a sudden and severe injury – resulting from events such as an assault, car accident or accidental fall – can increase the risk of a person We are a group of seven leading mental health and substance use non-profit agencies. They found evidence that becoming unemployed has a negative effect on mental health. For this study, we included only those people who reported no physician-diagnosed depression during the year before their injury. In order to post comments, please make sure JavaScript and Cookies are enabled, and reload the page. Asked by John H., Georgia. For most injuries, the student-athlete is able to return to pre-injury levels of activity. If you are the type who struggles to ask for help, this too can leave you feeling frustrated or even depressed. Yes, I am a journalist Click here to confirm you are a journalist, Your email address will not be published. Have a question still about injury and depression? Remember, top athletes get it. Many of us don’t realise how reliant we are on our daily structure until it is suspended. Sometimes chronic pain is also described as pain that lasts longer than three months. Note that it’s just not during the time of your injury you might suffer depression or anxiety. At the 12-month mark, 75% reported not feeling depressed (although 25% reported they did feel depressed). Another common cause of injury-related depression is detachment. Use it as a motivation to perform your physical therapy and work even harder, knowing that in the end the experience just might make you a … ARE YOU A JOURNALIST WRITING ABOUT THIS TOPIC? Journal of Occupational Rehabilitation. Since 2003, we've been working together to help people live well and better prevent and manage mental health and substance use problems. Why do some people experience anxiety and depression after an injury when others don’t? Depression was more frequent in the presence than in the absence of physical injury. (2012). Mental health problems can emerge in relation to a physical work injury especially in the six months following the injury and diagnosis of that injury. Even though workers who are experiencing some symptoms of depression are not necessarily clinically depressed and do not necessarily require medical treatment, it’s still important for them to make their health care providers aware of these symptoms so that appropriate supports can be put in place. Feelings of Depression after a Physical Work Injury, www.iwh.on.ca/topics/mental-health-at-work, www.iwh.on.ca/briefings/unemployment-and-mental-health, Canadian Mental Health Association, BC Division, Canadian Institute for Substance Use Research, Institute of Families for Child and Youth Mental Health, Jessie's Legacy eating disorders prevention and awareness (a Family Services of the North Shore program), Mood Disorders Association of BC (a branch of Lookout Housing and Health Society), Funding provided by Provincial Health Services Authority. [Don’t know what mindfulness is? I was a member of this team and led the analysis and write-up of the part of the research that considered what happens to the mental health of people during the first year following a work injury. She is also a PhD student in epidemiology at the University of Toronto, Carnide, N., Franche, R-L., Hogg-Johnson, S., Côté, P., Breslin, F.C., Severin, C.N., Bültmann, U. Since loss of work increases the risk of mental health problems, and since mental health difficulties increase the risk of job loss, it is important not only to help unemployed workers find new jobs quickly but also to help workers manage mental distress. During the first 12 months after participants’ work injury, symptoms of depression were common. He undergoes multiple surgeries and rehabilitation to help him recover and adjust to a new way of moving his body—and living his life. Our study couldn’t answer that question, but we suspect there is a complex interaction between the two factors. Learn more. Support is essential.Reach out to others, and accept as much help as you can from friends and family. Serious injury and anxiety, depression and post-traumatic stress disorder The physical harm and suffering associated with a serious injury . It's also common in people who have pain linked to a health condition such as diabetes, cancer or heart disease. My IWH colleagues also found that people with mental health problems are more likely than others to become unemployed. They can occur in workplaces around the world. People with serious injuries were also found to be three times more likely to then be hospitalised for mental health. It also represents the point of the view of the author only. This six-month period represents a chance to screen injured workers to detect those at risk of clinical depression. The response to injury extends from the time immediately after injury through to the post-injury phase and then rehabilitation and ultimately with return to activity. See our website policy here. An injury that sees them laid up for any length of time will be more of a mental challenge. What can you really change here? Job loss often means a drop in one’s standard of living or, at the very least, increased anxiety and insecurity about future income. Association of returning to work with better health in working-aged adults: A systematic review. Nancy Carnide is a Research Associate at the Institute for Work & Health, a not-for-profit research organization based in Toronto. Dealing With Difficult People (Yes, Even Your In-Laws! are linked to a higher likelihood of mental health problems while one is working than are higher-quality jobs. Harley Therapy Counselling Blog is the project of Harley Therapy™. Finally, a growing body of research (starting with this often quoted study looking at athletes) now shows that psychological interventions actually improve healing times. London Bridge. To keep up on all the latest research from IWH, sign up for our monthly e-alert at www.iwh.on.ca/e-alerts. You might feel okay in the morning, but once you’re at work or … Repressed Memories – Are They Real and Do They Really Matter? Sometimes, psychological injuries develop as a result of a physical injury. (Someone who is “unemployed” is someone who is not working for pay but is actively looking for paid work.) Unemployment and mental health. can often have an impact on mental health. Here’s a very interesting thing about injuries – they don’t just cause depression. Look into tools of wellbeing that can help. Click here for instructions on how to enable JavaScript in your browser. For more IWH findings on mental health and work, visit our website at www.iwh.on.ca/topics/mental-health-at-work. Or want to share a personal experience with our readers? And if you were previously reasonably active, your body would be used to the feel-good chemicals that exercise releases. During the first 12 months after participants’ work injury, symptoms of depression were common. Click here for instructions on how to enable JavaScript in your browser. Otherwise, the boredom can lead to frustration and negative thinking, a trigger for depression. Regular exercise is an excellent way to boost your mood and get in shape. Interestingly, some studies have shown that it’s the non-financial issues (the drop in quality of life and a decreased sense of well-being) that have a greater effect on one’s mental health during unemployment. Saturday & Sunday 8am-8pm, Harley Street 3. Importantly, symptoms of depression are common among those who are not working one year after their injury, or who try to go back to work but are unable to continue. Especially for professional athletes, who spent hours every day … To get symptoms of pain and depression under control, you may need separate treatment for each condition. And if you are used to a busy workplace but delegated to staying home, you might end up with feelings of isolation. We interviewed all study participants by telephone 1 month, 6 months and 12 months after their injury to see how they were doing. Physical Injuries and Depression Go Hand in Hand Posted By Emily Anderson - 06.07.16 I recently spoke to a group of Iowa workers’ compensation attorneys about handling claims for injured workers who go on to develop depression after a work injury. Things you used to take for granted are now difficult or impossible. They also show that, for the most part, how injured workers feel about their mental health at the six-month mark is a good indication of how they are going to feel 12 months after the injury. Frequent symptoms of depression were more common among participants who were having trouble returning to work. Content is produced by editor and lead writer Andrea Blundell, trained in person-centred counselling, and overseen by Dr Sheri Jacobson, clinical director, retired BACP senior therapist & host of TherapyLab. Not feeling depressed 1 month after a work injury seemed to be a good indication that an injured worker would remain feeling that way over the course of the next 12 months. In comparison, among those who were working at the 12-month mark, approximately 20% reported frequent symptoms of depression at the 12-month mark. Contrast this with someone who had mild anxiety, or low moods that they managed to get by despite of , or who have no close friends and a family living far away. www.iwh.on.ca/briefings/unemployment-and-mental-health. Can’t leave the house? That it’s possible to be outwardly active but internally askew can mask just how common depression and anxiety are. Research suggests that poorer-quality jobs (those that don’t pay well, don’t provide enough hours of work, etc.) We also specifically asked about 20 symptoms of depression, including sadness, poor appetite, difficulty concentrating, restless sleep, crying spells and more—if they were feeling them and, if so, how often. Back pain or aching muscles all over. Research suggests that anywhere from 30 to 50% of people with chronic pain also struggle with depression or anxiety.1 & Krause, N. (2015, Sep 1). Course of depressive symptoms following a workplace injury: A 12-month follow-up update. In our study, about 60% of all participants did not feel depressed at the 1-month mark, and most of them (9 out of 10) still felt that way when we talked to them at 6 and 12 months. The remaining 90% either had never made a return-to-work attempt or had tried to return to work but had at least one recurrence of work absence. And they can be quite a curve ball. Those with injuries were found to be over three times more likely to have seen a mental health practitioner, with eighty per cent of those claims being for panic, anxiety and depression. #selfcare #in, What positive choice can you make in the name of s, Victim mentality is extremely common, and we can a, True happiness comes when we can be our authentic, Many people encourage others to ask for help when, This can feel like a slap in the face but thi, Ever assumed something that made you feel absolute, Core beliefs are assumptions about ourselves, othe, Constantly Have Suicidal Thoughts? Can’t leave the house? We asked about their workplace, their injury, their health and whether they were working or not. Injuries can leave you feeling helpless. What Makes a Good Therapist? If you work with injured workers or have been injured on the job yourself, you should be aware that feeling depressed—and by that I mean frequently feeling many of the symptoms of depression—is common among people who have been physically hurt at work and need to take time off to recover. This suggests to me that what is done during the first six months post-injury is important to the future well-being and mental health of injured workers. It is here for reference only. Injured workers who are off work due to an injury may also struggle with another health issue – depression. It can also result in loss of status among family and friends, as well as loss of contact with an important social circle—work colleagues. About half of workers without a diagnosis of depression in the year before a work-related injury may feel depressed at some point during the year after their injury, and one in four may feel depressed at the one-year mark. Read our free and easy-to-follow, Finally, a growing body of research (starting with this. Mental health issues injuries can help cause. According to our study, if an injured worker feels better at 6 months, he or she will likely also feel better at 12 months. Some information in it may no longer be current. Which too, Remember to show yourself some self-compassion tod, Are you doing self-care right?! 10 Essential Qualities to Look For. The mental health of most participants in our study improved over time during the 12 months after injury. 7 out of 10 injured workers in our study who reported frequent symptoms of depression at 1 month and at 6 months also reported frequent symptoms of depression at 12 months. It’s not about just sitting back and just l, Let us know what makes you feel good!! Without this ‘hit’, you can feel tired and out sorts and/or can’t sleep well. How to Manage. While depression can affect a person psychologically, it also has the potential to affect physical structures in the brain. & Lavis, J. About half of the workers in our study frequently felt symptoms of depression at some point in the 12 months following the injury. ), Feeling Suicidal or Like Self-Harming? The better your self-esteem and moods, the shorter the recovery. Why not you? We interviewed 332 people who were off work for at least five days due to a work-related musculoskeletal injury, though many were off work for longer than this. By 6 months, half of these people continued to feel depressed; the other half did not. Pain makes it more difficult for anyone to feel good. Injury and mental health issues are absolutely connected. Harley Therapy connects you with professional therapists who can help you with depression caused by injury. Physicians who deal with top athletes, for example, expect and prepare for athletes to need psychological care post-injury. For example, if you were a very content and balanced person before your injury, with a strong support system of family and friends to take care of you, you might be thrown-off by an injury, but manage well. • There was a positive association between physical injury and depression. Approximately half of all workers who do not have a diagnosis of depression in the year prior to a work-related accident may feel depressed at some point or over the duration of the year following their injury. 1.Injuries can have physical effects that directly affect mood. Personalized mental health care to victims of physical injury may reduce risk for depression. The pain is often vague and unexplained by injury. Being at work is important. One word of caution here, however, is that standard "pain pills" (officially known as opiates), while providing short-term benefit, may actually make pain worse over the long term and can also worsen depression. Our mission is to improve emotional wellbeing through therapy and psycho-education. How do injuries affect our mental health? Under Missouri law, it’s still generally covered by workers’ compensation, under the legal term of “physical-mental” disorder. Do consider professional help. And no matter how sad, depressed, anxious or agitated you feel, always remember … Chronic pain is a term used to describe pain that lasts beyond the typical time it takes for an illness or injury to heal. Only 1 in 10 workers worsened in terms of their depressive symptoms over the 12-month period; about 25% of participants saw improvement in their depressive symptoms. Physical injuries happen every day. Those whose mental health is fine beforehand are at risk of developing mental health problems when they are no longer going to work. In other words, in our study, of those who were not working 12 months after their injury, about half reported frequent symptoms of depression. And how concerned should be if you really don’t feel yourself after a fall, accident, or sports injury? • A moderate level of between-country heterogeneity was observed between the six LMICs. Your email address will not be published. That is, they had injured their back, neck, shoulder, elbow, wrist or hand at work and had filed a workers’ compensation claim. Chronic pain and depression are two of the most common health problems that health professionals encounter, yet only a handful of studies have investigated the relationship between these conditions in the general population (Currie and Wang, 2004). With effective support, injured workers who are frequently feeling symptoms of depression following their injury may receive the help they need to feel better by the six-month mark. Learn more from WebMD about the benefits of daily exercise on depression and how to get started. It does beg the question: Do symptoms of depression contribute to difficulties in returning to work, or does having difficulties returning to work contribute to symptoms of depression? Research on depression, anxiety and exercise shows that the psychological and physical benefits of exercise can also help improve mood and reduce anxiety. Techniques to Stop Distress, What is Cognitive Behavioural Therapy? [Read our article on “Exercise and Depression” for more on this.}. In our study, 40% of all participants felt depressed at the 1-month mark. Our findings support the idea that feeling depressed is a natural response to having a workplace injury. Epub; doi 10.1007/s10926-015-9604-3, Rueda, S., Chambers, L., Wilson, M., Mustard, C., Rourke, S.B., Bayoumi, A. Raboud, J. Effect on mental health of most participants in our study frequently felt symptoms of depression at some point in 12! To take for granted are now difficult or impossible him recover and adjust to a health condition such diabetes. Of all participants felt depressed at the 12-month mark, 75 % reported not feeling (. That people with mental health and substance use non-profit agencies any length of time will be more of work-related! Systematic review with feelings of isolation no physician-diagnosed depression during this period than are higher-quality jobs published more than year... Colleagues also found that people with mental health aching muscles all over can mask just common... Or impossible from WebMD about the benefits of daily exercise on depression and how concerned be... Your In-Laws magazine Visions was published more than 1 year ago it may no be. Featuring mental health of most participants in our study, we 've working! During rehabilitation for sports injuries and what you need to work. the kind of depression some... 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