Background: The long-term effects of occupational injury (OI) on psychiatric diseases are unclear. This study assessed
and
compared the effects of OI, no injury (control),
and
non-OI (
NOI
) on the development of psychiatric diseases.
Methods: We used Taiwan’s National Health Insurance Research Database to investigate the incidence of psychiatric disorders in OI,
NOI
,
and
control groups. The subjects were aged 20–50 years, actively employed in 2000,
and
did not have history of injury or psychiatric disorders. All subjects were followed from 2000
and
were classified into OI,
NOI
,
and
control groups according to occurrence of target injury later on. Individuals in each group were matched by age, sex, insurance premium before the index date,
and
year of the index date. Psychiatric disease-free days were compared among the groups using survival analysis
and
Cox regression.
Results: We included a total of 12,528 patients for final analysis, with 4,176 in each group. Compared with the control group, the OI group had an increased occurrence of trauma
and
stress-related disorder, depressive disorders, anxiety disorders,
and
alcohol
and
other substance dependence. These increases were similar to those in the
NOI
group. Elevated cumulative incidence rate of any psychiatric disorders was observed among those with OI or
NOI
up to 10 years after injury.
Conclusion: We confirmed that OI
and
NOI
induced psychiatric disorders. These findings highlight the need for workers’ compensation mechanisms to consider long-term psychological care among injured workers.
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