Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Injury and Diabetes

All psychophysiologic issues are of great importance.

Let_s set aside someone who has sustained a pancreatic injury at work and cannot produce insulin and look at the more difficult cases to understand/fathom.

If you do not have a psychological exam on this patient, and he/she is depressed, sleep will likely be disturbed. It has been shown Americans are getting less sleep. With less sleep comes the production of substantially less insulin. If the individual is depressed, they may well be getting less than the mandatory 7+ hours of sleep.

If the individual is in chronic pain, he/she may be getting less than the mandatory hours of sleep, and/or if he/she has marital, financial or family pressures, he/she may be obtaining less than optimal hours of sleep. Once again, all of this has been associated with onset of Type 2 Diabetes.

Further, if you do not have a psychological exam, you do not know if the patient is exercising, sedentary, his/her dietary intake and other complicating/contributing risk factors.

Since this sleep-diabetes link has been established, we simply need to know more about the post-injury lifestyle and its health implications. These are not issues typically investigated in depth, but they need to be.

Comments for this post are closed.

Patient Candidacy

Many injured workers feel that they have been _punished,_ that the suffering they experience must be explained in terms of …
Read Blog Post

Motivating the Patient

There are complaints that unmotivated patients and divisive attorneys make workers’ compensation unpleasant. However, …
Read Blog Post

Depression As A Disease

a. Should an injured worker be given all possible assistance as well as protection from re-injury or exacerbation of his/her …
Read Blog Post