{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T19:43:25Z","timestamp":1793303005698,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008247","name":"University of Otago","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008247","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Major trauma recovery extends beyond physical healing, with psychological outcomes and patient experiences influencing long\u2010term well\u2010being. This study explored trauma survivors' experiences of follow\u2010up care and Accident Compensation Corporation (ACC) in New Zealand, and how these relate to psychological distress and social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective cohort study was conducted at Christchurch Hospital using New Zealand Major Trauma Registry data (May 2016\u2013March 2020, Injury Severity Score\u2009\u2265\u200912). In 2020, eligible patients were invited to complete a follow\u2010up survey including DSM\u20105\u2014aligned screeners for PTSD, anxiety, and depression, questions on follow\u2010up care and ACC, and a validated social support scale. Associations were assessed with chi\u2010square and Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      tests; free\u2010text responses underwent thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 415 eligible patients, 134 (32.3%) responded. Issues accessing follow\u2010up care were reported by 20 patients (14.9%), and ACC\u2010related challenges by 33 (24.6%). Thematic analysis identified insufficient follow\u2010up, lack of mental health support, communication gaps, and premature return\u2010to\u2010work expectations. Psychological morbidity was strongly associated with reported difficulties: patients screening positive for PTSD, anxiety, or depression were 3\u20135 times more likely to report problems with follow\u2010up or ACC (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Lower perceived social support was also significantly associated with increased reported difficulties (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01\u20130.03). Injury severity and ICU admission were not associated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mental health symptoms and poor social support were strongly linked to dissatisfaction with trauma follow\u2010up and ACC processes. Routine psychological screening, improved communication, and coordinated support may enhance recovery outcomes in New Zealand's no\u2010fault trauma system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70722","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T05:53:24Z","timestamp":1778046804000},"page":"2353-2360","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Left Behind After Impact: The Hidden Toll of Trauma Recovery in New Zealand"],"prefix":"10.1111","volume":"96","author":[{"given":"Sarah","family":"Logan","sequence":"first","affiliation":[{"name":"Department of Surgery Te Whatu Ora Waitaha Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duncan","family":"Finlayson","sequence":"additional","affiliation":[{"name":"Emergency Department Te Whatu Ora Waitaha Canterbury  Christchurch New 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