The Impact of Psychological Symptoms on Return to Work in Workers After Occupational Injury

Lin, Kuan-Han; Guo, Nai-Wen; Shiao, S C; Liao, Shih‐Cheng; Hu, Pei Yi; Hsu, Jin Huei; Hwang, Yaw-Huei; Guo, Yujun

doi:10.1007/s10926-012-9381-1

Cited by 17 publications

(18 citation statements)

References 18 publications

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“…The finding that greater baseline symptom levels of anxiety 35,44 and depression 44,45 predict NRTW is consistent with previous general injury studies, however it is inconsistent with findings from van Velzen et al 41 . The presence of a baseline DSM-IV diagnosis predicted RTW, consistent with previous research in general injury 27,39 .…”

Section: Discussionsupporting

confidence: 50%

“…The most consistent predictor of RTW in broader injury samples was positive expectations at baseline regarding Non-return to work following road traffic crash 5 RTW in the future [18][19][20][21][22][23][24][25][26] . Other predictors of NRTW in broader injury samples included older age 18,19,[27][28][29][30][31] (but see 32,33 for conflicting results), lower levels of education 29,[34][35][36][37] , increased injury severity 27,30,34,38,39 (but see 40, 41 for conflicting results), type of injury 28,30,35,37 , returning to physical work tasks 28,34,40,42 , perceiving accident severity as severe 38,40,42 , higher baseline pain levels 18,27,30,37,39,43 , baseline mental health symptoms 27, 39 , baseline posttraumatic stress …”

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confidence: 99%

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Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

Heron-Delaney

Warren

Kenardy

2017

Injury

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Non-return to work following road traffic crash 2 Abstract Purpose: Individuals who have sustained an injury from a road traffic crash (RTC) are at increased risk for long lasting health problems and non-return to work (NRTW). Determining the predictors of NRTW is necessary to develop screening tools to identify at-risk individuals and to provide early targeted intervention for successful return to work (RTW). The aim of this study was to identify factors that can predict which individuals will not RTW following minor or moderate injuries sustained from a RTC.Method: Participants were 194 claimants (63.4% female) within a common-law "fault-based" system from the UQ SuPPORT cohort who were working prior to their RTC. Participants were assessed at 6 months on a variety of physical and mental health measures and RTW status was determined at 2 years post-RTC. RTW rate was 78.4%.Results: Univariate predictors of NRTW included being the driver or passenger, having a prior psychiatric diagnosis, high disability level, low mental or physical quality of life, predicted non-recovery, high pain, low function, high expectations of pain persistency, low expectations about RTW, having a psychiatric diagnosis, elevated depression or anxiety. The final multivariable logistic regression model included only two variables: disability level and expectations about RTW. Seventy-five percent of individuals who will not RTW by 2 years can be identified accurately at an early stage, using only these two predictors. Conclusion:The results are promising, because they suggest that having information about two factors, which are easily obtainable, can predict with accuracy those who will require additional support to facilitate RTW. Keywords: Motor Vehicles; Traffic Accidents; Return to Work; Mental Health; HealthNon-return to work following road traffic crash 3 Predictors of non-return to work 2 years post-injury in road traffic crash survivors: results from the UQ SuPPORT studyThe annual cost of road traffic crashes (RTCs) in Australia is estimated at $27 billion 1 and Australia reports spending 3.6% of its gross domestic product on RTCs 2 . The World Health Organization 3 anticipates that RTC injuries will be the third leading cause of disabilityadjusted life years lost (DALYs) by 2020. One of the major factors contributing to these costs is non-return to work (NRTW) following injury. NRTW is also problematic because working is associated with better health, self-esteem and social connectedness 4,5 , as well as improved quality of life and overall longevity 6 .Previous research on return to work (RTW) rates and predictors in RTC cohorts have produced varied results, most likely due to the differences in the nature of injuries in the samples assessed, the variance in severity of injury (mild through to catastrophic), the timeframe for follow-up, the compensation scheme and other sociocultural factors that vary across countries, such as the health care system. Rates of RTW range from 42%-69% at 9 to 12 months post-RTC for more serious inju...

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Section: Discussionsupporting

confidence: 50%

mentioning

confidence: 99%

Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

Heron-Delaney

Warren

Kenardy

2017

Injury

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“…It is possible that after an injury, people with psychological symptoms, including those related to post-traumatic stress disorder, anxiety or depression, could become hyper-aroused and/ or have poorer coping skills which could lead them to avoid returning to work post-injury. Further, poor mental health could contribute to work disability by limiting the effectiveness of treatment and rehabilitation programmes [26]; and thus, have a long-term influence on the return to work process [27]. Given that previous research shows that the longer workers are away from the workplace the more likely they are to report adverse psychological symptoms [28], injuries of both minor or moderate severity could perpetuate a cycle of poor mental health.…”

Section: Discussionmentioning

confidence: 99%

Prognostic indicators of social outcomes in persons who sustained an injury in a road traffic crash

Gopinath

Jagnoor

Harris

et al. 2015

Injury

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“…A substantial amount of literature has established the relationship between injury and post-injury distress [ 7 , 8 , 19 , 20 ]. For example, Wrengera et al .…”

Section: Discussionmentioning

confidence: 99%

Psychological Distress following Injury in a Large Cohort of Thai Adults

et al. 2016

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IntroductionInjury and psychological distress are public health priorities because of their high occurrence in the population. This study examines the longitudinal effects of injury characteristics on psychological distress.MethodsStudy participants were enrolled distance learning Thai adults (N = 42,785 at 2013 follow-up) residing nationwide. We analysed 2009 and 2013 data. Injury questions included injury prevalence, causes and levels of severity. Distress was measured using the standard Kessler-6. To assess the risk for post-injury distress, we used multinomial logistic regression investigating psychological distress in 2013 as an outcome including injury categories in both 2009 and 2013 as predictors, adjusted for sociodemographic factors.ResultsOverall injury was predictive of psychological distress. Both types of injury (traffic and non- traffic) associated with increasing psychological distress. Those that had experienced both types of injuries in the previous year had higher odds of developing psychological distress compared to those who experienced just one type. In 2013, adjusted psychological distress odds ratios were 1.46 [95% Confidence Interval 1.14–1.87] for traffic injury only; 1.26 [1.13–1.40] for non-traffic injury only; and 2.71 [2.19–3.35] for both traffic and non-traffic injuries. Increasing frequency of injury and increasing injury severity were also linked to elevated psychological distress among our Thai cohort members.ConclusionsOur results revealed a significantly high risk of psychological distress following injury. With increasing occurrence of injury, especially traffic injuries in low and middle income countries such as Thailand, future policies should not only focus on physical care but also address psychological distress as an important consequence of injury.

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The Impact of Psychological Symptoms on Return to Work in Workers After Occupational Injury

Cited by 17 publications

References 18 publications

Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

Prognostic indicators of social outcomes in persons who sustained an injury in a road traffic crash

Psychological Distress following Injury in a Large Cohort of Thai Adults

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