Multiple psychiatric diagnoses and return-to-work following posttraumatic stress injury rehabilitation.

Autor: Krebs, Brandon K., Rachor, Geoffrey S., Yamamoto, Shelby S., Dick, Bruce D., Brown, Cary A., Asmundson, Gordon J.G., Straube, Sebastian, Els, Charl, Jackson, Tanya D., Brémault-Phillips, Suzette, Voaklander, Don, Stastny, Jarett, Berry, Theodore, Gross, Douglas P.
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Zdroj: Journal of Vocational Rehabilitation; 2024, Vol. 60 Issue 3, p363-377, 15p
Abstrakt: BACKGROUND: Posttraumatic stress injury (PTSI) is a term used to describe a range of psychiatric difficulties which arise following exposure to a psychologically traumatic event. The impact of being diagnosed with multiple psychiatric conditions on the return-to-work (RTW) outcomes of individuals with PTSI has not been adequately researched. OBJECTIVE: The current study examined whether the presence of two or more psychiatric conditions occurring simultaneously is predictive of RTW outcomes in workers with PTSI. METHOD: A population-based cohort design was conducted using archival data from injured workers admitted to a PTSI rehabilitation program. Differences in RTW outcomes and demographic, administrative, and clinical variables were compared between individuals with single and multiple psychiatric diagnoses. A range of variables were entered into a multivariable logistic regression model predicting RTW. RESULTS: The final logistic regression model indicated workers had higher odds of RTW if they had a single psychiatric diagnosis (Adjusted Odds Ratio (AOR) 2.20), non-elevated scores on a measure of traumatic stress (AOR 1.85), and reported higher self-perceived readiness to RTW (AOR 1.24). CONCLUSION: Being diagnosed with multiple psychiatric conditions appears to be associated with more negative RTW outcomes following PTSI rehabilitation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index