Characteristics and Prognostic Factors for Return to Work in Public Safety Personnel with Work-Related Posttraumatic Stress Injury Undergoing Rehabilitation
Autor: | Suzette Brémault-Phillips, Geoffrey S. Rachor, Sebastian Straube, Charl Els, Don Voaklander, Theodore Berry, Bruce D. Dick, Ambikaipakan Senthilselvan, Tanya D Jackson, Cary A. Brown, Douglas P. Gross, Shelby Yamamoto, Jarett Stastny |
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Rok vydání: | 2021 |
Předmět: |
030506 rehabilitation
medicine.medical_specialty education.field_of_study Rehabilitation business.industry medicine.medical_treatment Population 030210 environmental & occupational health Mental health Work related eye diseases 03 medical and health sciences Health psychology 0302 clinical medicine Occupational Therapy Orthopedic surgery medicine Physical therapy Psychological injury 0305 other medical science education business Cohort study |
Zdroj: | Journal of Occupational Rehabilitation. 31:768-784 |
ISSN: | 1573-3688 1053-0487 |
Popis: | Public safety personnel (PSP) are at risk of developing posttraumatic stress injury (PTSI) due to exposure to traumatic experiences and accidents. Rehabilitation programs are available, but their success varies. We studied: (1) characteristics of PSP undergoing PTSI rehabilitation in comparison to non-PSP workers; and (2) predictive value of various factors for return to work. Methods A population-based cohort study was conducted using data on injured workers undergoing PTSI rehabilitation. Of the 488 workers included, 131 were PSP. Outcome measures were: (1) return to pre-accident work at rehabilitation discharge; (2) days receiving wage replacement benefits in the year following rehabilitation. Results PSP were mainly employed (90.8%), male (59.5%), paramedics/ambulance workers (58.0%); a minority (43.5%) returned to pre-accident work after rehabilitation. Compared to non-PSP workers, PSP were more likely to initially be diagnosed with psychological injuries (94.7% versus 59.4%, p < 0.001) rather than musculoskeletal injuries. Return to pre-accident work was predicted by shorter injury duration, having a primary mental health diagnosis, working at time of admission, and not having symptoms requiring treatment in a complex rehabilitation program. PSPs were slower to experience full recovery in the year after rehabilitation. Factors predicting fewer benefit days included not having a secondary psychological injury, being employed, and working at time of admission. Conclusions Most PSP did not return to work in full after PTSI rehabilitation. Outcomes are likely to improve by starting treatment earlier and maintaining connections with the workplace. |
Databáze: | OpenAIRE |
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