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01.09.2015

Course of Depressive Symptoms Following a Workplace Injury: A 12-Month Follow-Up Update

verfasst von: Nancy Carnide, Renée-Louise Franche, Sheilah Hogg-Johnson, Pierre Côté, F. Curtis Breslin, Colette N. Severin, Ute Bültmann, Niklas Krause

Erschienen in: Journal of Occupational Rehabilitation | Ausgabe 2/2016

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Abstract

Introduction To estimate the prevalence, incidence and course of depressive symptoms, their relationship with return-to-work, and prevalence of depression diagnosis/treatment 12 months following a lost-time workplace musculoskeletal injury. Methods In a prospective cohort study, 332 workers’ compensation claimants with a back or upper extremity musculoskeletal disorder completed interviews at 1, 6 and 12 months post-injury. Participants self-reported they had not received a depression diagnosis 1 year pre-injury. Cutoff of 16 on the CES-D defined a high level of depressive symptoms. Self-reported data on depression diagnosis and treatment and work status since injury were collected. Results Cumulative incidence of high depressive symptom levels over 12 months was 50.3 % (95 % CI 44.9–55.7 %). At 12 months, 24.7 % (95 % CI 20.1–29.3 %) of workers exhibited high levels. Over 12 months, 49.7 % (95 % CI 44.3–55.1 %) had low levels at all 3 interviews, 14.5 % (95 % CI 10.7–18.2 %) had persistently high levels, and 25.6 % (95 % CI 20.9–30.3 %) demonstrated improvements. Among workers with low baseline levels, incidence of high levels at 12 months was 6.0 % (95 % CI 2.7–9.3 %). For workers with high baseline levels, 36.1 % (95 % CI 27.9–44.3 %) exhibited persistent high symptoms at 6 and 12 months, while 38.4 % (95 % CI 30.1–46.6 %) experienced low levels at 6 and 12 months. Problematic RTW outcomes were common among workers with a poor depressive symptom course. Among workers with persistent high symptoms, 18.8 % (95 % CI 7.7–29.8 %) self-reported receiving a depression diagnosis by 12 months and 29.2 % (95 % CI 16.3–42.0 %) were receiving treatment at 12 months. Conclusions Depressive symptoms are common in the first year following a lost-time musculoskeletal injury and a poor depressive symptom course is associated with problematic RTW outcomes 12 months post-injury. While symptoms appear to improve over time, the first 6 months appear to be important in establishing future symptom levels and may represent a window of opportunity for early screening.

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Titel: Course of Depressive Symptoms Following a Workplace Injury: A 12-Month Follow-Up Update
verfasst von: Nancy Carnide
Renée-Louise Franche
Sheilah Hogg-Johnson
Pierre Côté
F. Curtis Breslin
Colette N. Severin
Ute Bültmann
Niklas Krause
Publikationsdatum: 01.09.2015
Verlag: Springer US
Erschienen in: Journal of Occupational Rehabilitation / Ausgabe 2/2016
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-015-9604-3

Springer Medizin

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