Self perceptions as predictors for return to work 2 years after rehabilitation in orthopedic trauma inpatients
- PMID: 22562093
- PMCID: PMC3484271
- DOI: 10.1007/s10926-012-9369-x
Self perceptions as predictors for return to work 2 years after rehabilitation in orthopedic trauma inpatients
Abstract
Purpose: This study aimed to identify self-perception variables which may predict return to work (RTW) in orthopedic trauma patients 2 years after rehabilitation.
Methods: A prospective cohort investigated 1,207 orthopedic trauma inpatients, hospitalised in rehabilitation, clinics at admission, discharge, and 2 years after discharge. Information on potential predictors was obtained from self administered questionnaires. Multiple logistic regression models were applied.
Results: In the final model, a higher likelihood of RTW was predicted by: better general health and lower pain at admission; health and pain improvements during hospitalisation; lower impact of event (IES-R) avoidance behaviour score; higher IES-R hyperarousal score, higher SF-36 mental score and low perceived severity of the injury.
Conclusion: RTW is not only predicted by perceived health, pain and severity of the accident at the beginning of a rehabilitation program, but also by the changes in pain and health perceptions observed during hospitalisation.
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References
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- Schultz IZ, Crook J, Fraser K, Joy PW. Models of diagnosis and rehabilitation in musculoskeletal pain-related occupational disability. J Occup Rehabil. 2000;10(4):271–293. doi: 10.1023/A:1009484416267. - DOI
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- Turk DC, Monarch ES. Biopsychosocial perspective on chronic pain. In: Turk DC, Gatchel RJ, editors. Psychological approaches to pain management. A practitioner’s handbook. 2. New York: Guilford; 2002.
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