Work and Well-Being Research and Evaluation Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Am J Ind Med. 2011 Jul;54(7):552-9. doi: 10.1002/ajim.20944. Epub 2011 Feb 28.
Psychological morbidity following trauma occurring in the workplace can impact return to work but few studies have investigated this.
This study was a secondary analysis of administrative data from a specialized workers' compensation board psychological trauma program in Toronto, Canada. Unadjusted and adjusted logistic regression analyses were used to examine factors associated with working status at the time of assessment for workers referred within 1 year of traumatic event.
Having a disrupted marriage (OR = 3.06, 95% CI 1.14-8.20), sustaining a permanently impairing physical injury (OR = 2.76, 95% CI 1.01-7.55) and the presence of secondary psychiatric diagnoses (OR = 2.55, 95% CI 1.34-4.83) were significantly associated with not working at the time of assessment. When the analyses were subset to workers without permanently impairing physical injuries, only the presence of additional psychiatric diagnoses was significantly associated with not working (OR = 3.81, 95% CI 1.48-9.83).
Return to work after trauma can be a complicated and difficult to treat problem. Social supports, physical rehabilitation and treatment of complex mental health problems likely play a crucial role in improving outcomes.
工作场所发生创伤后出现的心理病态可能会影响重返工作岗位，但很少有研究对此进行调查。
本研究是对加拿大多伦多一家专门的工人赔偿委员会心理创伤项目的行政数据进行的二次分析。使用未调整和调整后的逻辑回归分析来研究与创伤事件发生后 1 年内转介的工人在评估时工作状态相关的因素。
婚姻破裂（OR = 3.06，95%CI 1.14-8.20）、永久性身体损伤（OR = 2.76，95%CI 1.01-7.55）和二级精神诊断（OR = 2.55，95%CI 1.34-4.83）与评估时不工作显著相关。当分析仅限于没有永久性身体损伤的工人时，只有其他精神诊断的存在与不工作显著相关（OR = 3.81，95%CI 1.48-9.83）。
创伤后重返工作可能是一个复杂且难以治疗的问题。社会支持、身体康复和复杂心理健康问题的治疗可能在改善结果方面发挥关键作用。
