Carriere Junie S, Thibault Pascal, Sullivan Michael J L
Department of Psychology, McGill University, 1205 Dr. Penfield, Montreal, QC, H3A 1B1, Canada.
J Occup Rehabil. 2015 Jun;25(2):348-56. doi: 10.1007/s10926-014-9543-4.
Depressive symptoms have been identified as a significant risk factor for prolonged disability, however, little is known about the process by which depression impacts recovery following work-related musculoskeletal disorders (WRMDs). The primary objective of this study was to examine whether recovery expectancies mediate the relation between depression and return-to-work (RTW) status in individuals with WRMDs.
A sample of 109 patients with WRMDs were recruited from 1 of 6 primary care physiotherapy clinics. Participants completed measures of pain severity, depression and recovery expectancies. RTW status was assessed by telephone interview 1 year after the initial assessment.
Consistent with previous research, more severe depressive symptoms and lower recovery expectancies were associated with a lower probability of RTW. Logistic regression analyses revealed that recovery expectancies completely mediated the relation between depression and RTW status at 1-year follow-up.
The results suggest that interventions specifically targeting recovery expectancies in individuals with WRMDs and depressive symptoms might improve RTW outcomes.
抑郁症状已被确定为导致长期残疾的一个重要风险因素，然而，对于抑郁症影响与工作相关的肌肉骨骼疾病（WRMDs）后恢复过程的机制，我们知之甚少。本研究的主要目的是检验恢复预期是否在患有WRMDs的个体中调节抑郁与重返工作岗位（RTW）状态之间的关系。
从6家初级保健物理治疗诊所中的1家招募了109名患有WRMDs的患者。参与者完成了疼痛严重程度、抑郁和恢复预期的测量。在初次评估1年后通过电话访谈评估RTW状态。
与先前的研究一致，更严重的抑郁症状和更低的恢复预期与RTW的可能性较低相关。逻辑回归分析显示，在1年随访时，恢复预期完全介导了抑郁与RTW状态之间的关系。
结果表明，针对患有WRMDs和抑郁症状个体的恢复预期的干预措施可能会改善RTW结果。
