Type de document
Études primaires
Année de publication
2022
Langue
Anglais
Titre de la revue
Pilot and Feasibility Studies
Résumé
Purpose
The purpose of the present study was to conduct a preliminary evaluation of the feasibility and impact of a risk-targeted behavioral activation intervention for work-disabled individuals with comorbid pain and depression.
Methods
The design of the study was a single-arm non-randomized trial. The sample consisted of 66 work-disabled individuals with comorbid pain and depression. The treatment program consisted of a 10-week standardized behavioral activation intervention supplemented by techniques to target two psychosocial risk factors for delayed recovery, namely, catastrophic thinking and perceptions of injustice. Measures of pain severity, depression, catastrophic thinking, perceived injustice, and self-reported disability were completed pre-, mid-, and post-treatment. Satisfaction with treatment was assessed at post-treatment. Return to work was assessed at 6-month follow-up.
Results
The drop-out rate was 18%. At treatment termination, 91% of participants indicated that they were “very” or “completely” satisfied with their involvement in the treatment program. Significant reductions in pain (Cohen’s d = 0.71), depression (d = 0.86), catastrophic thinking (d = 1.1), and perceived injustice (d = 1.0) were observed through the course of treatment. In multivariate analyses, treatment-related reductions in depression, catastrophic thinking, and perceived injustice, but not pain, contributed significant unique variance to the prediction of return-to-work outcomes.
Conclusions
Risk-targeted behavioral activation was found to be an acceptable and effective intervention for work-disabled individuals with comorbid pain and depression. The findings suggest that interventions targeting psychosocial risk factors for pain and depression might contribute to more positive recovery outcomes in work-disabled individuals with comorbid pain and depression.
Mots-clés
Troubles musculosquelettiques, Musculoskeletal disease, Dépression, Depressive disorder, Maintien en emploi, Job maintenance, Invalidité de longue durée, Long-term disability, Réadaptation, Rehabilitation, Étude de cohorte, Cohort study, Aspect psychosocial, Psychosocial aspect, Critère de risque, Hazard criteria, Effet psychologique, Psychological effect, Recommandation, Directive, Québec
Numéro de projet IRSST
2013-0024
Citation recommandée
Sullivan, M. J. L., Wideman, T. H., Gauthier, N., Thibault, P., Ellis, T. et Adams, H. (2022). Risk-targeted behavioral activation for the management of work disability associated with comorbid pain and depression: A feasibility study. Pilot and Feasibility Studies, 8(1), article 90. https://doi.org/10.1186/s40814-022-01040-0
Included in
Mental Disorders Commons, Musculoskeletal Diseases Commons, Occupational Health and Industrial Hygiene Commons, Vocational Rehabilitation Counseling Commons