The mediating role of recovery expectancies on the relation between depression and return-to-work

Type de document

Études primaires

Année de publication

2015

Langue

Anglais

Titre de la revue

Journal of Occupational Rehabilitation

Première page

348

Dernière page

356

Résumé

Purpose: 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.

Methods: 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.

Results: 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.

Conclusion: The results suggest that interventions specifically targeting recovery expectancies in individuals with WRMDs and depressive symptoms might improve RTW outcomes. © 2014, Springer Science+Business Media New York.

Mots-clés

Dépression, Depressive disorder, Maintien en emploi, Job maintenance, Réadaptation professionnelle, Vocational rehabilitation

Numéro de projet IRSST

n/a

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