| The impact of psychiatric comorbidity on the return to work in patients undergoing herniated disc surgery. | |
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MedLine Citation:
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PMID: 20689982 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Introduction This study examines (1) return to work (RTW) and ability to work (ATW) rates, and the association with (2) psychiatric comorbidity and (3) socio-demographic, illness-related, vocational and rehabilitation-related characteristics in herniated disc surgery patients. Methods In this longitudinal observational study 305 consecutive patients took part in face-to-face interviews during hospital stay. 277 patients also participated in a 3-month follow-up survey via telephone (drop-out rate 9%). Psychiatric comorbidity was assessed with the Composite International Diagnostic Interview (CIDI-DIA-X). Calculations were conducted via Chi-Square tests, independent T-tests and binary logistic regression analyses. Results 40.1% of the herniated disc patients in this study were able to RTW, 44.4% had regained their ATW 3 months after surgery. Psychiatric comorbidity appeared to be an important risk factor for RTW and ATW. Other risk factors were lower educational qualification, unemployment status, a lower subjective prognosis of gainful employment, a higher number of herniated discs in medical history, cervical disc surgery, and the existence of other chronic diseases, a longer hospital stay and higher pain intensity. Patients who did not RTW, or did not regain their ATW participated more often in inpatient rehabilitation. Conclusions Identifying a high risk group for RTW and ATW at an early age is of utmost importance for the purpose of improving rehabilitation effects and to make a return to the work place easier. Specific interventions, such as social-medical counselling, pain therapy and management, as well as the assistance of mental health professionals during hospital and rehabilitation treatment are recommended for this risk group. |
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Authors:
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Margrit Zieger; Melanie Luppa; Hans Jörg Meisel; Lutz Günther; Dirk Winkler; René Toussaint; Katarina Stengler; Matthias C Angermeyer; Hans-Helmut König; Steffi G Riedel-Heller |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of occupational rehabilitation Volume: 21 ISSN: 1573-3688 ISO Abbreviation: J Occup Rehabil Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9202814 Medline TA: J Occup Rehabil Country: Netherlands |
Other Details:
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Languages: eng Pagination: 54-65 Citation Subset: IM |
Affiliation:
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Department of Social Medicine, University of Leipzig, Philipp-Rosenthal-Straße 55, 04103, Leipzig, Germany, Margrit.Zieger@medizin.uni-leipzig.de. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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