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Psychological morbidity and return to work after injury: multicentre cohort study

Kendrick, Denise; Dhiman, Paula; Kellezi, Blerina; Coupland, Carol; Whitehead, Jessica; Beckett, Kate; Christie, Nicola; Sleney, Jude; Barnes, Jo; Joseph, Stephen; Morriss, Richard

Authors

DENISE KENDRICK DENISE.KENDRICK@NOTTINGHAM.AC.UK
Professor of Primary Care Research

Paula Dhiman

Blerina Kellezi

CAROL COUPLAND carol.coupland@nottingham.ac.uk
Professor of Medical Statistics

Jessica Whitehead

Kate Beckett

Nicola Christie

Jude Sleney

Jo Barnes

RICHARD MORRISS richard.morriss@nottingham.ac.uk
Professor of Psychiatry and Community Mental Health



Abstract

Background: The benefits of work for physical, psychological and financial wellbeing are well documented. Return to work (RTW) after unintentional injury is often delayed, and psychological morbidity may contribute to this delay. The impact of psychological morbidity on RTW after a wide range of unintentional injuries in the UK has not been adequately quantified.
Aims: To quantify the role of psychological factors including anxiety, depression and post-traumatic distress on RTW following unintentional injuries.
Design and Setting: Longitudinal multi-centre prospective study in Nottingham, Bristol, Leicester and Guildford, UK
Method: Participants (n=273) were 16-69 year olds admitted to hospital following unintentional injury and, in paid employment prior to injury. They were surveyed at baseline, 1, 2, 4 and 12 months following injury on demographic and injury characteristics, psychological morbidity and RTW status. Associations between demographic, injury and psychological factors and RTW status were quantified using random effects logistic regression.
Results: The odds of RTW reduced as depression scores one month post-injury increased (OR 0.87, 95%CI 0.79, 0.95) and as length of hospital stay increased (OR 0.91, 95%CI 0.86, 0.96). Those experiencing threatening life events following injury (OR 0.27, 95%CI 0.10, 0.72) and with higher scores on the crisis social support scale (OR 0.93, 95%CI 0.88, 0.99) had a lower odds of RTW. Multiple imputation analysis found similar results except crisis social support did not remain significant.
Conclusion: Primary care professionals can identify patients at risk of delayed RTW who may benefit from management of psychological morbidity and support to RTW.

Citation

Kendrick, D., Dhiman, P., Kellezi, B., Coupland, C., Whitehead, J., Beckett, K., …Morriss, R. (in press). Psychological morbidity and return to work after injury: multicentre cohort study. British Journal of General Practice, https://doi.org/10.3399/bjgp17X691673

Journal Article Type Article
Acceptance Date Jan 22, 2017
Online Publication Date Jun 19, 2017
Deposit Date May 2, 2017
Publicly Available Date Mar 29, 2024
Journal British Journal of General Practice
Print ISSN 0960-1643
Electronic ISSN 1478-5242
Publisher Royal College of General Practitioners
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.3399/bjgp17X691673
Keywords injuries, work, mental health, cohort study
Public URL https://nottingham-repository.worktribe.com/output/866829
Publisher URL http://bjgp.org/content/early/2017/06/19/bjgp17X691673

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