Journal
JOURNAL OF OCCUPATIONAL REHABILITATION
Volume 25, Issue 2, Pages 348-356Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10926-014-9543-4
Keywords
Return to work; Recovery expectancies; Rehabilitation; Depression; Musculoskeletal pain
Categories
Funding
- Canadian Institutes for Health Research (CIHR)
- Institut de recherche Robert-Sauve en sante et en securite du travail (IRSST)
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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.
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