Compensation seeking and disability after injury: the role of compensation-related stress and mental health

The Journal of Clinical Psychiatry
Meaghan L O'DonnellDavid M Studdert

Abstract

Claiming for compensation after injury is associated with poor health outcomes. This study examined the degree to which compensation-related stress predicts long-term disability and the mental health factors that contribute to this relationship. In a longitudinal, multisite cohort study, 332 injury patients (who claimed for compensation) recruited from April 2004 to February 2006 were assessed during hospitalization and at 3 and 72 months after injury. Posttraumatic stress, depression, and anxiety symptoms (using the Mini-International Neuropsychiatric Interview) were assessed at 3 months; compensation-related stress and disability levels (using the World Health Organization Disability Assessment Schedule II) were assessed at 72 months. A significant direct relationship was found between levels of compensation-related stress and levels of long-term disability (β = 0.35, P < .001). Three-month posttraumatic stress symptoms had a significant relationship with compensation-related stress (β = 0.29, P < .001) as did 3-month depression symptoms (β = 0.39, P < .001), but 3-month anxiety symptoms did not. A significant indirect relationship was found for posttraumatic stress symptoms and disability via compensation stress (β = 0.099, ...Continue Reading

Citations

Apr 4, 2017·International Journal of Law and Psychiatry·Gerald Young
Jun 18, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Luke B Connelly
Apr 7, 2020·PloS One·Clare E ScollayGenevieve M Grant
Nov 9, 2016·Disability and Rehabilitation·Stefano FedericiJuan V Luciano
Sep 19, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Melita J GiummarraBelinda J Gabbe
Mar 9, 2018·Frontiers in Psychology·Ilaria SettiPiergiorgio Argentero
Oct 11, 2020·International Journal of Environmental Research and Public Health·Thi L NguyenMelita J Giummarra

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