Course of Depressive Symptoms Following a Workplace Injury: A 12-Month Follow-Up Update

Journal of Occupational Rehabilitation
Nancy CarnideNiklas Krause

Abstract

Introduction To estimate the prevalence, incidence and course of depressive symptoms, their relationship with return-to-work, and prevalence of depression diagnosis/treatment 12 months following a lost-time workplace musculoskeletal injury. Methods In a prospective cohort study, 332 workers' compensation claimants with a back or upper extremity musculoskeletal disorder completed interviews at 1, 6 and 12 months post-injury. Participants self-reported they had not received a depression diagnosis 1 year pre-injury. Cutoff of 16 on the CES-D defined a high level of depressive symptoms. Self-reported data on depression diagnosis and treatment and work status since injury were collected. Results Cumulative incidence of high depressive symptom levels over 12 months was 50.3 % (95 % CI 44.9-55.7 %). At 12 months, 24.7 % (95 % CI 20.1-29.3 %) of workers exhibited high levels. Over 12 months, 49.7 % (95 % CI 44.3-55.1 %) had low levels at all 3 interviews, 14.5 % (95 % CI 10.7-18.2 %) had persistently high levels, and 25.6 % (95 % CI 20.9-30.3 %) demonstrated improvements. Among workers with low baseline levels, incidence of high levels at 12 months was 6.0 % (95 % CI 2.7-9.3 %). For workers with high baseline levels, 36.1 % (95 % CI 27...Continue Reading

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Citations

Jun 15, 2011·Best Practice & Research. Clinical Rheumatology·Peter Jezukaitis, Dilip Kapur
Jun 21, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Denise KendrickRichard Morriss
Jan 18, 2019·International Journal of Environmental Research and Public Health·Po-Ching ChuJudith Shu-Chu Shiao
Feb 29, 2020·Journal of Occupational Rehabilitation·Luke R SheehanAlex Collie
Apr 13, 2019·Journal of Occupational Health·Masaya Takahashi
Jun 25, 2021·The Journal of Bone and Joint Surgery. American Volume·Brady D GreeneJeremy T Smith
Sep 8, 2021·BMJ Open·Cameron MustardPeter Smith
Feb 16, 2018··Fernando A. ChicaizaVíctor H. Andaluz

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