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

Details

• Personal Author:
  Breslin FC ; Bültmann U ; Carnide N ; Côté P ; Franche R-L ; Hogg-Johnson S ; Krause N ; Severin CN
• Description:
  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 27.9-44.3 %) exhibited persistent high symptoms at 6 and 12 months, while 38.4 % (95 % CI 30.1-46.6 %) experienced low levels at 6 and 12 months. Problematic RTW outcomes were common among workers with a poor depressive symptom course. Among workers with persistent high symptoms, 18.8 % (95 % CI 7.7-29.8 %) self-reported receiving a depression diagnosis by 12 months and 29.2 % (95 % CI 16.3-42.0 %) were receiving treatment at 12 months. Conclusions: Depressive symptoms are common in the first year following a lost-time musculoskeletal injury and a poor depressive symptom course is associated with problematic RTW outcomes 12 months post-injury. While symptoms appear to improve over time, the first 6 months appear to be important in establishing future symptom levels and may represent a window of opportunity for early screening. [Description provided by NIOSH]
• Subjects:
  Cohort Studies Mental Health Musculoskeletal Diseases Nervous System Occupational Health Safety
• Keywords:
  Author Keywords: Depression Cohort Studies Injuries Mental Health MSD Musculoskeletal Disorders Occupational Injuries Psychological Reactions Workers' Compensation Workers Compensation
• ISSN:
  1053-0487
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  204-215
• Volume:
  26
• Issue:
  2
• NIOSHTIC Number:
  nn:20055742
• Citation:
  J Occup Rehabil 2016 Jun; 26(2):204-215
• Contact Point Address:
  Nancy Carnide, Institute for Work & Health, 481 University Avenue, Suite 800, Toronto, ON M5G 2E9, Canada
• Email:
  ncarnide@iwh.on.ca
• Federal Fiscal Year:
  2016
• Performing Organization:
  University of California Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational Rehabilitation
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1644ae319a3ef308e5b7689a9f9869004b573226d6af9d2d1dc62816639dfca0b48dea8d58d23c078889392a71297823ca369f5303e3dc978489f7eb99f24b52
• Download URL:
  https://stacks.cdc.gov/view/cdc/213523/cdc_213523_DS1.pdf
• File Type:
  [PDF - 456.71 KB ]