The Impact of Psychiatric Comorbidity on the Return to Work in Patients Undergoing Herniated Disc Surgery.
Summary of "The Impact of Psychiatric Comorbidity on the Return to Work in Patients Undergoing Herniated Disc Surgery."
Introduction This study examines (1) return to work (RTW) and ability to work (ATW) rates, and the association with (2) psychiatric comorbidity and (3) socio-demographic, illness-related, vocational and rehabilitation-related characteristics in herniated disc surgery patients. Methods In this longitudinal observational study 305 consecutive patients took part in face-to-face interviews during hospital stay. 277 patients also participated in a 3-month follow-up survey via telephone (drop-out rate 9%). Psychiatric comorbidity was assessed with the Composite International Diagnostic Interview (CIDI-DIA-X). Calculations were conducted via Chi-Square tests, independent T-tests and binary logistic regression analyses. Results 40.1% of the herniated disc patients in this study were able to RTW, 44.4% had regained their ATW 3 months after surgery. Psychiatric comorbidity appeared to be an important risk factor for RTW and ATW. Other risk factors were lower educational qualification, unemployment status, a lower subjective prognosis of gainful employment, a higher number of herniated discs in medical history, cervical disc surgery, and the existence of other chronic diseases, a longer hospital stay and higher pain intensity. Patients who did not RTW, or did not regain their ATW participated more often in inpatient rehabilitation. Conclusions Identifying a high risk group for RTW and ATW at an early age is of utmost importance for the purpose of improving rehabilitation effects and to make a return to the work place easier. Specific interventions, such as social-medical counselling, pain therapy and management, as well as the assistance of mental health professionals during hospital and rehabilitation treatment are recommended for this risk group.
Affiliation
Department of Social Medicine, University of Leipzig, Philipp-Rosenthal-Strasse 55, 04103, Leipzig, Germany, Margrit.Zieger@medizin.uni-leipzig.de.
Journal Details
This article was published in the following journal.
Name: Journal of occupational rehabilitation
ISSN: 1573-3688
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20689982
- DOI: http://dx.doi.org/10.1007/s10926-010-9257-1
Medical and Biotech [MESH] Definitions
Social Work, Psychiatric
Use of all social work processes in the treatment of patients in a psychiatric or mental health setting.
Comorbidity
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
Emergency Services, Psychiatric
Organized services to provide immediate psychiatric care to patients with acute psychological disturbances.
Diagnosis, Dual (psychiatry)
The co-existence of a substance abuse disorder with a psychiatric disorder. The diagnostic principle is based on the fact that it has been found often that chemically dependent patients also have psychiatric problems of various degrees of severity.
Day Care
Institutional health care of patients during the day. The patients return home at night.
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