ArticleOccupational and environmental medicine2006
The prognostic value of depressive symptoms, fear-avoidance, and self-efficacy for duration of lost-time benefits in workers with musculoskeletal disorders.
Article in Occupational and environmental medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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24 citing papers in PubMed, 68 citations in OpenAlex.
- Cost-effectiveness of a workplace intervention for sick-listed employees with common mental disorders: design of a randomized controlled trial.BMC public health · 2008Trial
- Mediating effect of occupational stress between skeletal muscle disorders and depressive symptoms in firefighters: a Structural Equation Modeling approach.International journal of occupational medicine and environmental health · 2025Article
- Predictors of disability in patients with chronic low back pain.Archives of medical science : AMS · 2023Article
- How Does Perceived Fairness in the Workers' Compensation Claims Process Affect Mental Health Following a Workplace Injury?Journal of occupational rehabilitation · 2020Article
- Course of Depressive Symptoms Following a Workplace Injury: A 12-Month Follow-Up Update.Journal of occupational rehabilitation · 2016Article
- The Mediating Role of Recovery Expectancies on the Relation Between Depression and Return-to-Work.Journal of occupational rehabilitation · 2015Article
- The 'ability' paradigm in vocational rehabilitation: challenges in an Ontario injured worker retraining program.Journal of occupational rehabilitation · 2012Article
- Validity and reliability of the Fear-Avoidance Beliefs Questionnaire (FABQ) in workers with upper extremity injuries.Journal of occupational rehabilitation · 2012Article
- Predicting return to work in workers with all-cause sickness absence greater than 4 weeks: a prospective cohort study.Journal of occupational rehabilitation · 2012Article
- Changing insurance company claims handling processes improves some outcomes for people injured in road traffic crashes.BMC public health · 2012Article
- The role of health care providers in long term and complicated workers' compensation claims.Journal of occupational rehabilitation · 2011Article
- Self-efficacy and health locus of control: relationship to occupational disability among workers with back pain.Journal of occupational rehabilitation · 2011Article
- Return-to-work self-efficacy: development and validation of a scale in claimants with musculoskeletal disorders.Journal of occupational rehabilitation · 2011Article
- Depressive symptoms, anatomical region, and clinical outcomes for patients seeking outpatient physical therapy for musculoskeletal pain.Physical therapy · 2011Article
- Biopsychosocial predictors of pain, disability, health care consumption, and sick leave in first-episode and long-term back pain: a longitudinal study in the general population.International journal of behavioral medicine · 2010Article
- A prospective study of return to work across health conditions: perceived work attitude, self-efficacy and perceived social support.Journal of occupational rehabilitation · 2010Article
- Psychosocial treatment techniques to augment the impact of physiotherapy interventions for low back pain.Physiotherapy Canada. Physiotherapie Canada · 2010Article
- Depression among injured workers receiving vocational rehabilitation: contributions of work values, pain, and stress.Journal of occupational rehabilitation · 2009Article
- Behavioral determinants as predictors of return to work after long-term sickness absence: an application of the theory of planned behavior.Journal of occupational rehabilitation · 2009Article
- The Readiness for Return-To-Work (RRTW) scale: development and validation of a self-report staging scale in lost-time claimants with musculoskeletal disorders.Journal of occupational rehabilitation · 2007Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe psychological factors of depressive symptoms, fear-avoidance, and self-efficacy are deemed to be important in the work disability process. However, the prognostic value of these factors for time on benefit is not well understood.
aimsTo analyse the prognostic value of psychological factors for the number of days on total compensation benefit over a 12 month period.
methodsIn a longitudinal study of 187 workers receiving total compensation benefits due to musculoskeletal disorders, the prognostic value of psychological factors measured 4-5 weeks post-injury for duration on total compensation benefit over 12 months was analysed. Cox proportional hazard regression analyses were conducted. Special emphasis was given to variable selection and to the analysis of confounding effects of potential prognostic variables.
resultsThe final model indicated that increased depressive symptoms and poorer physical health significantly increase the number of days on total benefit. Confounders included in the final model were pain and fear of income loss. In the final model the impact of fear-avoidance ceased to be significant when work related variables were included in the fully adjusted model. This illustrates that interrelationships between variables must be taken into account when building multivariate prognostic models. The addition of work related variables to the model did not result in any major changes in the adjusted model, which suggests that when measured 4-5 weeks post-injury, psychological and physical health factors are strong predictors of time on benefits, while work conditions are less important.
conclusionResults suggest that the presence of depressive symptoms and poor physical health in workers on benefit due to musculoskeletal disorders increases the number of days on total compensation benefits significantly, when controlling for confounding variables.
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