Evidence map›Paper›PMID 35666362›Full record

ArticleJournal of occupational rehabilitation2023

Pre-existing anxiety and depression disorders and return to work after musculoskeletal strain or sprain: a phased-based approach.

Andrea Marie Jones, Mieke Koehoorn, Ute Bültmann, Christopher B McLeod

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Article in Journal of occupational rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Andrea Marie JonesPartnership for Work Health and Safety, School of Population and Public Health, University of British Columbia, 2206 V6T 1Z3, East Mall, Vancouver, British Columbia, Canada. andrea.jones@alumni.ubc.ca.ORCID 0000-0002-1452-9410
Mieke KoehoornPartnership for Work Health and Safety, School of Population and Public Health, University of British Columbia, 2206 V6T 1Z3, East Mall, Vancouver, British Columbia, Canada.
Ute BültmannDepartment of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Christopher B McLeodPartnership for Work Health and Safety, School of Population and Public Health, University of British Columbia, 2206 V6T 1Z3, East Mall, Vancouver, British Columbia, Canada.

Funding

CIHR Bridge Strategic Training Fellowship
6 · The paper itself

Abstract

purposeTo examine the impact of pre-existing anxiety and depression disorders on return to work (RTW) using a phase-based approach.

methodsAccepted lost-time workers' compensation claims for upper limb or spine strain or sprain from 2009 to 2013 were extracted for workers in the Canadian province of British Columbia (n = 78,186). Pre-existing anxiety and depression disorders were identified using health claims data. Probability of RTW following a first or second work lost-time episode was analyzed using Prentice, Williams and Peterson models for recurrent events (common hazards ratios (cHR)). Probability of a first lost-time recurrence was analyzed using Cox models (HR). All models included two years of follow up and were stratified by gender.

resultsFor men, anxiety alone (cHR = 0.90, 95% CI: 0.85 to 0.94) or comorbid with depression (cHR = 0.95, 95% CI: 0.92 to 0.99) was significantly associated with a lower probability of RTW, and comorbid anxiety and depression with a higher probability of recurrence (HR = 1.29, 95% CI: 1.13 to 1.48). In women, comorbid anxiety and depression was significantly associated with a lower probability of RTW (cHR = 0.96, 95% CI: 0.93 to 0.99) and a higher probability of recurrence (HR = 1.15, 95% CI: 1.04 to 1.28); and anxiety alone with a higher probability of recurrence (HR = 1.25, 95% CI: 1.09 to 1.43). There was little evidence that depression alone was associated with RTW or recurrence.

conclusionsWorkers with a pre-existing anxiety disorder may require additional supports both during lost-time and after initial RTW.

Indexed as

Return to WorkSprains and StrainsAnxietyAnxiety DisordersBritish ColumbiaDepressionFemaleHumansMaleAnxietyComorbidityDepressionSprains and strainsWork

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.