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Article type: Research Article
Authors: Krebs, Brandon K.a; * | Rachor, Geoffrey S.b | Yamamoto, Shelby S.c | Dick, Bruce D.d | Brown, Cary A.e | Asmundson, Gordon J.G.b | Straube, Sebastianc; f | Els, Charlg | Jackson, Tanya D.f | Brémault-Phillips, Suzettee | Voaklander, Donc | Stastny, Jaretth | Berry, Theodoreh | Gross, Douglas P.i
Affiliations: [a] Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada | [b] Department of Psychology, University of Regina, Regina, Canada | [c] School of Public Health, University of Alberta, Edmonton, Canada | [d] Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada | [e] Department of Occupational Therapy, University of Alberta, Edmonton, Canada | [f] Department of Medicine, Division of Preventive Medicine, University of Alberta, Edmonton, Canada | [g] Department of Psychiatry, University of Alberta, Edmonton, Canada | [h] Workers Compensation Board of Alberta, Edmonton, Canada | [i] Department of Physical Therapy, University of Alberta, Edmonton, Canada
Correspondence: [*] Address for correspondence: Brandon Krebs, 2–50 Corbett Hall, University of Alberta, Edmonton, Alberta T6G 2G4, Canada. E-mail: bkkrebs@ualberta.ca.
Abstract: BACKGROUND: Posttraumatic stress injury (PTSI) is a term used to describe a range of psychiatric difficulties which arise following exposure to a psychologically traumatic event. The impact of being diagnosed with multiple psychiatric conditions on the return-to-work (RTW) outcomes of individuals with PTSI has not been adequately researched. OBJECTIVE: The current study examined whether the presence of two or more psychiatric conditions occurring simultaneously is predictive of RTW outcomes in workers with PTSI. METHOD: A population-based cohort design was conducted using archival data from injured workers admitted to a PTSI rehabilitation program. Differences in RTW outcomes and demographic, administrative, and clinical variables were compared between individuals with single and multiple psychiatric diagnoses. A range of variables were entered into a multivariable logistic regression model predicting RTW. RESULTS: The final logistic regression model indicated workers had higher odds of RTW if they had a single psychiatric diagnosis (Adjusted Odds Ratio (AOR) 2.20), non-elevated scores on a measure of traumatic stress (AOR 1.85), and reported higher self-perceived readiness to RTW (AOR 1.24). CONCLUSION: Being diagnosed with multiple psychiatric conditions appears to be associated with more negative RTW outcomes following PTSI rehabilitation.
Keywords: Rehabilitation, posttraumatic stress injury, return-to-work, workers’ compensation, compensation and duress
DOI: 10.3233/JVR-230063
Journal: Journal of Vocational Rehabilitation, vol. 60, no. 3, pp. 363-377, 2024
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