La réduction de facteurs de risque de chronicité et le retour au travail

The purpose of the present study was to examine the degree to which psychosocial risk factor reduction was associated with the return to work. This study was carried out in the context of a rehabilitation program for workers who had suffered a back injury. The participants were 116 Nova Scotia WCB c...

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Main Authors: Michael Sullivan, Heather Adams, William Stanish, André Savard
Format: Article
Language:English
Published: Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail (IRSST) 2005-05-01
Series:Perspectives Interdisciplinaires sur le Travail et la Santé
Subjects:
Online Access:http://journals.openedition.org/pistes/3203
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author Michael Sullivan
Heather Adams
William Stanish
André Savard
author_facet Michael Sullivan
Heather Adams
William Stanish
André Savard
author_sort Michael Sullivan
collection DOAJ
description The purpose of the present study was to examine the degree to which psychosocial risk factor reduction was associated with the return to work. This study was carried out in the context of a rehabilitation program for workers who had suffered a back injury. The participants were 116 Nova Scotia WCB claimants (68 men, 48 women) who had made a claim for an industrial accident. The participants were oriented towards a cognitive behavioral intervention whose purpose was to reduce psychological obstacles to rehabilitation. The psychosocial risk factors targeted by the program included pain catastrophizing, fear of movement, beliefs about disability, and depression. In this sample, 56 % of the participants returned to work within four weeks of treatment termination. Pre- to post-treatment comparisons revealed significant reductions in pain, depression, catastrophizing, perceived disability, and fear of movement. Univariate analyses revealed that reductions in all risk factors were associated with a higher probability of a return to work. Logistic regression revealed that only the duration of work disability and the reduction in pain catastrophizing contributed solely to the prediction of a return to work. The results of the present study provide preliminary evidence that the reduction of psychosocial risk factors related to chronicity may have a positive impact on the probability of returning to work.
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spelling doaj.art-deb31ca8275645158fe11e7382d764c12022-12-22T04:07:57ZengInstitut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail (IRSST)Perspectives Interdisciplinaires sur le Travail et la Santé1481-93842005-05-017210.4000/pistes.3203La réduction de facteurs de risque de chronicité et le retour au travailMichael SullivanHeather AdamsWilliam StanishAndré SavardThe purpose of the present study was to examine the degree to which psychosocial risk factor reduction was associated with the return to work. This study was carried out in the context of a rehabilitation program for workers who had suffered a back injury. The participants were 116 Nova Scotia WCB claimants (68 men, 48 women) who had made a claim for an industrial accident. The participants were oriented towards a cognitive behavioral intervention whose purpose was to reduce psychological obstacles to rehabilitation. The psychosocial risk factors targeted by the program included pain catastrophizing, fear of movement, beliefs about disability, and depression. In this sample, 56 % of the participants returned to work within four weeks of treatment termination. Pre- to post-treatment comparisons revealed significant reductions in pain, depression, catastrophizing, perceived disability, and fear of movement. Univariate analyses revealed that reductions in all risk factors were associated with a higher probability of a return to work. Logistic regression revealed that only the duration of work disability and the reduction in pain catastrophizing contributed solely to the prediction of a return to work. The results of the present study provide preliminary evidence that the reduction of psychosocial risk factors related to chronicity may have a positive impact on the probability of returning to work.http://journals.openedition.org/pistes/3203risk factorschronicitydisabilityrehabilitationreturn to work
spellingShingle Michael Sullivan
Heather Adams
William Stanish
André Savard
La réduction de facteurs de risque de chronicité et le retour au travail
Perspectives Interdisciplinaires sur le Travail et la Santé
risk factors
chronicity
disability
rehabilitation
return to work
title La réduction de facteurs de risque de chronicité et le retour au travail
title_full La réduction de facteurs de risque de chronicité et le retour au travail
title_fullStr La réduction de facteurs de risque de chronicité et le retour au travail
title_full_unstemmed La réduction de facteurs de risque de chronicité et le retour au travail
title_short La réduction de facteurs de risque de chronicité et le retour au travail
title_sort la reduction de facteurs de risque de chronicite et le retour au travail
topic risk factors
chronicity
disability
rehabilitation
return to work
url http://journals.openedition.org/pistes/3203
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AT heatheradams lareductiondefacteursderisquedechroniciteetleretourautravail
AT williamstanish lareductiondefacteursderisquedechroniciteetleretourautravail
AT andresavard lareductiondefacteursderisquedechroniciteetleretourautravail