Impact of anxiety and depression disorders on sustained return to work after work-related musculoskeletal strain or sprain: a gender stratified cohort study
OBJECTIVE: The aim of this study was to examine the impact of anxiety and depression disorders on sustained return to work (RTW) for men and women with musculoskeletal strain or sprain. METHODS: Accepted lost-time claims for spine and upper-extremity strain or sprain were extracted for workers in th...
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| Format: | Article |
| Language: | English |
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Nordic Association of Occupational Safety and Health (NOROSH)
2021-05-01
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| Series: | Scandinavian Journal of Work, Environment & Health |
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| Online Access: |
https://www.sjweh.fi/show_abstract.php?abstract_id=3951
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| _version_ | 1818920453500043264 |
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| author | Andrea Marie Jones Mieke Koehoorn Ute Bültmann Christopher B McLeod |
| author_facet | Andrea Marie Jones Mieke Koehoorn Ute Bültmann Christopher B McLeod |
| author_sort | Andrea Marie Jones |
| collection | DOAJ |
| description | OBJECTIVE: The aim of this study was to examine the impact of anxiety and depression disorders on sustained return to work (RTW) for men and women with musculoskeletal strain or sprain. METHODS: Accepted lost-time claims for spine and upper-extremity strain or sprain were extracted for workers in the Canadian province of British Columbia from 2009 to 2013 (N=84 925). Pre-existing and new onset anxiety and depression disorders were identified using longitudinal health claims data. Probability of sustained RTW was analyzed using Cox proportional hazards models, stratified by gender and adjusted for potential confounders. RESULTS: For pre-existing disorders, compared to men with no anxiety and no depression, men with anxiety only [hazard ratio (HR) 0.88, 95% confidence interval (CI) 0.84–0.93], depression only (HR 0.94, 95% CI 0.89–1.00), and anxiety and depression (HR 0.93, 95% CI 0.90–0.97) had lower probabilities of sustained RTW in adjusted models. The same direction of effect was found for women, but anxiety only had a smaller effect size among women compared to men (HR anxiety only 0.95, 95% CI 0.92–0.99; HR depression only 0.98, 95% CI 0.93–1.03, HR anxiety and depression 0.94, 95% CI 0.91–0.97). Among men and women, new onset disorders were associated with lower probability of sustained RTW and the effect estimates were larger than for pre-existing disorders. CONCLUSIONS: Findings suggest that workers’ compensation benefits and programs intended to improve RTW after musculoskeletal injury should take pre-existing and new onset anxiety and depression disorders into consideration and that gender-sensitive work disability strategies may be warranted. |
| first_indexed | 2024-12-20T01:22:00Z |
| format | Article |
| id | doaj.art-ef36d28a76c94eb0beb90ed5e00f9891 |
| institution | Directory Open Access Journal |
| issn | 0355-3140 1795-990X |
| language | English |
| last_indexed | 2024-12-20T01:22:00Z |
| publishDate | 2021-05-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj.art-ef36d28a76c94eb0beb90ed5e00f98912022-12-21T19:58:23ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2021-05-0147429630510.5271/sjweh.39513951Impact of anxiety and depression disorders on sustained return to work after work-related musculoskeletal strain or sprain: a gender stratified cohort studyAndrea Marie Jones0Mieke KoehoornUte BültmannChristopher B McLeodSchool of Population and Public Health, 2206 East Mall, University of British Columbia, Vancouver, British Columbia, Canada, V6T 1Z3.OBJECTIVE: The aim of this study was to examine the impact of anxiety and depression disorders on sustained return to work (RTW) for men and women with musculoskeletal strain or sprain. METHODS: Accepted lost-time claims for spine and upper-extremity strain or sprain were extracted for workers in the Canadian province of British Columbia from 2009 to 2013 (N=84 925). Pre-existing and new onset anxiety and depression disorders were identified using longitudinal health claims data. Probability of sustained RTW was analyzed using Cox proportional hazards models, stratified by gender and adjusted for potential confounders. RESULTS: For pre-existing disorders, compared to men with no anxiety and no depression, men with anxiety only [hazard ratio (HR) 0.88, 95% confidence interval (CI) 0.84–0.93], depression only (HR 0.94, 95% CI 0.89–1.00), and anxiety and depression (HR 0.93, 95% CI 0.90–0.97) had lower probabilities of sustained RTW in adjusted models. The same direction of effect was found for women, but anxiety only had a smaller effect size among women compared to men (HR anxiety only 0.95, 95% CI 0.92–0.99; HR depression only 0.98, 95% CI 0.93–1.03, HR anxiety and depression 0.94, 95% CI 0.91–0.97). Among men and women, new onset disorders were associated with lower probability of sustained RTW and the effect estimates were larger than for pre-existing disorders. CONCLUSIONS: Findings suggest that workers’ compensation benefits and programs intended to improve RTW after musculoskeletal injury should take pre-existing and new onset anxiety and depression disorders into consideration and that gender-sensitive work disability strategies may be warranted. https://www.sjweh.fi/show_abstract.php?abstract_id=3951 return to workworkplacemusculoskeletal strainwork disabilitycanadabritish columbiaworkers’ compensationrtwcommon mental disordercomorbid conditiongender-stratifiedmusculoskeletal disordercohort studymental healthanxietydepressionsickness absence |
| spellingShingle | Andrea Marie Jones Mieke Koehoorn Ute Bültmann Christopher B McLeod Impact of anxiety and depression disorders on sustained return to work after work-related musculoskeletal strain or sprain: a gender stratified cohort study Scandinavian Journal of Work, Environment & Health return to work workplace musculoskeletal strain work disability canada british columbia workers’ compensation rtw common mental disorder comorbid condition gender-stratified musculoskeletal disorder cohort study mental health anxiety depression sickness absence |
| title | Impact of anxiety and depression disorders on sustained return to work after work-related musculoskeletal strain or sprain: a gender stratified cohort study |
| title_full | Impact of anxiety and depression disorders on sustained return to work after work-related musculoskeletal strain or sprain: a gender stratified cohort study |
| title_fullStr | Impact of anxiety and depression disorders on sustained return to work after work-related musculoskeletal strain or sprain: a gender stratified cohort study |
| title_full_unstemmed | Impact of anxiety and depression disorders on sustained return to work after work-related musculoskeletal strain or sprain: a gender stratified cohort study |
| title_short | Impact of anxiety and depression disorders on sustained return to work after work-related musculoskeletal strain or sprain: a gender stratified cohort study |
| title_sort | impact of anxiety and depression disorders on sustained return to work after work related musculoskeletal strain or sprain a gender stratified cohort study |
| topic | return to work workplace musculoskeletal strain work disability canada british columbia workers’ compensation rtw common mental disorder comorbid condition gender-stratified musculoskeletal disorder cohort study mental health anxiety depression sickness absence |
| url |
https://www.sjweh.fi/show_abstract.php?abstract_id=3951
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