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01-03-2011

The Impact of Psychiatric Comorbidity on the Return to Work in Patients Undergoing Herniated Disc Surgery

Authors: Margrit Zieger, Melanie Luppa, Hans Jörg Meisel, Lutz Günther, Dirk Winkler, René Toussaint, Katarina Stengler, Matthias C. Angermeyer, Hans-Helmut König, Steffi G. Riedel-Heller

Published in: Journal of Occupational Rehabilitation | Issue 1/2011

Abstract

Introduction This study examines (1) return to work (RTW) and ability to work (ATW) rates, and the association with (2) psychiatric comorbidity and (3) socio-demographic, illness-related, vocational and rehabilitation-related characteristics in herniated disc surgery patients. Methods In this longitudinal observational study 305 consecutive patients took part in face-to-face interviews during hospital stay. 277 patients also participated in a 3-month follow-up survey via telephone (drop-out rate 9%). Psychiatric comorbidity was assessed with the Composite International Diagnostic Interview (CIDI-DIA-X). Calculations were conducted via Chi-Square tests, independent T-tests and binary logistic regression analyses. Results 40.1% of the herniated disc patients in this study were able to RTW, 44.4% had regained their ATW 3 months after surgery. Psychiatric comorbidity appeared to be an important risk factor for RTW and ATW. Other risk factors were lower educational qualification, unemployment status, a lower subjective prognosis of gainful employment, a higher number of herniated discs in medical history, cervical disc surgery, and the existence of other chronic diseases, a longer hospital stay and higher pain intensity. Patients who did not RTW, or did not regain their ATW participated more often in inpatient rehabilitation. Conclusions Identifying a high risk group for RTW and ATW at an early age is of utmost importance for the purpose of improving rehabilitation effects and to make a return to the work place easier. Specific interventions, such as social-medical counselling, pain therapy and management, as well as the assistance of mental health professionals during hospital and rehabilitation treatment are recommended for this risk group.

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Title: The Impact of Psychiatric Comorbidity on the Return to Work in Patients Undergoing Herniated Disc Surgery
Authors: Margrit Zieger
Melanie Luppa
Hans Jörg Meisel
Lutz Günther
Dirk Winkler
René Toussaint
Katarina Stengler
Matthias C. Angermeyer
Hans-Helmut König
Steffi G. Riedel-Heller
Publication date: 01-03-2011
Publisher: Springer US
Published in: Journal of Occupational Rehabilitation / Issue 1/2011
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-010-9257-1

2024 ASCO Annual Meeting

Springer Medicine

The Impact of Psychiatric Comorbidity on the Return to Work in Patients Undergoing Herniated Disc Surgery

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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