The DOI matches its Crossref record; 61 of the 62 references it cites were found in a registry or an index.
Secondary Prevention of Work Disability: Community-Based Psychosocial Intervention for Musculoskeletal Disorders
Abstract
Introduction One objective of the present research was to examine the degree to which psychological risk factors could be reduced through participation in a community-based psychosocial intervention for work-related musculoskeletal disorders. A second objective was to examine whether psychosocial risk reduction had an effect on the probability of return to work.Methods Participants were 215 Workers Compensation Board claimants with work-related musculoskeletal disorders who had been absent from work for an average of approximately 7 months (M = 28.8 weeks, range = 4-100 weeks) and were referred to a community-based multidisciplinary secondary prevention program in Nova Scotia, Canada.Results In the current sample, 63.7% of participants returned to work within 4 weeks of treatment termination. The percentage reductions in targeted risk factors from pretreatment to posttreatment were as follows: catastrophizing (32%), depression (26%), fear of movement/re-injury (11%), and perceived disability (26%). Logistic regression indicated that elevated pretreatment scores on fear of movement and re-injury (OR = 0.58, 95% CI = 0.35-0.95) and pain severity (OR = 0.64, 95% CI = 0.43-0.96) were associated with a lower probability of return to work. A second logistic regression addressing the relation between risk factor reduction and return to work revealed that only reductions in pain catastrophizing (OR = 0.17, 95% CI = 0.07-0.46) were significant predictors of return to work.Conclusions The results of the present study provide further evidence that risk factor reduction can impact positively on short term return to work outcomes.Significance Outcomes of rehabilitation programs for work disability might be improved by incorporating interventions that specifically target catastrophic thinking. Community-based models of psychosocial intervention might represent a viable approach to the management of work disability associated with musculoskeletal disorders.
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“Generalized positive outcome expectancy, or dispositional optimism 348–350, is related to increased feelings of control, the use of more active coping strategies, and better functional performance 91, 351–353.”
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Self-citationEvaluating psychosocial contributions to chronic pain outcomes
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Metadata
- Authors
- Sullivan, M. J. L., Ward, L. C., Tripp, D., French, D. J., Adams, H., & Stanish, W. D.
- Affiliations
- Université de Montréal (CA)
- Tuscaloosa VA Medical Center (US)
- Queen's University (CA)
- Université de Moncton (CA)
- Dalhousie University (CA)
- Corresponding author
- Stanish, William D.
- Venue
- Journal of Occupational Rehabilitation
- Published
- 2005-09
- Volume
- 15
- Issue
- 3
- Pages
- 377-392
- ISSN
- 1053-0487 (ISSN-L)
- 1573-3688
- OpenAlex
- W2101719339
- Cited by
- 182
- References
- 62
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 7 · 2016: 8 · 2015: 11 · 2014: 11 · 2013: 17 · 2012: 15
- FWCI
- 7.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Occupational Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Keywords
- work disability, musculoskeletal disorders, secondary prevention, psychosocial interventions, return to work, pain catastrophizing, fear of reinjury, depression, perceived disability, workers' compensation, community-based rehabilitation, psychological risk factors, pain intensity
- MeSH terms
- Adult, Community Health Services, Depression, Disability Evaluation, Fear, Female, Humans, Male, Middle Aged, Musculoskeletal Diseases, Nova Scotia, Occupational Diseases, Pain, Preventive Health Services, Psychometrics, Rehabilitation, Vocational, Risk Factors, Logistic Models, Treatment Outcome
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