Follow-up Study of Mental Condition and Return-to-work among Workers after Injury

碩士 === 國立臺灣大學 === 公共衛生碩士學位學程 === 102 === Background: The mental condition of injured workers is an important issue in occupational psychiatry, and return-to-work (RTW) is the important outcome to reflect the workers recovery. Previous studies in Taiwan showed that among injured workers requiring ho...

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Main Authors: Yu-Chien Chang, 張毓倩
Other Authors: Yue-Liang Leon Guo
Format: Others
Language:zh-TW
Published: 2014
Online Access:http://ndltd.ncl.edu.tw/handle/25547257001649714525
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spelling ndltd-TW-102NTU050580682016-03-09T04:24:22Z http://ndltd.ncl.edu.tw/handle/25547257001649714525 Follow-up Study of Mental Condition and Return-to-work among Workers after Injury 受外傷工作者之心理變化與復工影響之追蹤性研究 Yu-Chien Chang 張毓倩 碩士 國立臺灣大學 公共衛生碩士學位學程 102 Background: The mental condition of injured workers is an important issue in occupational psychiatry, and return-to-work (RTW) is the important outcome to reflect the workers recovery. Previous studies in Taiwan showed that among injured workers requiring hospitalization, 7.5% and 5.1% had psychiatric disorders at 3 months and 12 months after the injury, respectively. The main psychiatric conditions were post-traumatic stress disorder (PTSD) and/or major depression. Psychological symptoms at 3 months after injury predicted poor capability of RTW at 12 months. However, acute psychological responses to injury have not been described within 3 months. Aim: The aim of the study was to determine the prevalence of poor mental conditions at 1 week and 3 months after injury by and to understand whether psychological symptoms of acute stress in injured workers predict psychological conditions and RTW at 3 months. Method: From 2012/4/1 to 2013/12/31, we recruited injured workers admitted to a tertiary referral center in northern Taiwan. Psychological symptoms were assessed at 1 week after injury by the Chinese version of Impact of Event Scale–Revised (CIES-R). At 3 months, self-administered questionnaire was used for data collection, including RTW and Brief Symptom Rating Scale (BSRS-50). Multiple regression and backward stepwise model were performed to examine the association between CIES-R and BSRS-50, adjusting for potential covariates. Cox proportional hazard model was used to test the association between RTW and CIES-R, adjusting for potential covariates. Results: There were 73 injured workers participated our study and completed the first stage questionnaire and a total of 63 injured workers completed our two-stage investigation. There were 24.7% and 25.4% had high psychological symptoms at 1 week and 3 months after injury, respectively. Hyperarousal was an important psychological symptom at 1week after injury to predict global severity index, anxiety, depression, hostility and obsessive-compulsive by BSRS-50 at 3 months after injury. Intrusion was another acute important psychological symptom to predict additional symptom, phobic-anxiety, interpersonal sensitivity and somatization by BSRS-50 at 3 months after injury. RTW at 3 months was not related to CIES-R score. Conclusion: Psychological symptoms were found in a quarter of injured hospitalized workers at 1 week and 3 months after injury, the symptoms of acute stress predicted psychological conditions at 3 months, especially for the scores of hyperarousal and intrusion. Psychological symptoms at 3 months has good prediction for RTW at 12 months, strategy should be developed for early assistance to the injured workers with high CIES-R scores. Yue-Liang Leon Guo 郭育良 2014 學位論文 ; thesis 57 zh-TW
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language zh-TW
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description 碩士 === 國立臺灣大學 === 公共衛生碩士學位學程 === 102 === Background: The mental condition of injured workers is an important issue in occupational psychiatry, and return-to-work (RTW) is the important outcome to reflect the workers recovery. Previous studies in Taiwan showed that among injured workers requiring hospitalization, 7.5% and 5.1% had psychiatric disorders at 3 months and 12 months after the injury, respectively. The main psychiatric conditions were post-traumatic stress disorder (PTSD) and/or major depression. Psychological symptoms at 3 months after injury predicted poor capability of RTW at 12 months. However, acute psychological responses to injury have not been described within 3 months. Aim: The aim of the study was to determine the prevalence of poor mental conditions at 1 week and 3 months after injury by and to understand whether psychological symptoms of acute stress in injured workers predict psychological conditions and RTW at 3 months. Method: From 2012/4/1 to 2013/12/31, we recruited injured workers admitted to a tertiary referral center in northern Taiwan. Psychological symptoms were assessed at 1 week after injury by the Chinese version of Impact of Event Scale–Revised (CIES-R). At 3 months, self-administered questionnaire was used for data collection, including RTW and Brief Symptom Rating Scale (BSRS-50). Multiple regression and backward stepwise model were performed to examine the association between CIES-R and BSRS-50, adjusting for potential covariates. Cox proportional hazard model was used to test the association between RTW and CIES-R, adjusting for potential covariates. Results: There were 73 injured workers participated our study and completed the first stage questionnaire and a total of 63 injured workers completed our two-stage investigation. There were 24.7% and 25.4% had high psychological symptoms at 1 week and 3 months after injury, respectively. Hyperarousal was an important psychological symptom at 1week after injury to predict global severity index, anxiety, depression, hostility and obsessive-compulsive by BSRS-50 at 3 months after injury. Intrusion was another acute important psychological symptom to predict additional symptom, phobic-anxiety, interpersonal sensitivity and somatization by BSRS-50 at 3 months after injury. RTW at 3 months was not related to CIES-R score. Conclusion: Psychological symptoms were found in a quarter of injured hospitalized workers at 1 week and 3 months after injury, the symptoms of acute stress predicted psychological conditions at 3 months, especially for the scores of hyperarousal and intrusion. Psychological symptoms at 3 months has good prediction for RTW at 12 months, strategy should be developed for early assistance to the injured workers with high CIES-R scores.
author2 Yue-Liang Leon Guo
author_facet Yue-Liang Leon Guo
Yu-Chien Chang
張毓倩
author Yu-Chien Chang
張毓倩
spellingShingle Yu-Chien Chang
張毓倩
Follow-up Study of Mental Condition and Return-to-work among Workers after Injury
author_sort Yu-Chien Chang
title Follow-up Study of Mental Condition and Return-to-work among Workers after Injury
title_short Follow-up Study of Mental Condition and Return-to-work among Workers after Injury
title_full Follow-up Study of Mental Condition and Return-to-work among Workers after Injury
title_fullStr Follow-up Study of Mental Condition and Return-to-work among Workers after Injury
title_full_unstemmed Follow-up Study of Mental Condition and Return-to-work among Workers after Injury
title_sort follow-up study of mental condition and return-to-work among workers after injury
publishDate 2014
url http://ndltd.ncl.edu.tw/handle/25547257001649714525
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