Investigating risk factors for chronicity: The importance of distingushing between return-to-work status and self-report measures of disability
Investigating risk factors for chronicity: The importance of distingushing between return-to-work status and self-report measures of disability
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DOI：
10.1097/01.jom.0000184870.81120.49
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发表时间：
2006-03-01
影响因子：
3.2
通讯作者：
Thibault, P
中科院分区：
文献类型：
--
作者：
Gauthier, N;Sullivan, MJL;Thibault, P
目的：本研究的目的是检查是否有不同的心理社会风险因素分析的结果作为一个功能的结果变量是否返回工作状态或自我报告的功能障碍。研究方法：参与者是255名背部软组织受伤的工人，他们参加了以社区为基础的二级预防计划。在治疗前评估心理风险因素（疼痛严重程度、疼痛灾难化、害怕运动/再损伤、抑郁）。结果如下：Logistic回归显示，疼痛灾难化（比值比[OR]，0.53; 95%置信区间[CI] = 0.32-0.88）和疼痛严重程度（OR，0.65; 95% CI = 0.45-0.94）是重返工作岗位的重要预测因素。然而，当自我报告残疾的变化被用作结果变量时，没有一个心理社会风险因素成为重要的预测因素。结论：鉴于危险因素研究结果的重要理论、临床和政策影响，需要进行更多的研究，以进一步阐明使用自我报告与重返工作岗位的残疾衡量标准的各自优势和局限性。
Objective: The objective of this study was to examine whether the outcome of psychosocial risk factor analyses varied as a function of whether the outcome variable was return-to-work status or self-reported functional disability. Methods: Participants were 255 workers who sustained a soft tissue injury to the back and participated in a community-based secondary prevention program. Assessment of psychologic risk factors (pain severity, pain catastrophizing, fear of movement/reinjury, depression) was conducted at pretreatment. Results: Logistic regression revealed that pain catastrophizing (odds ratio [OR], 0.53; 95% confidence interval [CI] = 0.32-0.88) and pain severity (OR, 0.65; 95% CI = 0.45-0.94) were significant predictors of return to work. However, when change in self-reported disability was used as the outcome variable, none of the psychosocial risk factors emerged as significant predictors. Conclusions: Given the important theoretical, clinical, and policy implications of the outcome of risk factor research, more research is needed to further clarify the respective advantages and limitations to using self-reported versus return to work-based measures of disability.