Return to work following mild traumatic brain injury: Psychological and cognitive factors in a litigating sample in the post acute stage of recovery.

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY
Applied Neuropsychology-Adult Pub Date : 2025-03-01 Epub Date: 2023-01-30 DOI:10.1080/23279095.2023.2171293
Angela Sekely, Aalim Makani, Sonya Dhillon, Konstantine K Zakzanis
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Abstract

The purpose of this study was to investigate return to work (RTW) rates following a single uncomplicated mild Traumatic Brain Injury (mTBI) in the post-acute stage in the context of active litigation. More specifically, we sought to determine what psychological and/or cognitive factors predict a RTW after mTBI. Archival data were obtained from a random sample of litigating patients (n = 125; 54% female; mean age: 42.96 (SD = 12.74) who were referred to a private practice for a neuropsychological examination regarding their disability status following a single uncomplicated mTBI. A hierarchical regression analysis was used to assess the predictive value of emotional symptoms and cognition with respect to RTW status. Approximately 50% of the sample did not RTW. Attentional deficits (rs = -0.248) and depressive symptoms (rs = 0.248) were significantly associated with RTW. A hierarchical regression analysis found that depressive symptoms (p < .05) were associated with RTW outcomes. These findings suggest that individuals with increased depressive symptoms are more likely to demonstrate poor RTW outcomes in the post-acute stages of mTBI. These results are of interest to clinicians as they underscore the importance of screening and early intervention for depressive symptoms following a single uncomplicated mTBI in the post-acute stages in litigating samples.

轻度脑外伤后重返工作岗位:处于急性恢复期后阶段的诉讼样本的心理和认知因素。
本研究旨在调查在积极诉讼的背景下,单次无并发症轻度脑损伤(mTBI)在急性期后的重返工作岗位(RTW)率。更具体地说,我们试图确定哪些心理和/或认知因素可以预测轻微脑损伤后的复工率。我们从随机抽样的诉讼患者(n = 125;54% 为女性;平均年龄:42.96(SD = 12.74))中获得了档案数据,这些患者在一次无并发症的 mTBI 后被转介到一家私人诊所进行神经心理学检查,以了解其残疾状况。我们采用了分层回归分析法来评估情绪症状和认知能力对复工状况的预测价值。大约 50% 的样本没有进行复工。注意力缺陷(rs = -0.248)和抑郁症状(rs = 0.248)与复工显著相关。分层回归分析发现,抑郁症状(p
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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.50
自引率
11.80%
发文量
134
期刊介绍: pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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