Reductions in Fatigue Predict Occupational Re-engagement in Individuals with Work-Related Musculoskeletal Disorders.
Disability
Fatigue
Pain
Rehabilitation
Journal
Journal of occupational rehabilitation
ISSN: 1573-3688
Titre abrégé: J Occup Rehabil
Pays: Netherlands
ID NLM: 9202814
Informations de publication
Date de publication:
03 2020
03 2020
Historique:
pubmed:
30
8
2019
medline:
2
2
2021
entrez:
30
8
2019
Statut:
ppublish
Résumé
Background Symptoms of fatigue have been shown to be associated with heightened levels of disability in patients suffering from a wide range of debilitating health and mental health conditions. The role of fatigue as a determinant of work disability in individuals with work-related musculoskeletal disorders (WRMD) has received little attention. The present study examined the role of fatigue as a determinant of work-disability in individuals with WRMDs. Methods Participants included 117 individuals with WRMDs who completed measures of pain severity, fatigue, depression and disability before and after participating in a behavioral activation rehabilitation intervention. Results Cross-sectional analyses on pre-treatment measures revealed that fatigue contributed significant variance to the prediction of self-reported disability, beyond the variance accounted for by pain severity and depression. Prospective analyses revealed that reductions in fatigue through the course of treatment predicted occupational re-engagement following termination of the intervention. Conclusions The results of the present study suggest fatigue contributes to occupational disability, independent of the effects of pain and depression. The findings also suggest that meaningful reductions in fatigue might be achieved through psychosocial interventions that promote gradual re-integration into discontinued activities, increase participants' exposure to success and achievement experiences, and reduce the severity of depressive symptoms. Behavioural activation interventions such as the one used in the present study might contribute to more positive occupational outcomes in work-disabled individuals who report high levels of fatigue.
Identifiants
pubmed: 31463870
doi: 10.1007/s10926-019-09856-z
pii: 10.1007/s10926-019-09856-z
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
135-145Subventions
Organisme : CIHR
ID : MOP-299348
Pays : Canada
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