Psychosocial Comorbidities Related to Return to Work Rates Following Aneurysmal Subarachnoid Hemorrhage.
Eleanor R Turi, Yvette Conley, Elizabeth Crago and 4 others
PMID 29781055WHAT IT FOUND
Older age and higher depression or anxiety scores predicted failure to return to work after aneurysmal subarachnoid hemorrhage.
State anxiety at three months was linked to not returning to work at twelve months. Screen for both mood and anxiety disorders to identify patients needing support.
Key findings
01Higher scores for depression and anxiety at 3 and 12 months were significant independent predictors of failure to return to work at 12 months.
02Older age was a significant predictor of failure to return to work at both 3 and 12 months post-stroke.
03High state anxiety at 3 months remained a significant predictor of failure to return to work 12 months post-stroke.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
Small sample size (N=121) limits generalizability. Physical functional outcomes (e.g., Glasgow Outcome Scale) were not available for most subjects, creating a potential confound as physical impairment may prevent return to work regardless of psychosocial status. Household income data was incomplete, so financial pressure to return to work could not be fully analyzed. The study was retrospective, limiting the ability to assess referrals for severely depressed patients. Marital status was dichotomized (married vs. not married), missing nuances like cohabitation.
Declared interests
The study was supported by the National Institutes of Health (N.I.H., Extramural). No other conflicts of interest were explicitly declared in the provided text.
The easy way to misread this
Do not assume psychosocial factors are the sole barrier to return to work. Physical functional outcomes were not available for most participants, so patients who could not return to work due to severe physical impairment may have been misclassified as failing due to psychological reasons.