Depression as a Predictor of Long-term Employment Outcomes Among Individuals With Moderate-to-Severe Traumatic Brain Injury.
Arch Phys Med Rehabil
; 100(10): 1837-1843, 2019 10.
Article
em En
| MEDLINE
| ID: mdl-31344363
ABSTRACT
OBJECTIVE:
To examine the predictive ability of depression when considering long-term employment outcomes for individuals with moderate-to-severe traumatic brain injury (TBI) after controlling for key preinjury and injury-related variables.DESIGN:
Secondary data analysis.SETTING:
Community follow-up after discharge from an inpatient rehabilitation center.PARTICIPANTS:
Individuals between 18 and 60 years old with moderate-to-severe TBI enrolled in the Traumatic Brain Injury Model Systems database.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Employment status.RESULTS:
The prevalence of employment at 2 and 5 years post injury was 40.3% and 44.5%, respectively. Individuals identified as depressed at 1 year were more likely to be unemployed at 2 years post injury (odds ratio [OR], 1.77; 95% CI, 1.38-2.27; P<.0001). Similar relations between current depression and future employment were observed from 1- and 2-year depression status predicting 5-year employment (1-year OR, 1.88; 95% CI, 1.48-2.40; P<.0001 2-year OR, 1.72; 95% CI, 1.36-2.17; P<.0001).CONCLUSIONS:
After controlling for baseline predictors variables, the experience of postinjury depression-a modifiable condition-contributes predictive ability to future employment outcomes. Incorporating assessments and/or interventions for depression into postacute rehabilitation programs could promote favorable employment outcomes after TBI.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Depressão
/
Emprego
/
Lesões Encefálicas Traumáticas
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article