Return to work outcomes after work-related hand trauma: the role of causal attributions.
OBJECTIVE
This study examined the relationship between workers' judgments of responsibility for their accidents (causal attributions) and work-site avoidance after work-related injuries.


METHODS
Ninety-two hand-injured workers referred for psychologic treatment of posttraumatic stress and depressive symptoms were assessed for their beliefs about the cause(s) of their accidents. Causal attributions were obtained before and after psychologic intervention.


RESULTS
Workers who blamed coworkers or equipment for their injuries were more likely to resist returning to former work activities than workers who judged themselves responsible for their accidents. In addition those with relatively minor injuries were as much at risk for work-site avoidance as those with more severe injuries. Age, gender, and length of employment with current employer were unrelated to avoidance.


CONCLUSIONS
These results suggest the importance of causal attributions as potential predictors of work-site avoidance after traumatic work-related hand injuries, and support the risk for psychologic symptom development after less-severe injuries.
Rusch
Mark D
MD
Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Dzwierzynski
William W
WW
Sanger
James R
JR
Pruit
Nathan T
NT
Siewert
Andrea D
AD
D000041:Absenteeism; D000062:Accidents, Occupational / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D004651:Employment / Q000523:psychology*; D006230:Hand Injuries / Q000209:etiology* / Q000523:psychology*; D006801:Humans; D007600:Judgment; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012307:Risk Factors; D015599:Trauma Severity Indices