title: Factors associated with working status among workers assessed at a specialized worker's compensation board psychological trauma program.
abstract: BACKGROUND
  Psychological morbidity following trauma occurring in the workplace can impact return to work but few studies have investigated this.
  
  
  METHODS
  This study was a secondary analysis of administrative data from a specialized workers' compensation board psychological trauma program in Toronto, Canada. Unadjusted and adjusted logistic regression analyses were used to examine factors associated with working status at the time of assessment for workers referred within 1 year of traumatic event.
  
  
  RESULTS
  Having a disrupted marriage (OR = 3.06, 95% CI 1.14-8.20), sustaining a permanently impairing physical injury (OR = 2.76, 95% CI 1.01-7.55) and the presence of secondary psychiatric diagnoses (OR = 2.55, 95% CI 1.34-4.83) were significantly associated with not working at the time of assessment. When the analyses were subset to workers without permanently impairing physical injuries, only the presence of additional psychiatric diagnoses was significantly associated with not working (OR = 3.81, 95% CI 1.48-9.83).
  
  
  CONCLUSIONS
  Return to work after trauma can be a complicated and difficult to treat problem. Social supports, physical rehabilitation and treatment of complex mental health problems likely play a crucial role in improving outcomes.
authors.affiliation: Work and Well-Being Research and Evaluation Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. jennifer.hensel@utoronto.ca
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Hensel
authors.forename: Ash
authors.initials: A
authors.lastname: Bender
authors.forename: Jason
authors.initials: J
authors.lastname: Bacchiochi
authors.forename: Carolyn S
authors.initials: CS
authors.lastname: Dewa
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D016009:Chi-Square Distribution; D016001:Confidence Intervals; D004185:Disability Evaluation; D005260:Female; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology* / Q000628:therapy; D016017:Odds Ratio; D011594:Psychometrics; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000209:etiology; D013315:Stress, Psychological / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation; D013997:Time Factors; D014942:Workers' Compensation