title: Recovering from traumatic occupational hand injury following surgery: a biopsychosocial perspective.
abstract: OBJECTIVE
  Significant differences occur in the return-to-work (RTW) period amongst workers with an acute traumatic occupational hand injury. This study aimed to develop and test a comprehensive multivariate conceptual biopsychosocial model to predict RTW outcome.
  
  
  METHODS
  Patients presenting with an occupational hand injury were interviewed 7-10 days after their injury (N = 192) and again at 4 weeks after their injury (n = 150). Potential determinants from biomedical, work-related, demographic and psychosocial categories were studied simultaneously.
  
  
  RESULTS
  A small sub-set of workers with an acute traumatic hand injury experienced chronic disability beyond 12 weeks. Analyzing the relationship between predictor variables and work absence resulted in the identification of the most important determinants of recovery. During the acute stages of recovery, injury severity, pain, self-efficacy, and living alone were the most important determinants of delayed RTW outcome. At 4 weeks post-injury, locus of control, injury severity, negative affect and living alone were the most important predictors of delayed RTW.
  
  
  CONCLUSIONS
  A number of prognostic variables were identified that influenced RTW outcome, which offer new and unique contributions to the field. Injury severity was not the most important determinant of RTW outcome; neither were factors identified in previous hand injury research, such as attribution of blame, significant predictors. Factors not examined in previous research, such as negative affect, were more important determinants of delayed RTW.
authors: Behavioral Basis of Health, School of Applied Psychology, Griffith University, Gold Coast Campus, Gold Coast, QLD, 4222, Australia, michelleroesler@hotmail.com.
authors: Michelle Louise
authors: ML
authors: Roesler
authors: Aleck Ian
authors: AI
authors: Glendon
authors: Frances Veronica
authors: FV
authors: O'Callaghan
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D005260:Female; D006230:Hand Injuries / Q000523:psychology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D060051:Occupational Injuries / Q000523:psychology* / Q000601:surgery; D010146:Pain / Q000209:etiology; D062707:Return to Work; D020377:Self Efficacy; D012847:Single Person; D013997:Time Factors; D015599:Trauma Severity Indices; D055815:Young Adult
references: Am J Ind Med. 2001 Oct;40(4):464-84
references: 11598995
references: J Hand Surg Br. 1985 Oct;10(3):283-7
references: 4078452
references: J Trauma. 1991 Sep;31(9):1216-25; discussion 1225-6
references: 1920551
references: J Behav Med. 1993 Oct;16(5):423-43
references: 8254649
references: Tech Hand Up Extrem Surg. 1997 Sep;1(3):213-8
references: 16609507
references: J Occup Rehabil. 2006 Jun;16(2):173-84
references: 16705493
references: Ann Plast Surg. 1992 Dec;29(6):537-42
references: 1466550
references: J Occup Med. 1993 Feb;35(2):132-5
references: 8433184
references: Work. 2001;16(3):209-217
references: 12441450
references: Pain. 1992 Aug;50(2):133-149
references: 1408309
references: J Hand Surg Br. 1988 May;13(2):177-80
references: 3385296
references: BMC Public Health. 2007 Nov 16;7:335
references: 18336722
references: Int J Behav Med. 1997;4(1):92-100
references: 16250744
references: J Occup Rehabil. 2009 Sep;19(3):245-55
references: 19437109
references: Am J Public Health. 1987 Mar;77(3):329-34
references: 3812840
references: J Hand Surg Eur Vol. 2008 Jun;33(3):358-62
references: 18450795
references: J Occup Rehabil. 2011 Mar;21(1):9-16
references: 20535534
references: J Occup Rehabil. 2002 Dec;12(4):277-95
references: 12389479
references: Psychol Monogr. 1966;80(1):1-28
references: 5340840
references: Occup Med. 1989 Jul-Sep;4(3):405-18
references: 2667158
references: J Hand Surg Am. 2003 Jul;28(4):673-7
references: 12877859
references: J Hand Surg Br. 1996 Jun;21(3):295-8
references: 8771461
references: CMAJ. 2002 Mar 19;166(6):749-54
references: 11944761
references: J Pers Soc Psychol. 1988 Jun;54(6):1063-70
references: 3397865
references: Int J Occup Saf Ergon. 2005;11(3):291-302
references: 16219157
references: J Occup Environ Med. 2005 Apr;47(4):428-33
references: 15824635
references: Occup Environ Med. 2003 Apr;60(4):244-53
references: 12660372
references: Ann Plast Surg. 1992 Dec;29(6):532-6
references: 1361315
references: Spine (Phila Pa 1976). 1996 Oct 15;21(20):2329-36
references: 8915067
references: J Behav Med. 1993 Feb;16(1):25-43
references: 8433356
references: Int J Surg. 2008 Feb;6(1):45-50
references: 18029238
references: J Hand Ther. 2004 Jan-Mar;17(1):6-17
references: 14770133
references: J Pers Soc Psychol. 1989 Feb;56(2):267-83
references: 2926629
references: Spine (Phila Pa 1976). 1996 Apr 15;21(8):945-51
references: 8726198
references: J Clin Psychol. 1995 Jan;51(1):128-32
references: 7782467
references: Nurs Res. 1997 Sep-Oct;46(5):262-9
references: 9316598
references: Am J Occup Ther. 1983 Mar;37(3):189-94
references: 6846481
references: Scand J Rehabil Med. 1986;18(1):29-33
references: 2940677
references: J Pers Soc Psychol. 1989 Dec;57(6):1024-40
references: 2614656
references: J Psychol. 2005 Sep;139(5):439-57
references: 16285214
references: J Appl Psychol. 1997 Apr;82(2):247-52
references: 9109282
references: J Occup Rehabil. 2005 Dec;15(4):453-7
references: 16254748
references: J Hand Surg Br. 1998 Aug;23(4):485-9
references: 9726550
references: J Abnorm Psychol. 1988 Aug;97(3):346-53
references: 3192830
references: J Behav Med. 1992 Apr;15(2):127-41
references: 1583677
references: J Adv Nurs. 2000 Dec;32(6):1341-7
references: 11136401
references: Handchir Mikrochir Plast Chir. 1997 Jul;29(4):218-21
references: 9340309
references: N Engl J Med. 1988 Feb 4;318(5):291-300
references: 2961994
references: Spine (Phila Pa 1976). 1996 Dec 15;21(24):2908-17
references: 9112716
references: J Hand Surg Br. 1989 May;14(2):239-41
references: 2568387
references: J Adv Nurs. 2000 Dec;32(6):1333-40
references: 11136400
references: J Pers Soc Psychol. 1999 Aug;77(2):370-8
references: 10474212
references: Psychol Bull. 1984 Nov;96(3):465-90
references: 6393179
references: Int J Rehabil Res. 1982;5(4):499-506
references: 6131034
references: J Hand Surg Br. 1999 Apr;24(2):187-9
references: 10372773
references: J Occup Rehabil. 2005 Dec;15(4):451-2
references: 16254747
references: J Hand Surg Br. 1999 Apr;24(2):184-6
references: 10372772
references: Ulus Travma Acil Cerrahi Derg. 2004 Apr;10(2):97-101
references: 15103567
references: J Clin Psychiatry. 2006 Oct;67(10):1536-41
references: 17107244
references: Clin Rehabil. 2005 Oct;19(7):767-9
references: 16250196
references: Occup Med (Lond). 2001 Mar;51(2):124-35
references: 11307688
references: Med Care. 2004 Feb;42(2):139-46
references: 14734951