title: Return to work after coronary revascularization procedures and a patient's job satisfaction: A prospective study.
abstract: BACKGROUND
  Research into work reintegration following invasive cardiac procedures is limited. The aim of this prospective study was to explore predictors of job satisfaction among cardiac patients who have returned to work after cardiac rehabilitation (CR).
  
  
  METHODS
  The study population consisted of 90 cardiac patients who have recently been treated with coronary angioplasty or heart surgery. They were evaluated during their CR and 12 months after the discharge using validated self-report questionnaires measuring job satisfaction, work stress-related factors, emotional distress and illness perception. Information on socio-demographic, medical and occupational factors has also been collected.
  
  
  RESULTS
  After adjusting for demographic, occupational and medical variables, baseline job satisfaction (p < 0.001), depression (p < 0.01) and ambition (p < 0.05) turned out to be independent, significant predictors of job satisfaction following return to work (RTW). Patients who had a partial RTW were more satisfied with their job than those who had a full RTW, controlling for baseline job satisfaction.
  
  
  CONCLUSIONS
  These findings recommend an early assessment of patients' psychosocial work environment and emotional distress, with particular emphasis on job satisfaction and depressive symptoms, in order to promote satisfying and healthy RTW after cardiac interventions.
authors.affiliation: University of Pavia, Pavia, Italy (Department of Brain and Behavioral Sciences). elenamaria.fiabane@unipv.it.
authors.forename: Elena
authors.initials: E
authors.lastname: Fiabane
authors.affiliation: Salvatore Maugeri Foundation, Work and Rehabilitation, IRCCS, Scientific Institute of Pavia, Italy (Psychological Unit).
authors.forename: Ines
authors.initials: I
authors.lastname: Giorgi
authors.affiliation: Salvatore Maugeri Foundation, Work and Rehabilitation, IRCCS, Scientific Institute of Pavia, Italy (Occupational Medicine Unit).
authors.forename: Stefano M
authors.initials: SM
authors.lastname: Candura
authors.affiliation: University of Pavia, Pavia, Italy (Department of Brain and Behavioral Sciences).
authors.forename: Piergiorgio
authors.initials: P
authors.lastname: Argentero
mesh_terms: D000328:Adult; D003863:Depression / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007588:Job Satisfaction; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009204:Myocardial Revascularization / Q000534:rehabilitation*; D011446:Prospective Studies; D062707:Return to Work / Q000523:psychology*; D057566:Self Report; D013315:Stress, Psychological / Q000523:psychology
keywords: cardiac rehabilitation; depression; job satisfaction; return to work; work stress