title: [The Impact of Psychological Comorbidities Concerning a Pension for Reduced Earning Capacity after Medical Rehabilitation].
abstract: Background:The role of psychological comorbidities as a risk factor associated with a further chronification in low back pain is evident. In this paper we explore, whether psychological comorbidities recorded in the discharge letters have a time-stable and from other risk factors independent impact on a pension for reduced earning capacity.Methods:A sample of 10% is drawn from a routine data set provided by the German Pension Fund. Several risk factors are defined and presented descriptively. The survival analysis will be accomplished by cox regressions.Results:Younger patients (≤ 55 years) with at least one comorbid mental disorder have a 1.93 times higher chance of getting a pension for reduced earning capacity in the follow-up period. The influence is time stable and independent from other risk factors.Conclusion:A screening of psychological symptoms with a risk stratified therapy could increase the effectiveness.
authors.affiliation: Institut für Medizinische Soziologie und Rehabilitationswissenschaft Charité - Universitätsmedizin Berlin.
authors.forename: C
authors.initials: C
authors.lastname: Schmidt
mesh_terms: D000328:Adult; D006233:Persons with Disabilities / Q000534:rehabilitation* / Q000706:statistics & numerical data; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007182:Income / Q000706:statistics & numerical data*; D018868:Insurance, Disability / Q000191:economics* / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000191:economics* / Q000534:rehabilitation*; D008875:Middle Aged; D010415:Pensions; D015995:Prevalence; D012050:Rehabilitation, Vocational / Q000191:economics* / Q000706:statistics & numerical data; D012307:Risk Factors