scholarly journals Psychological morbidity and return to work after injury: multicentre cohort study

2017 ◽  
Vol 67 (661) ◽  
pp. e555-e564 ◽  
Author(s):  
Denise Kendrick ◽  
Paula Dhiman ◽  
Blerina Kellezi ◽  
Carol Coupland ◽  
Jessica Whitehead ◽  
...  
Keyword(s):  
Return To Work ◽  
Psychological Factors ◽  
Demographic Data ◽  
Recovery Period ◽  
Unintentional Injury ◽  
Psychological Morbidity ◽  
Unintentional Injuries ◽  
Wide Range ◽  
Crisis Support ◽  
The Impact

BackgroundThe benefits of work for physical, psychological, and financial wellbeing are well documented. Return to work (RTW) after unintentional injury is often delayed, and psychological morbidity may contribute to this delay. The impact of psychological morbidity on RTW after a wide range of unintentional injuries in the UK has not been adequately quantified.AimTo quantify the role of psychological factors, including anxiety, depression, and post-traumatic distress, on RTW following unintentional injuries.Design and settingA longitudinal multicentre prospective study was undertaken in Nottingham, Bristol, Leicester, and Guildford, UK.MethodParticipants (n = 273) were 16–69-year-olds admitted to hospital following unintentional injury, who were in paid employment prior to injury. They were surveyed at baseline, then at 1, 2, 4, and 12 months following injury; demographic data were collected along with injury characteristics, psychological morbidity, and RTW status. Associations between demographic, injury and psychological factors, and RTW between 2 and 12 months after injury were quantified using random effects logistic regression.ResultsThe odds of RTW between 2 and 12 months after injury reduced as depression scores early in the recovery period (1 month after injury) increased (odds ratio [OR] 0.87, 95% confidence interval [CI] = 0.79 to 0.95) and as length of hospital stay increased (OR 0.91, 95% CI] = 0.86 to 0.96). For those experiencing threatening life events following injury (OR 0.27, 95% CI = 0.10 to 0.72) and with higher scores on the Crisis Support Scale (OR 0.93, 95% CI] = 0.88 to 0.99), the odds of RTW between 2 and 12 months after injury were lower. Multiple imputation analysis found similar results, but those relating to crisis support did not remain statistically significant.ConclusionPrimary care professionals can identify patients at risk of delayed RTW who may benefit from management of psychological morbidity and support to RTW.

8. Behaviour in the macroeconomy

2017 ◽  
pp. 100-115
Author(s):  
Michelle Baddeley
Keyword(s):  
Psychological Factors ◽  
Well Being ◽  
Personality Types ◽  
Behavioural Economics ◽  
Macroeconomic Fluctuations ◽  
Wide Range ◽  
The Impact

Behavioural macroeconomics has significant constraints, reflecting the difficulty of bringing together the choices of different people with widely different personality types, moods, and emotions, making decisions in complex ways using a wide range of heuristics that generate an even wider range of biases. ‘Behaviour in the macroeconomy’ explores how behavioural economists can overcome these difficulties, contributing to the development of innovative macroeconomic theories and collection of new types of behavioural macroeconomic data. It focuses on how social and psychological factors, including optimism and pessimism, help us to understand macroeconomic fluctuations; the impact of confidence and social mood on macroeconomic outcomes; and another theme in behavioural economics—happiness and well-being.

scholarly journals The Impact of Pre-existing Health Conditions on Cost of Recovery after Workplace Injury: Insight from population-based data linkage in the State of Victoria, Australia

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Behrooz Hassani-M ◽  
Janneke Berecki-Gisolf ◽  
Alex Collie
Keyword(s):  
Return To Work ◽  
Service Use ◽  
Labour Force ◽  
Length Of Hospital Stay ◽  
The State ◽  
Health Conditions ◽  
Workplace Injury ◽  
Main Challenge ◽  
Wide Range ◽  
The Impact

ABSTRACTObjectiveComorbidity is known to affect length of hospital stay and mortality after trauma but less is known about its impact on recovery beyond the acute care period. A main challenge to study the impact of pre-existing conditions is that information on these conditions is not collected systematically and comprehensively. The aim of this study was to investigate the role of pre-existing health conditions in recovery from workplace injury using linked data. ApproachIn Victoria, Australia, approximately 85% of the labour force is covered by the state workers compensation scheme regulated by WorkSafe Victoria. The scheme provides financial compensation for healthcare and income support to eligible injured workers. . One year of WorkSafe claims for injuries that occurred between 1/07/2008 and 31/06/2009 (N = 49,171) were linked to eight years of pre-injury hospital admission admissions and emergency department presentations, received from the state Department of Health and Human Services. Main outcomes of the study included the total and categorical cost of recovery (e.g. hospital, medical, allied health) measured over short (2-6 months), medium (1-2 years) and long-term (5 years) periods. All models controlled for characteristics of the worker, workplace and injury.ResultsThe preliminary results show that the cost of recovery from workplace injury is significantly associated with history of pre-injury admissions: Workers with pre-injury admissions have higher cost of recovery including longer periods of time off work as well as further cost of health service use during recovery. As this is an ongoing project, further detailed results will be presented at the conference such as the impact of admission under each category of pre-existing conditions according to ICD codes on a wide range of outcomes after workplace injury.Conclusion Our findings are expected to help government injury compensation regulators to better understand the drivers of compensation costs and other key system outcomes such as return to work. The findings will support better allocation of financial resources, better internal management of claims and efficient allocation of physical and human resources and therefore greater client satisfaction leading to ensuring faster recovery, return to work and more effective as well as efficient service provision.

Chronic antioxidant enzyme mimetic treatment differentially modulates hyperthermia-induced liver HSP70 expression with aging

2006 ◽  
Vol 100 (4) ◽  
pp. 1385-1391 ◽  
Author(s):  
Hannah J. Zhang ◽  
Susan R. Doctrow ◽  
Larry W. Oberley ◽  
Kevin C. Kregel
Keyword(s):  
Heat Stress ◽  
Recovery Period ◽  
Protein Accumulation ◽  
Mrna Levels ◽  
Hsp70 Mrna ◽  
Hsp70 Protein ◽  
Age Related ◽  
Wide Range ◽  
Old Rats ◽  
The Impact

One postulated mechanism for the reduction in stress tolerance with aging is a decline in the regulation of stress-responsive genes, such as inducible heat shock protein 72 (HSP70). Increased levels of oxidative stress are also associated with aging, but it is unclear what impact a prooxidant environment might have on HSP70 gene expression. This study utilized a superoxide dismutase/catalase mimetic (Eukarion-189) to evaluate the impact of a change in redox environment on age-related HSP70 responses to a physiologically relevant heat challenge. Results demonstrate that liver HSP70 mRNA and protein levels are reduced in old compared with young rats at selected time points over a 48-h recovery period following a heat-stress protocol. While chronic systemic administration of Eukarion-189 suppressed hyperthermia-induced liver HSP70 mRNA expression in both age groups, HSP70 protein accumulation was blunted in old rats but not in their young counterparts. These data suggest that a decline in HSP70 mRNA levels may be responsible for the reduction in HSP70 protein observed in old animals after heat stress. Furthermore, improvements in redox status were associated with reduced HSP70 mRNA levels in both young and old rats, but differential effects were manifested on protein expression, suggesting that HSP70 induction is differentially regulated with aging. These findings highlight the integrated mechanisms of stress protein regulation in eukaryotic organisms responding to environmental stress, which likely involve interactions between a wide range of cellular signals.

scholarly journals Differential impact of short periods of rapid atrial pacing on left and right atrial mechanical function

2012 ◽  
Vol 302 (12) ◽  
pp. H2583-H2591 ◽  
Author(s):  
Timo Weimar ◽  
Yoshiyuki Watanabe ◽  
Toshinobu Kazui ◽  
Urvi S. Lee ◽  
Marc R. Moon ◽  
...  
Keyword(s):  
Systolic Function ◽  
Recovery Period ◽  
Systolic Pressure ◽  
Atrial Function ◽  
Right Atrial ◽  
Atrial Pacing ◽  
Differential Impact ◽  
Systolic Volume ◽  
Wide Range ◽  
The Impact

Current techniques to describe atrial function are limited by their load dependency and hence do not accurately reflect intrinsic mechanical properties. To assess the impact of atrial fibrillation on atrial function, combined pressure-volume relationships (PVR) measured by conductance catheters were used to evaluate the right (RA) and left (LA) atrium in 12 isoflurane-anesthetized pigs. Biatrial PVR were recorded over a wide range of volumes during transient caval occlusion at baseline sinus rhythm (SR), after onset of rapid atrial pacing (RAP), after 1 h of RAP, after conversion to SR, and after 1 h of recovery. Cardiac output decreased by 16% ( P = 0.008) with onset of RAP. Mean LA and RA pressures increased by 21 and 40% ( P < 0.001), respectively, and remained elevated during the entire recovery period. RA reservoir function increased from 51 to 58% and significantly dropped to 43% after resumption of SR ( P = 0.017). Immediately after RAP, a right shift of LA end-systolic PVR-intercept for end-systolic volume required to generate an atrial end-systolic pressure of 10 mmHg (24.4 ± 4.9 to 28.1 ± 5.2 ml, P = 0.005) indicated impaired contractility compared with baseline. Active LA emptying fraction dropped from 17.6 ± 7.5 to 11.7 ± 3.7% ( P < 0.001), LA stroke volume and ΔP/Δ tmax/P declined by 22% ( P = 0.038 and 0.026, respectively), while there was only a trend to impaired RA systolic function. Stiffness quantified by the ratio of pressure to volume at end-diastole was increased immediately after RAP only in the RA ( P = 0.020), but end-diastolic PVR shifted rightward in both atria ( P = 0.011 LA, P = 0.045 RA). These data suggest that even short periods of RAP have a differential impact on RA and LA function, which was sustained for 1 h after conversion to SR.

scholarly journals P438 Maladaptive decision-making is associated with psychological morbidity in people with Inflammatory Bowel Disease

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S438-S439
Author(s):  
L Grinsted Tate ◽  
L Johnson ◽  
G Jones ◽  
A Lobo
Keyword(s):  
Decision Making ◽  
Inflammatory Bowel Disease ◽  
Multivariate Analysis ◽  
Bowel Disease ◽  
Demographic Data ◽  
Psychological Morbidity ◽  
Decision Making Styles ◽  
Inflammatory Bowel ◽  
The Impact ◽  
Buck Passing

Abstract Background Inflammatory Bowel Disease (IBD) is a chronic relapsing-remitting inflammatory condition. Due to its long-term, multifaceted nature, patients will need to make many complex decisions during their treatment. The Melbourne Decision Making Questionnaire (MDMQ) assesses the use of four decision-making styles. Vigilance is the only style considered adaptive, with a thorough, analytical approach. Buck-passing (avoiding responsibility), procrastination and hypervigilance (a hurried, anxious approach) are considered maladaptive. This study aimed to assess the impact of psychological morbidity, health-related quality of life (HRQoL) and demographic/disease factors on decision-making in IBD. Methods People over the age of 16 with IBD completed the MDMQ. Psychological morbidity was assessed by the DASS-21 questionnaire, and HRQoL by the EQ-5D-3L/EQ-5D-Y. Demographic data included age, gender, ethnicity, Index of Multiple Deprivation quintile, educational level and employment status. Diagnosis, disease duration and age at diagnosis were also recorded. Exploratory analysis of all variables against scores for each of the four decision-making styles was conducted. Significant results were used to perform multivariate analysis. All statistical analysis was performed using IBM SPSS Statistics software (v26). Results 172 patients were studied (94 CD, 75 UC, 3 IBD-U, 68 (39.5%) male), median age 46.5 (16-83). Median MDMQ scores for vigilance, buck-passing, procrastination and hypervigilance were 10/12, 3/12, 2/10 and 3/10 respectively. Multivariate analysis showed strong positive associations between psychological morbidity scores and all three maladaptive decision-making styles: buck-passing (F(1, 95)=12.512, p=0.001), procrastination (F(1, 115)=35.009, p&lt;0.001) and hypervigilance (F(1, 114)=34.342, p&lt;0.001). Age and duration of disease were not associated with decision making style. Current employment and higher HRQoL scores were significantly associated with greater degrees of buck-passing (F(3,95)=5.100, p=0.003; and F(1, 95)=6.351, p=0.013 respectively). A diagnosis of CD was associated with lower vigilance score (F(2, 133)=3.224, p=0.043). Conclusion People with IBD are likely to have an adaptive decision-making style, demonstrated by a high median vigilance score. However, psychological morbidity is associated with maladaptive decision-making – an important consideration for clinicians and in shared decision making. Further studies are required to determine whether interventions for psychological morbidity can improve maladaptive decision-making.

scholarly journals Depends Who's Asking: Interviewer Effects in Demographic and Health Surveys Abortion Data

Demography ◽  
2021 ◽  
Vol 58 (1) ◽  
pp. 31-50
Author(s):  
Tiziana Leone ◽  
Laura Sochas ◽  
Ernestina Coast
Keyword(s):  
Health Surveys ◽  
Demographic Data ◽  
Demographic And Health Surveys ◽  
Household Surveys ◽  
Gender Based Violence ◽  
Interviewer Effects ◽  
Survey Questions ◽  
Wide Range ◽  
Nationally Representative ◽  
The Impact

Abstract Responses to survey questions about abortion are affected by a wide range of factors, including stigma, fear, and cultural norms. However, we know little about how interviewers might affect responses to survey questions on abortion. The aim of this study is to assess how interviewers affect the probability of women reporting abortions in nationally representative household surveys: Demographic and Health Surveys (DHS). We use cross-classified random intercepts at the level of the interviewer and the sampling cluster in a Bayesian framework to analyze the impact of interviewers on the probability of reporting abortions in 22 DHS conducted worldwide. Household surveys are the only available data we can use to study the determinants and pathways of abortion in detail and in a representative manner. Our analyses are motivated by improving our understanding of the reliability of these data. Results show an interviewer effect accounting for between 0.2% and 50% of the variance in the odds of a woman reporting ever having had an abortion, after women's demographic characteristics are controlled for. In contrast, sampling cluster effects are much lower in magnitude. Our findings suggest the need for additional effort in assessing the causes of abortion underreporting in household surveys, including interviewers' skills and characteristics. This study also has important implications for improving the collection of other sensitive demographic data (e.g., gender-based violence and sexual health). Data quality of responses to sensitive questions could be improved with more attention to interviewers—their recruitment, training, and characteristics. Future analyses will need to account for the role of interviewer to more fully understand possible data biases.

COVID-19: Psychological Impact on Lockdown Population

2021 ◽  
Vol 34 (01) ◽  
pp. 026-033
Author(s):  
Bhuvaneswari Rajachandrasekar ◽  
K. C. Muraleedharan ◽  
Neethu Raj ◽  
Sakthivel Vaiyapuri ◽  
Aneena MS
Keyword(s):  
Mental Health ◽  
Emotional Disturbance ◽  
Online Survey ◽  
Demographic Data ◽  
Psychological Impact ◽  
P Value ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Wide Range ◽  
The Impact

Abstract Background Coronavirus disease 2019 (COVID-19) pandemic continues to surge throughout the entire world. Most of the impacted countries implemented preventive measures and lockdown to control the spread of the disease. This restriction developed psychological resilience in a wide range of the population. The objective of this study is to explore the impact on the mental health of the individuals caused by the unforeseen lockdown. Methods A cross-sectional online survey form had been designed leveraging the Google form. In the introduction section, the purpose of study and the details of the investigators were elaborately explained. The survey response was voluntary and ensured the confidentiality of the responder. The online survey consent procedures were well documented and shared with the participants. The Google forms were circulated through various social media platforms for data capturing, and the data were analysed using statistical software SPSS 23.0. A chi-squared test was performed to determine the association between demographic data and emotional data during the COVID-19 pandemic lockdown. Result A total of 2,150 responses were received out of which two of them were discarded due to insufficient data so total 2,148 responses were taken for analysis. The prevalence rate of emotional disturbance is 56.8% and 43.2% in females and males respectively (p-value = 0.001). The participant age ranges between 18 and 98 years, the mean age of participants is 33.25 years and the standard deviation is 12.24. The emotional disturbance response data are significantly associated with marital status (p-value = 0.021), socioeconomic status (p-value < 0.001), occupation (p-value = 0.019), loved one who were affected with COVID-19 (p-value = 0.034), preventive medicines taken (p-value = 0.017), sleep disturbance (p-value < 0.001), need of psychological support (p-value = 0.001), difficulty in monthly bill settlement (p-value < 0.0001), anxiouness and worry all the time during COVID-19 (p-value < 0.0001). Conclusion The survey data discovered the significant association between lockdown during COVID-19 and the emotional disturbance of the general population. These findings required additional research to identify mental health further.

How to Psychologically Minimize Scratching Impulses

2014 ◽  
Vol 222 (3) ◽  
pp. 140-147 ◽  
Author(s):  
Ariane Sölle ◽  
Theresa Bartholomäus ◽  
Margitta Worm ◽  
Regine Klinger
Keyword(s):  
Cognitive Processes ◽  
Placebo Effect ◽  
Psychological Factors ◽  
Pharmacological Treatments ◽  
Physiological Basis ◽  
Psychological Mechanisms ◽  
Physical Complaints ◽  
Factors Influencing ◽  
The Impact ◽  
Placebo Model

Research in recent years, especially in the analgesic field, has intensively studied the placebo effect and its mechanisms. It has been shown that physical complaints can be efficiently reduced via learning and cognitive processes (conditioning and expectancies). However, despite evidence demonstrating a large variety of physiological similarities between pain and itch, the possible transfer of the analgesic placebo model to itch has not yet been widely discussed in research. This review therefore aims at highlighting potential transfers of placebo mechanisms to itch processes by demonstrating the therapeutic issues in pharmacological treatments for pruritus on a physiological basis and by discussing the impact of psychological mechanisms and psychological factors influencing itch sensations.

THE IMPACT OF LEADERSHIP PRACTICES TO TEAM MEMBERS’ SATISFACTION

2009 ◽  
Vol 8 (1) ◽  
Author(s):  
Chalimah .
Keyword(s):  
Conflict Resolution ◽  
Leadership Practices ◽  
Hotel Industry ◽  
Leader Behavior ◽  
Team Leader ◽  
Shop Floor ◽  
Team Members ◽  
Top Executives ◽  
Wide Range ◽  
The Impact

eamwork is becoming increasingly important to wide range of operations. It applies to all levels of the company. It is just as important for top executives as it is to middle management, supervisors and shop floor workers. Poor teamwork at any level or between levels can seriously damage organizational effectiveness. The focus of this paper was therefore to examine whether leadership practices consist of team leader behavior, conflict resolution style and openness in communication significantly influenced the team member’s satisfaction in hotel industry. Result indicates that team leader behavior and the conflict resolution style significantly influenced team member satisfaction. It was surprising that openness in communication did not affect significantly to the team members’ satisfaction.

Sign in / Sign up

Export Citation Format

Share Document