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https://hdl.handle.net/2440/97843
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Type: | Journal article |
Title: | Compensation seeking and disability after injury: the role of compensation-related stress and mental health |
Author: | O’Donnell, M. Grant, G. Alkemade, N. Spittal, M. Creamer, M. Silove, D. McFarlane, A. Bryant, R. Forbes, D. Studdert, D. |
Citation: | Journal of Clinical Psychiatry, 2015; 76(8):e1000-e1005 |
Publisher: | Physicians Postgraduate Press |
Issue Date: | 2015 |
ISSN: | 0160-6689 1555-2101 |
Statement of Responsibility: | Meaghan L. O’Donnell, Genevieve Grant, Nathan Alkemade, Matthew Spittal, Mark Creamer, Derrick Silove, Alexander McFarlane, Richard A. Bryant, David Forbes, and David M. Studdert |
Abstract: | <h4>Objective</h4>Claiming for compensation after injury is associated with poor health outcomes. This study examined the degree to which compensation-related stress predicts long-term disability and the mental health factors that contribute to this relationship.<h4>Method</h4>In a longitudinal, multisite cohort study, 332 injury patients (who claimed for compensation) recruited from April 2004 to February 2006 were assessed during hospitalization and at 3 and 72 months after injury. Posttraumatic stress, depression, and anxiety symptoms (using the Mini-International Neuropsychiatric Interview) were assessed at 3 months; compensation-related stress and disability levels (using the World Health Organization Disability Assessment Schedule II) were assessed at 72 months.<h4>Results</h4>A significant direct relationship was found between levels of compensation-related stress and levels of long-term disability (β = 0.35, P < .001). Three-month posttraumatic stress symptoms had a significant relationship with compensation-related stress (β = 0.29, P < .001) as did 3-month depression symptoms (β = 0.39, P < .001), but 3-month anxiety symptoms did not. A significant indirect relationship was found for posttraumatic stress symptoms and disability via compensation stress (β = 0.099, P = .001) and for depression and disability via compensation stress (β = 0.136, P < .001).<h4>Conclusions</h4>Stress associated with seeking compensation is significantly related to long-term disability. Posttraumatic stress and depression symptoms increase the perception of stress associated with the claims process, which in turn is related to higher levels of long-term disability. Early interventions targeting those at risk for compensation-related stress may decrease long-term costs for compensation schemes. |
Keywords: | Humans Wounds and Injuries Disability Evaluation Longitudinal Studies Depression Stress, Psychological Anxiety Stress Disorders, Post-Traumatic Compensation and Redress Adult Middle Aged Disabled Persons Female Male |
Rights: | © Copyright 2015 Physicians Postgraduate Press, Inc. |
DOI: | 10.4088/JCP.14m09211 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/568970 http://purl.org/au-research/grants/arc/FL110100102 |
Published version: | http://dx.doi.org/10.4088/jcp.14m09211 |
Appears in Collections: | Aurora harvest 7 Medicine publications |
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