Work-related upper-extremity disorders and work disability: clinical and psychosocial presentation.
Himmelstein-JS; Feuerstein-M; Stanek-EJ III; Koyamatsu-K; Pransky-GS; Morgan-W; Anderson-KO
J Occup Environ Med 1995 Nov; 37(11):1278-1286
Clinical and psychosocial aspects of work disability in work related upper extremity disorders were evaluated in 124 patients completing a base line evaluation at an occupational disorders clinic. Demographic, vocational, medical and psychosocial characteristics of the patients were evaluated. There were 55 patients who were working full or part time and 59 patients who were work disabled in the group. Compared to patients who were working, those who were work disabled were more likely to report that their symptoms were caused by an acute trauma, to have had prior surgery, to report higher levels of pain, to report greater psychological reactivity to pain and symptoms, to report higher levels of anger toward their employer, and to have a lawyer and be involved in litigation. In the disabled group, the diagnosis was more likely to be indeterminate (53%) than in the working group (38%). The authors conclude that there could be advantages to combining medical management directed at symptom relief with interventions to improve the patient's sense of personal control over symptoms and functional loss.
NIOSH-Publication; NIOSH-Cooperative-Agreement; Cumulative-trauma-disorders; Musculoskeletal-system-disorders; Psychological-factors; Disabled-workers; Sociological-factors
Journal of Occupational and Environmental Medicine