Return to work and health-related quality of life after burn injury
2007 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 39, no 1, 49-55 p.Article in journal (Refereed) Published
Objective: Although severe burn injury is associated with long-term rehabilitation and disability, research on returning to work in burn patients is limited. The aims of this study were: (i) to explore injury- and personality-related predictors of returning to work, and (ii) to compare health-related quality of life and health outcome in working versus non-working individuals.Design: Cross-sectional study.Subjects: Forty-eight former patients with pre-burn employment were evaluated on average 3.8 years after the burn.Methods: Data were collected from medical records and by a questionnaire in which the patients were asked about their main activity status described in the terms: work, studies, pension, disability pension, sick leave or unemployment. It also contained the Swedish universities Scales of Personality, SF-36, Burn Specific Health Scale-Brief, items assessing fear-avoidance, Impact of Event Scale-Revised and Hospital Anxiety and Depression Scale.Results: Thirty-one percent had not returned to work. In logistic regression, returning to work was associated with time since injury, the extent of full-thickness injuries, and the personality trait embitterment. Those who did not work had lower health-related quality of life, poorer burn-specific health, more fear-avoidance and more symptoms of post-traumatic stress disorder, but they did not differ from those who were working regarding general mood.Conclusion: Returning to work was explained by both injury severity and personality characteristics. Those who did not work were characterized by low health-related quality of life and poorer trauma-related physical and psychological health.
Place, publisher, year, edition, pages
2007. Vol. 39, no 1, 49-55 p.
Adjustment, BSHS-B, Burns, Personality, SF-36, Trauma
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-95103DOI: 10.2340/16501977-0005ISI: 000244355400009PubMedID: 17225038OAI: oai:DiVA.org:uu-95103DiVA: diva2:169186