Recovery from depressive symptoms over the course of physical therapy: a prospective cohort study of individuals with work-related orthopaedic injuries and symptoms of depression.
Identifieur interne : 001558 ( Main/Exploration ); précédent : 001557; suivant : 001559Recovery from depressive symptoms over the course of physical therapy: a prospective cohort study of individuals with work-related orthopaedic injuries and symptoms of depression.
Auteurs : Timothy H. Wideman [Canada] ; Whitney Scott ; Marc O. Martel ; Michael J L. SullivanSource :
- The Journal of orthopaedic and sports physical therapy [ 1938-1344 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Analyse de variance (MeSH), Auto-efficacité (MeSH), Autorapport (MeSH), Dépression (psychologie), Dépression (rééducation et réadaptation), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Maladies ostéomusculaires (psychologie), Maladies ostéomusculaires (rééducation et réadaptation), Maladies ostéomusculaires (épidémiologie), Maladies professionnelles (psychologie), Maladies professionnelles (rééducation et réadaptation), Maladies professionnelles (épidémiologie), Mesure de la douleur (MeSH), Mâle (MeSH), Psychométrie (MeSH), Santé au travail (MeSH), Techniques de physiothérapie (MeSH), Études prospectives (MeSH).
- MESH :
- psychologie : Dépression, Maladies ostéomusculaires, Maladies professionnelles.
- rééducation et réadaptation : Dépression, Maladies ostéomusculaires, Maladies professionnelles.
- épidémiologie : Maladies ostéomusculaires, Maladies professionnelles.
- Adulte, Analyse de variance, Auto-efficacité, Autorapport, Enquêtes et questionnaires, Femelle, Humains, Mesure de la douleur, Mâle, Psychométrie, Santé au travail, Techniques de physiothérapie, Études prospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Analysis of Variance (MeSH), Depression (psychology), Depression (rehabilitation), Female (MeSH), Humans (MeSH), Male (MeSH), Musculoskeletal Diseases (epidemiology), Musculoskeletal Diseases (psychology), Musculoskeletal Diseases (rehabilitation), Occupational Diseases (epidemiology), Occupational Diseases (psychology), Occupational Diseases (rehabilitation), Occupational Health (MeSH), Pain Measurement (MeSH), Physical Therapy Modalities (MeSH), Prospective Studies (MeSH), Psychometrics (MeSH), Self Efficacy (MeSH), Self Report (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- epidemiology : Musculoskeletal Diseases, Occupational Diseases.
- psychology : Depression, Musculoskeletal Diseases, Occupational Diseases.
- rehabilitation : Depression, Musculoskeletal Diseases, Occupational Diseases.
- Adult, Analysis of Variance, Female, Humans, Male, Occupational Health, Pain Measurement, Physical Therapy Modalities, Prospective Studies, Psychometrics, Self Efficacy, Self Report, Surveys and Questionnaires.
Abstract
STUDY DESIGN
Prospective cohort.
OBJECTIVES
(1) To determine the trajectory of depressive symptoms over the course of physical therapy, (2) to identify variables that best predict the resolution of depressive symptoms, and (3) to explore the relationship between recovery from depressive symptoms and long-term outcomes.
BACKGROUND
Twenty-five percent to 50% of patients referred to physical therapy for orthopaedic injuries suffer from symptoms of depression. Depressive symptoms have been identified as an influential risk factor for problematic response to physical therapy. Despite these findings, there is a dearth of research specifically exploring the trajectory and determinants of patients' depressive symptoms over the course of physical therapy, which has impeded the evidence-based management of patients with depressive symptoms.
METHODS
One hundred six patients with work-related musculoskeletal injuries and symptoms of depression received 7 weeks of physical therapy and were followed 1 year after treatment onset. Pain intensity, depressive symptoms, and other psychosocial factors were evaluated throughout treatment, and data were collected at 1-year follow-up.
RESULTS
Depressive symptoms resolved in 40% of patients, and resolution was linked to pain and disability at 1-year follow-up. Persistence of depressive symptoms at treatment completion was predicted by elevated levels of depressive symptoms and pain catastrophizing at pretreatment, and by lack of improvement in levels of depressive symptoms and pain self-efficacy at midtreatment.
CONCLUSION
For many patients, depressive symptoms resolve over the course of physical therapy, and resolution is associated with long-term improvements in pain and disability. These findings will help identify patients whose depressive symptoms are least likely to respond to physical therapy and may therefore warrant additional treatment.
DOI: 10.2519/jospt.2012.4182
PubMed: 22711267
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Wideman</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychology, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychology, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Scott, Whitney" sort="Scott, Whitney" uniqKey="Scott W" first="Whitney" last="Scott">Whitney Scott</name></author><author><name sortKey="Martel, Marc O" sort="Martel, Marc O" uniqKey="Martel M" first="Marc O" last="Martel">Marc O. Martel</name></author><author><name sortKey="Sullivan, Michael J L" sort="Sullivan, Michael J L" uniqKey="Sullivan M" first="Michael J L" last="Sullivan">Michael J L. 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Wideman</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychology, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychology, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Scott, Whitney" sort="Scott, Whitney" uniqKey="Scott W" first="Whitney" last="Scott">Whitney Scott</name></author><author><name sortKey="Martel, Marc O" sort="Martel, Marc O" uniqKey="Martel M" first="Marc O" last="Martel">Marc O. Martel</name></author><author><name sortKey="Sullivan, Michael J L" sort="Sullivan, Michael J L" uniqKey="Sullivan M" first="Michael J L" last="Sullivan">Michael J L. Sullivan</name></author></analytic><series><title level="j">The Journal of orthopaedic and sports physical therapy</title><idno type="eISSN">1938-1344</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Analysis of Variance (MeSH)</term><term>Depression (psychology)</term><term>Depression (rehabilitation)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Musculoskeletal Diseases (epidemiology)</term><term>Musculoskeletal Diseases (psychology)</term><term>Musculoskeletal Diseases (rehabilitation)</term><term>Occupational Diseases (epidemiology)</term><term>Occupational Diseases (psychology)</term><term>Occupational Diseases (rehabilitation)</term><term>Occupational Health (MeSH)</term><term>Pain Measurement (MeSH)</term><term>Physical Therapy Modalities (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Psychometrics (MeSH)</term><term>Self Efficacy (MeSH)</term><term>Self Report (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Analyse de variance (MeSH)</term><term>Auto-efficacité (MeSH)</term><term>Autorapport (MeSH)</term><term>Dépression (psychologie)</term><term>Dépression (rééducation et réadaptation)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladies ostéomusculaires (psychologie)</term><term>Maladies ostéomusculaires (rééducation et réadaptation)</term><term>Maladies ostéomusculaires (épidémiologie)</term><term>Maladies professionnelles (psychologie)</term><term>Maladies professionnelles (rééducation et réadaptation)</term><term>Maladies professionnelles (épidémiologie)</term><term>Mesure de la douleur (MeSH)</term><term>Mâle (MeSH)</term><term>Psychométrie (MeSH)</term><term>Santé au travail (MeSH)</term><term>Techniques de physiothérapie (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Musculoskeletal Diseases</term><term>Occupational Diseases</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Dépression</term><term>Maladies ostéomusculaires</term><term>Maladies professionnelles</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Depression</term><term>Musculoskeletal Diseases</term><term>Occupational Diseases</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Depression</term><term>Musculoskeletal Diseases</term><term>Occupational Diseases</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Dépression</term><term>Maladies ostéomusculaires</term><term>Maladies professionnelles</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladies ostéomusculaires</term><term>Maladies professionnelles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Analysis of Variance</term><term>Female</term><term>Humans</term><term>Male</term><term>Occupational Health</term><term>Pain Measurement</term><term>Physical Therapy Modalities</term><term>Prospective Studies</term><term>Psychometrics</term><term>Self Efficacy</term><term>Self Report</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Analyse de variance</term><term>Auto-efficacité</term><term>Autorapport</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mesure de la douleur</term><term>Mâle</term><term>Psychométrie</term><term>Santé au travail</term><term>Techniques de physiothérapie</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Prospective cohort.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>(1) To determine the trajectory of depressive symptoms over the course of physical therapy, (2) to identify variables that best predict the resolution of depressive symptoms, and (3) to explore the relationship between recovery from depressive symptoms and long-term outcomes.</p></div><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Twenty-five percent to 50% of patients referred to physical therapy for orthopaedic injuries suffer from symptoms of depression. Depressive symptoms have been identified as an influential risk factor for problematic response to physical therapy. Despite these findings, there is a dearth of research specifically exploring the trajectory and determinants of patients' depressive symptoms over the course of physical therapy, which has impeded the evidence-based management of patients with depressive symptoms.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>One hundred six patients with work-related musculoskeletal injuries and symptoms of depression received 7 weeks of physical therapy and were followed 1 year after treatment onset. Pain intensity, depressive symptoms, and other psychosocial factors were evaluated throughout treatment, and data were collected at 1-year follow-up.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Depressive symptoms resolved in 40% of patients, and resolution was linked to pain and disability at 1-year follow-up. Persistence of depressive symptoms at treatment completion was predicted by elevated levels of depressive symptoms and pain catastrophizing at pretreatment, and by lack of improvement in levels of depressive symptoms and pain self-efficacy at midtreatment.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>For many patients, depressive symptoms resolve over the course of physical therapy, and resolution is associated with long-term improvements in pain and disability. These findings will help identify patients whose depressive symptoms are least likely to respond to physical therapy and may therefore warrant additional treatment.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22711267</PMID><DateCompleted><Year>2013</Year><Month>04</Month><Day>10</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1938-1344</ISSN><JournalIssue CitedMedium="Internet"><Volume>42</Volume><Issue>11</Issue><PubDate><Year>2012</Year><Month>Nov</Month></PubDate></JournalIssue><Title>The Journal of orthopaedic and sports physical therapy</Title><ISOAbbreviation>J Orthop Sports Phys Ther</ISOAbbreviation></Journal><ArticleTitle>Recovery from depressive symptoms over the course of physical therapy: a prospective cohort study of individuals with work-related orthopaedic injuries and symptoms of depression.</ArticleTitle><Pagination><MedlinePgn>957-67</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2519/jospt.2012.4182</ELocationID><Abstract><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective cohort.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">(1) To determine the trajectory of depressive symptoms over the course of physical therapy, (2) to identify variables that best predict the resolution of depressive symptoms, and (3) to explore the relationship between recovery from depressive symptoms and long-term outcomes.</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Twenty-five percent to 50% of patients referred to physical therapy for orthopaedic injuries suffer from symptoms of depression. Depressive symptoms have been identified as an influential risk factor for problematic response to physical therapy. Despite these findings, there is a dearth of research specifically exploring the trajectory and determinants of patients' depressive symptoms over the course of physical therapy, which has impeded the evidence-based management of patients with depressive symptoms.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">One hundred six patients with work-related musculoskeletal injuries and symptoms of depression received 7 weeks of physical therapy and were followed 1 year after treatment onset. Pain intensity, depressive symptoms, and other psychosocial factors were evaluated throughout treatment, and data were collected at 1-year follow-up.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Depressive symptoms resolved in 40% of patients, and resolution was linked to pain and disability at 1-year follow-up. Persistence of depressive symptoms at treatment completion was predicted by elevated levels of depressive symptoms and pain catastrophizing at pretreatment, and by lack of improvement in levels of depressive symptoms and pain self-efficacy at midtreatment.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">For many patients, depressive symptoms resolve over the course of physical therapy, and resolution is associated with long-term improvements in pain and disability. These findings will help identify patients whose depressive symptoms are least likely to respond to physical therapy and may therefore warrant additional treatment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wideman</LastName><ForeName>Timothy H</ForeName><Initials>TH</Initials><AffiliationInfo><Affiliation>Department of Psychology, McGill University, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Scott</LastName><ForeName>Whitney</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Martel</LastName><ForeName>Marc O</ForeName><Initials>MO</Initials></Author><Author ValidYN="Y"><LastName>Sullivan</LastName><ForeName>Michael J L</ForeName><Initials>MJ</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>06</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Orthop Sports Phys Ther</MedlineTA><NlmUniqueID>7908150</NlmUniqueID><ISSNLinking>0190-6011</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000704" MajorTopicYN="N">Analysis of Variance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009140" MajorTopicYN="N">Musculoskeletal Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009784" MajorTopicYN="N">Occupational Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016272" MajorTopicYN="Y">Occupational Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="Y">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020377" MajorTopicYN="N">Self Efficacy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057566" MajorTopicYN="N">Self Report</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>6</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>6</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22711267</ArticleId><ArticleId IdType="pii">2774</ArticleId><ArticleId IdType="doi">10.2519/jospt.2012.4182</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Québec</li></region><settlement><li>Montréal</li></settlement><orgName><li>Université McGill</li></orgName></list><tree><noCountry><name sortKey="Martel, Marc O" sort="Martel, Marc O" uniqKey="Martel M" first="Marc O" last="Martel">Marc O. Martel</name><name sortKey="Scott, Whitney" sort="Scott, Whitney" uniqKey="Scott W" first="Whitney" last="Scott">Whitney Scott</name><name sortKey="Sullivan, Michael J L" sort="Sullivan, Michael J L" uniqKey="Sullivan M" first="Michael J L" last="Sullivan">Michael J L. Sullivan</name></noCountry><country name="Canada"><region name="Québec"><name sortKey="Wideman, Timothy H" sort="Wideman, Timothy H" uniqKey="Wideman T" first="Timothy H" last="Wideman">Timothy H. Wideman</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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