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Psychosocial comorbidities related to return to work following aneurysmal subarachnoid hemorrhage

Turi, Eleanor/ET (2016) Psychosocial comorbidities related to return to work following aneurysmal subarachnoid hemorrhage. Undergraduate Thesis, University of Pittsburgh. (Unpublished)

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Abstract

Ability to return to work after stroke has been proven to have positive psychosocial benefits on survivors and caregivers. Even though one-fifth of aSAH survivors suffer from poor psychosocial outcomes, the relationship between such outcomes and ability to work post-stroke is limited in the literature. This project seeks to define the relationship between age, gender, race, marital status, household income, anxiety and depression and ability to return to work 3 and 12 months post aSAH.
121 subjects were included in this retrospective analysis. Anxiety was scored via the State-Trait Anxiety Inventory (STAI) while depression was measured using Becks Depression Inventory-II (BDI-II). Both variables were assessed at 3 and 12 months post-aSAH. Ability to return to work was dichotomized into ability to return or not and was measured at the same time points. The categorical variables - gender, race, and household income - were analyzed using chi-squares or Fisher’s exact test, while continuous variables including age, BDI, State & Trait anxiety scores were analyzed using independent t-tests.
Age was significantly associated with failure to return to work 3 and 12 months post-aSAH in both adjusted and unadjusted analysis. High scores of depression, State anxiety, and Trait anxiety 3 and 12 months post-aSAH all had significant or trending associations with failure to return to work 12 months post-aSAH in both adjusted and unadjusted analysis. Female gender had a trending association with failure to return to work 12 months post-stroke. The interactive variables of older age and high State anxiety, older age and high Trait anxiety, and older age and high rates of depression 3 and 12 months post-aSAH also were significantly associated with failure to return to work 12 months post-aSAH.
Patients who are older, female, and suffer from poor psychological outcomes such as depression or anxiety are at an increased risk of failing to return to work 1-year post-aSAH. The interactive results of this study give us information about which patients are at risk for poor outcomes and therefore can be streamlined for therapy that targets such psychosocial needs.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Turi, Eleanor/ETert24@pitt.eduert240000-0003-2588-3041
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairConley, Yvette/YCyconley@pitt.eduyconley
Committee MemberSherwood, Paula/PSprs11@pitt.eduprs11
Committee MemberStanfill, Ansley/ASastanfi4@uthsc.edu
Committee MemberCrago, Elizabeth/ECecrago@pitt.eduecrago
Committee MemberRen, Dianxu/DRdir8@pitt.edudir8
Committee MemberPoloyac, Samuel/SPpoloyac@pitt.edupoloyac
Date: 14 December 2016
Date Type: Publication
Defense Date: 14 November 2016
Approval Date: 14 December 2016
Submission Date: 4 December 2016
Access Restriction: 1 year -- Restrict access to University of Pittsburgh for a period of 1 year.
Number of Pages: 51
Institution: University of Pittsburgh
Schools and Programs: University Honors College
School of Nursing > Nursing
Degree: BSN - Bachelor of Science in Nursing
Thesis Type: Undergraduate Thesis
Refereed: Yes
Uncontrolled Keywords: aSAH, return to work, psychosocial
Date Deposited: 14 Dec 2016 20:21
Last Modified: 14 Dec 2017 06:15
URI: http://d-scholarship.pitt.edu/id/eprint/30569

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  • Psychosocial comorbidities related to return to work following aneurysmal subarachnoid hemorrhage. (deposited 14 Dec 2016 20:21) [Currently Displayed]

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