Turi, Eleanor
(2016)
Psychosocial comorbidities related to return to work following aneurysmal subarachnoid hemorrhage.
Undergraduate Thesis, University of Pittsburgh.
(Unpublished)
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
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| Status: |
Unpublished |
| Creators/Authors: |
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| ETD Committee: |
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| 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: |
David C. Frederick 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: |
19 Jul 2024 19:04 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/30569 |
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