@article{ref1,
title="Return-to-work in patients with acquired brain injury and psychiatric disorders as a comorbidity: a systematic review",
journal="Brain injury",
year="2015",
author="Garrelfs, Sander F. and Donker-Cools, Birgit H. P. M. and Wind, Haije and Frings-Dresen, Monique H. W.",
volume="29",
number="5",
pages="550-557",
abstract="OBJECTIVE: To explore the association between psychiatric disorders as a comorbidity and return-to-work (RTW) in individuals with acquired brain injury (ABI). <br><br>METHODS: A systematic review was performed. The search strategy (2002-2012) contained terms related to ABI, psychiatric comorbidity and keywords adapted to the outcome measure RTW. Selection and review were performed by two authors independently. In the case of uncertainty, a third author was consulted to reach consensus on inclusion or exclusion. The methodological quality of included studies was determined and evidence was classified. <br><br>RESULTS: Seven studies were included. Strong evidence was found for a negative association between psychiatric disorders as a comorbidity (like depression, anxiety and post-traumatic stress disorder) and RTW of patients with ABI. Patients with a previous history of psychiatric disorders were at considerably higher risk for a new episode and lower RTW rates following ABI. <br><br>CONCLUSION and implications: Psychiatric disorders as a comorbidity after ABI are strong negatively associated with RTW. The heightened frequency of psychiatric disorders as a comorbidity after ABI and more important their amenability to treatment implicates that more attention should be paid to diagnosing and treating psychiatric disorders as a comorbidity in patients with ABI in order to further improve re-integration in work.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.3109/02699052.2014.995227",
url="http://dx.doi.org/10.3109/02699052.2014.995227"
}