@article{ref1,
title="Depression as a predictor of long-term employment outcomes among individuals with moderate-to-severe traumatic brain injury",
journal="Archives of physical medicine and rehabilitation",
year="2019",
author="Klyce, Daniel W. and Stromberg, Katharine A. and Walker, William C. and Sima, Adam P. and Hoffman, Jeanne M. and Graham, Kristin M. and Agyemang, Amma A. and Marwitz, Jennifer H.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To examine the predictive ability of depression when considering long-term employment outcomes for individuals with moderate-to-severe TBI, after controlling for key pre-injury and injury-related variables. <br><br>DESIGN: Secondary data analysis. SETTING: Community follow-up after discharge from an inpatient rehabilitation center. PARTICIPANTS: Individuals between 18 and 60 years-old with moderate-to-severe TBI enrolled in the Traumatic Brain Injury Model Systems (TBIMS) database. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Employment status. <br><br>RESULTS: The prevalence of employment at 2 and 5 years post-injury was 40.3% and 44.5%, respectively. Individuals identified at depressed at 1 year were less likely to be employed at 2 years post-injury (OR=1.77; 95% CI: 1.38, 2.27; p<.0001). Similar relations between current depression and future employment were observed from 1- and 2-year depression status predicting 5-year employment (1-year: OR=1.88; 95%CI: 1.48, 2.40; p<.0001: 2-year: OR=1.72, 95%CI: 1.36, 2.17; p<.0001). <br><br>CONCLUSIONS: After controlling for baseline predictors variables, the experience of post-injury depression-a modifiable condition-contributes predictive ability to future employment outcomes. Incorporating assessments/interventions for depression into post-acute rehabilitation programs could promote favorable employment outcomes after TBI.<br><br>Copyright © 2019. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2019.06.009",
url="http://dx.doi.org/10.1016/j.apmr.2019.06.009"
}