The relation between catastrophizing and occupational disability in individuals with major depression: concurrent and prospective associations

Adams, Heather, Thibault, Pascal, Ellis, Tamra, Moore, Emily and Sullivan, Michael (2016) The relation between catastrophizing and occupational disability in individuals with major depression: concurrent and prospective associations. Journal of Occupational Rehabilitation, 27 3: 1-8. doi:10.1007/s10926-016-9669-7


Author Adams, Heather
Thibault, Pascal
Ellis, Tamra
Moore, Emily
Sullivan, Michael
Title The relation between catastrophizing and occupational disability in individuals with major depression: concurrent and prospective associations
Journal name Journal of Occupational Rehabilitation   Check publisher's open access policy
ISSN 1053-0487
1573-3688
Publication date 2016-10-21
Sub-type Article (original research)
DOI 10.1007/s10926-016-9669-7
Open Access Status Not yet assessed
Volume 27
Issue 3
Start page 1
End page 8
Total pages 8
Place of publication New York, NY, United States
Publisher Springer New York LLC
Language eng
Subject 2742 Rehabilitation
3609 Occupational Therapy
Abstract Background Catastrophic thinking has been associated with occupational disability in individuals with debilitating pain conditions. The relation between catastrophic thinking and occupational disability has not been previously examined in individuals with debilitating mental health conditions. The present study examined the relation between catastrophic thinking and occupational disability in individuals with major depression. Methods The study sample consisted of 80 work-disabled individuals with major depressive disorder (MDD) who were referred to an occupational rehabilitation service. Participants completed measures of depressive symptom severity, catastrophic thinking and occupational disability at admission and termination of a rehabilitation intervention. Return-to-work outcomes were assessed 1 month following the termination of the rehabilitation intervention. Results Cross-sectional analyses of admission data revealed that catastrophic thinking contributed significant variance to the prediction of self-reported occupational disability, beyond the variance accounted for by depressive symptom severity. Prospective analyses revealed that reductions in catastrophic thinking predicted successful return to work following the rehabilitation intervention, beyond the variance accounted for by reductions in depressive symptom severity. Conclusions The findings suggest that catastrophic thinking is a determinant of occupational disability in individuals with major depressive disorder. The findings further suggest that interventions designed to reduce catastrophic thinking might promote occupational re-integration in individuals with debilitating mental health conditions.
Formatted abstract
Background: Catastrophic thinking has been associated with occupational disability in individuals with debilitating pain conditions. The relation between catastrophic thinking and occupational disability has not been previously examined in individuals with debilitating mental health conditions. The present study examined the relation between catastrophic thinking and occupational disability in individuals with major depression.

Methods: The study sample consisted of 80 work-disabled individuals with major depressive disorder (MDD) who were referred to an occupational rehabilitation service. Participants completed measures of depressive symptom severity, catastrophic thinking and occupational disability at admission and termination of a rehabilitation intervention. Return-to-work outcomes were assessed 1 month following the termination of the rehabilitation intervention.

Results: Cross-sectional analyses of admission data revealed that catastrophic thinking contributed significant variance to the prediction of self-reported occupational disability, beyond the variance accounted for by depressive symptom severity. Prospective analyses revealed that reductions in catastrophic thinking predicted successful return to work following the rehabilitation intervention, beyond the variance accounted for by reductions in depressive symptom severity.

Conclusions: The findings suggest that catastrophic thinking is a determinant of occupational disability in individuals with major depressive disorder. The findings further suggest that interventions designed to reduce catastrophic thinking might promote occupational re-integration in individuals with debilitating mental health conditions.
Keyword Catastrophic thinking
Depression
Disability
Pain
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID CRC-213763
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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