Fear Avoidance and Return to Work After Mild Traumatic Brain Injury

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aut.relation.endpage10
aut.relation.issue6
aut.relation.journalBrain Injury
aut.relation.startpage1
aut.relation.volume37
dc.contributor.authorSnell, DL
dc.contributor.authorFaulkner, JW
dc.contributor.authorWilliman, JA
dc.contributor.authorSilverberg, ND
dc.contributor.authorTheadom, A
dc.contributor.authorSurgenor, LJ
dc.contributor.authorHackney, J
dc.contributor.authorSiegert, RJ
dc.date.accessioned2023-06-05T23:55:38Z
dc.date.available2023-06-05T23:55:38Z
dc.date.issued2023-02-22
dc.description.abstractObjectives: Fear avoidance is associated with symptom persistence after mild traumatic brain injury (mTBI). In this study, we investigated whether fear avoidance was associated with other outcomes such as return to work-related activity (RTW). Materials and Methods: We analyzed associations between fear avoidance and RTW 6–9 months after mTBI, in two merged prospective mTBI cohorts. Adult participants aged 16 or over (n=175), presenting to outpatient services in New Zealand within 3 months of their injury, who were engaged in work-related activity at the time of injury, were included. Participants completed the Fear Avoidance Behavior after Traumatic Brain Injury (FAB-TBI) questionnaire at enrollment and 6 months later. Associations between FAB-TBI scores and RTW outcome were analyzed using multivariate approaches. Results: Overall, 53% of participants had RTW by 6–9 months after mTBI. While early fear avoidance was weakly associated with RTW, persistent high fear avoidance between study assessments or increasing avoidance with time were associated with greater odds of still being off work 6–9 months after injury. Conclusions: Pervasive and increasing avoidance of symptom triggers after mTBI were associated with lower rates of RTW 6–9 months after mTBI. Further research is needed to better understand transition points along the recovery trajectory where fear avoidance behaviors fade or increase after mTBI.
dc.identifier.citationBrain Injury, ISSN: 0269-9052 (Print); 1362-301X (Online), Informa UK Limited, 37(6), 1-10. doi: 10.1080/02699052.2023.2180663
dc.identifier.doi10.1080/02699052.2023.2180663
dc.identifier.issn0269-9052
dc.identifier.issn1362-301X
dc.identifier.urihttps://hdl.handle.net/10292/16224
dc.languageeng
dc.publisherInforma UK Limited
dc.relation.urihttps://www.tandfonline.com/doi/full/10.1080/02699052.2023.2180663
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectMild TBI
dc.subjectRTW
dc.subjectfear avoidance
dc.subjectreturn to work
dc.subject4201 Allied Health and Rehabilitation Science
dc.subject42 Health Sciences
dc.subjectNeurosciences
dc.subjectBehavioral and Social Science
dc.subjectTraumatic Brain Injury (TBI)
dc.subjectPhysical Injury - Accidents and Adverse Effects
dc.subjectBrain Disorders
dc.subjectTraumatic Head and Spine Injury
dc.subjectClinical Research
dc.subject11 Medical and Health Sciences
dc.subject17 Psychology and Cognitive Sciences
dc.subjectRehabilitation
dc.subject3202 Clinical sciences
dc.subject4201 Allied health and rehabilitation science
dc.subject5203 Clinical and health psychology
dc.subject.meshHumans
dc.subject.meshBrain Concussion
dc.subject.meshProspective Studies
dc.subject.meshFear
dc.subject.meshAdult
dc.subject.meshReturn to Work
dc.subject.meshBrain Injuries, Traumatic
dc.titleFear Avoidance and Return to Work After Mild Traumatic Brain Injury
dc.typeJournal Article
pubs.elements-id495287
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