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Neuropsychol Rehabil. 2017 Apr 26:1-16. doi: 10.1080/09602011.2017.1313746. [Epub ahead of print]

Return to work after mild-to-moderate stroke: work satisfaction and predictive factors.

Author information

1
a Department of Rehabilitation, Physical Therapy Science & Sports, Brain Centre Rudolf Magnus , University Medical Centre Utrecht , Utrecht , the Netherlands.
2
b De Hoogstraat Rehabilitation , Utrecht , the Netherlands.
3
c Department of Experimental Psychology, Helmholtz Institute , Utrecht University , Utrecht , the Netherlands.
4
d Department of Research and Development , Heliomare Rehabilitation Centre , Wijk aan Zee , the Netherlands.
5
e Coronel Institute of Occupational Health, Academic Medical Centre , University of Amsterdam , Amsterdam , the Netherlands.
6
f Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience , Maastricht University Medical Centre , Maastricht , the Netherlands.
7
g Department of Neuropsychology and Psychopharmacology , Maastricht University , Maastricht , the Netherlands.

Abstract

A large proportion of stroke patients are unable to return to work (RTW), although figures vary greatly. A total of 121 mild-to-moderate stroke patients, who had a paid job at the time of their stroke were included (a) to quantify RTW and work satisfaction one-year post-stroke (using the Utrecht Scale for Evaluation of Rehabilitation-Participation) and (b) to determine factors predicting RTW post-stroke, based on stroke-related, personal and neuropsychological variables. Half of the patients were not in work (28%) or were working less (22%) than pre-stroke. Ninety percent of those in fulltime employment post-stroke were satisfied with their occupational situation, against 36% of the unemployed participants. In regards to factors predicting RTW, global cognitive functioning (r = .19, Montreal Cognitive Assessment) and depressive symptoms (r = -.16, Hospital Anxiety and Depression Scale) at two months post-stroke onset were associated with return to work within one year. Only global cognitive functioning was an independent predictor of RTW (11.3% variance, p = .013). Although the explained variance was not that high, neuropsychological factors probably play a pivotal role in returning to work and should be taken into account during rehabilitation after mild and moderate stroke.

KEYWORDS:

Return to work; cognition; predictive factors; stroke; work satisfaction

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