Uncovering Mental Health Profiles of Workers with a Physically Disabling Injury or Illness Using the Complete State Mental Health Framework.

Background: Complete mental health encompasses both mental illness (MI) symptoms and positive mental health (PMH). Distinct profiles of MI and PMH have not been explored among injured workers. This study describes latent mental health profiles among workers with a disabling physical work injury/illn...

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Published in:Journal of Occupational Rehabilitation Vol. 35; no. 4; pp. 929 - 945
Main Authors: Dobson, Kathleen G., Chien, Yu-Chun, Carnide, Nancy, Furlan, Andrea D., Smith, Peter M., Mustard, Cameron A.
Format: research tables/charts Journal Article
Published: Springer Nature Dec2025
Online Access:View this record in EBSCOhost
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      dt: Dec2025
      vid: 35
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10926-024-10254-3
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        atl: Uncovering Mental Health Profiles of Workers with a Physically Disabling Injury or Illness Using the Complete State Mental Health Framework.
      aug:
        au:
          Dobson, Kathleen G.
          Chien, Yu-Chun
          Carnide, Nancy
          Furlan, Andrea D.
          Smith, Peter M.
          Mustard, Cameron A.
        affil: https://ror.org/041b8zc76 Institute for Work & Health, 400 University Ave, Suite 1800, M5G 1S5, Toronto, ON, Canada
      sug:
        subj:
          Mental Disorders Therapy
          Persons with Disabilities Psychosocial Factors
          Mental Health
          Conceptual Framework Utilization
          Occupational-Related Injuries
          Job Re-Entry
          Blue Collar Workers Psychosocial Factors
          Human
          Funding Source
          Canada
          Male
          Female
          Cross Sectional Studies
          Surveys
          Prospective Studies
          Self Report
          Data Analysis Software
          Descriptive Statistics
          Chi Square Test
          Analysis of Variance
          Psychometrics
          Psychological Well-Being
          Intraclass Correlation Coefficient
          Emotions
          Worker's Compensation
          Interviews
          Sociodemographic Factors
          Anxiety
          Health Status
          Substance Use Disorders
          Pain
          Sleep Duration
          Financial Stress
          Chronic Disease
          Questionnaires
          Adult
          Adult: 19-44 years
          Male
          Female
      ab: Background: Complete mental health encompasses both mental illness (MI) symptoms and positive mental health (PMH). Distinct profiles of MI and PMH have not been explored among injured workers. This study describes latent mental health profiles among workers with a disabling physical work injury/illness and identifies differences in sociodemographic and return-to-work factors, health correlates, and disability claim duration and cost between profiles. Methods: 1132 Ontario workers with a physical work-related injury/illness who received lost-time claim benefits were surveyed 18 months post-injury. MI was defined by the self-reported presence of a mood and/or anxiety disorder diagnosed by a healthcare professional pre- or post-injury. The Mental Health Continuum Short Form measured aspects of PMH. Claim information was obtained via administrative records. Latent profile analysis identified the unique number of MI and PMH profiles. Chi-Square and ANOVA tests compared sociodemographic, return-to-work, health, and claim outcomes between classes. Results: Four latent MI and three latent PMH classes were uncovered. Eighteen percent of participants exhibited high MI symptoms diagnosed pre- and post-injury and 14% exhibited languishing PMH. Classes with higher MI burden and languishing PMH were more likely to report financial concerns during their claim, pain interference, other health conditions, and opioid use. Claim duration and wage-replacement benefits were ~ 20 days longer and ~ $2000 greater, respectively, among the highest MI and lowest PMH classes. Conclusions: Workers' compensation claimants exhibit both flourishing and languishing mental health profiles. The demographic, health, and return-to-work characteristics of latent classes may help identify claimants who may benefit from additional psychological support when returning to work.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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