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STRESS COPING AND DELAYED RECOVERY FROM DISABILITY


 

Delayed recovery after periods of disability may arise from factors such as secondary gain from workers' compensation, pending litigation, psychological problems, other physical illnesses, or inadequate stress coping.

The Nature and Symptoms of Stress

Stress is a response to physiological and psychological changes that reflexively occur as a coping mechanism when seriously challenged.

The stress response also significantly alters our behavior. Behavioral symptoms of stress include sleeplessness, restlessness, avoidance of challenging situations, tremors, and speech disturbances. Psychological symptoms of stress include increases in irritability and anxiety and difficulties with attention, perception, memory, and concentration.

Psychogenic Contributors to Reported Pain

Pain and psychogenic contributors to pain include secondary gain from workers' compensation, pending litigation, psychological problems, other physical illnesses, or inadequate stress coping.

The Coping Resources Inventory for Stress (CRIS) is a measure of perceived coping resourcefulness. The CRIS is an inventory of scales measuring coping resources based on transactional models of stress.

The most important care for injured workers is early intervention and early return to work where possible.

A disabled worker's reaction to stressful events is determined by factors as follows:

  1. Aerobic Exercise

  2. Nutrition

  3. Rest

  4. Relaxation

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