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Preliminary Evaluation of the Generalized Work Distress Scale in Patients With Work-Related Upper Extremity Disorders
Authors:Warren?R.?Nielson  Joy?C.?MacDermidEmail author
Affiliation:(1) Division on Rheumatology, Department of Medicine, University of Western Ontario, London, Ontario, Canada;(2) Beryl and Richard Ivey Rheumatology Day Programs, St. Josephrsquos Health Care London, Ontario, Canada;(3) Health Research Personnel Development Program, Ontario Ministry of Health and Long-Term Care, Toronto, Canada;(4) School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada;(5) Co-director Hand and Upper Limb Centre Clinical Research Laboratory, St. Josephrsquos Health Centre, 268 Grosvenor St., London, Ontario, Canada, N6A 3A8
Abstract:This study evaluated the reliability and construct validity of the Generalized Work Distress Scale in 207 patients attending a specialty clinic with work-related upper extremity disorders. Factor analyses were conducted and compared to the original developmental study confirming a two-factor solution: an internal factor related to Work-Related Dysphoria and an external factor related to Work-Related Support. Reliability (internal consistency) of factors was high (Cronbachrsquos agr = 0.87 and 0.89). The Work-Related Dysphoria factor was more related to self-reported global depressed mood and self-reported upper extremity functional disability, than was Work-Related Support. This study provided preliminary support for the use of this scale in patients with work-related upper extremity disorders and consideration to depressive symptoms in these patients. Further investigation of the psychometric properties of this scale and its predictive validity are required.
Keywords:work-related  upper extremity  work distress  support  validity  reliability
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