Patients with an MRS of 3, 4 or 5 had significantly worse scores on most outcome measures, but a significant minority of those with a score of zero had failed to return to work and displayed significant mood disorder.
They will return to work refreshed and in a winning mood, energized to finish the project.
The psychosocial consequences of stroke are complex and comprehensive and include substantial and longlasting impacts on mood, identity, social relationships, return to work and quality of life.
Secondary outcome measures include health-related quality of life, self-reported physical activity, daily functioning, body composition, mood and sleep disturbances, and return to work.
Secondary outcomes are body composition, bone mineral density, HRQoL, neuropathy, objective and self reported physical activity level, mood disturbance, functioning in daily life, return to work and cost from a social perspective.
Almost a third of those graded zero had been unable to return to work, and one in six were classified as having borderline/caseness for mood disorder.
This provides us with an opportunity to assess early and later outcomes, particularly memory impairment, cognition and mood disorders and also those factors shown to be associated with failure to return to work, and with reported poorer QoL.
Extreme mood swings and difficulties controlling emotions meant that, after nine months of sick leave, she failed to return to work.
If the doctors leave the simulation in a negative mood, this may have the potential to generalize beyond the simulated environment, influencing their performance when they return to work.
Nod, turn, return to work.
