scholarly journals 514 Factors associated to return to work after sickness absence due to mental disorders among brazilian workers

2018 ◽  
Author(s):  
JS Silva-Junior ◽  
RH Griep ◽  
MC Martinez ◽  
FM Fischer
Keyword(s):  
Mental Disorders ◽  
Return To Work ◽  
Sickness Absence ◽  
Factors Associated

scholarly journals Factors Associated with Long-Term Sickness Absence Due to Mental Disorders: A Cohort Study of 7.112 Patients during the Spanish Economic Crisis

PLoS ONE ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. e0146382 ◽  
Author(s):  
Eva Real ◽  
Lluís Jover ◽  
Ricard Verdaguer ◽  
Antoni Griera ◽  
Cinto Segalàs ◽  
...  
Keyword(s):  
Cohort Study ◽  
Mental Disorders ◽  
Sickness Absence ◽  
Economic Crisis ◽  
Factors Associated

The effect on length of sickness absence by recognition of undetected psychiatric disorder in long-term sickness absence. A randomized controlled trial

2009 ◽  
Vol 37 (8) ◽  
pp. 864-871 ◽  
Author(s):  
Hans Jørgen Søgaard ◽  
Per Bech
Keyword(s):  
Randomized Controlled Trial ◽  
Mental Disorders ◽  
Return To Work ◽  
Sickness Absence ◽  
Controlled Trial ◽  
Intervention Group ◽  
Rate Of Return ◽  
Control Group ◽  
Randomized Controlled

Background: The burden caused by psychiatric disorders on the individual and society has resulted in more studies examining interventions aimed at reducing sickness absence. Aims: To examine if detection of undetected psychiatric disorders in long-term sickness absence (LSA) would improve the rate of return to work. Methods: Over one year all 2,414 incident persons on LSA in a well-defined population were within one week after eight weeks of continuous sickness absence posted the Common Mental Disorders Screening Questionnaire (CMD-SQ) to screen for mental disorders. In a randomized controlled trial (RCT), of 1,121 responding participants, persons with a minimum level of psychiatric symptoms 420 were allocated to the intervention group and 416 to the control group. The intervention was a psychiatric examination including diagnostics with Present State Examination and feedback regarding treatment and rehabilitation to the participants themselves, general practitioners and the social service taking care of the participants’ rehabilitation back to work. Of the 420 in the intervention group 329 (78.3%) participated in the intervention. The outcomes measure was in an intention treat analysis the rate of return to work. Results: The rate of return to work was non-significantly lower for the intervention group than for the control group, except for persons without a psychiatric sick-leave diagnosis who were sick-listed from full time work, who showed a significantly higher rate of return to work in the intervention group. Conclusions: The effect of interventions for return to work depends on socio-demographic characteristics. Further studies are needed regarding interventions to improve return to work.

scholarly journals Barriers and Facilitators for Return to Work from the Perspective of Workers with Common Mental Disorders with Short, Medium and Long-Term Sickness Absence: A Longitudinal Qualitative Study

2021 ◽  
Author(s):  
Margot C. W. Joosen ◽  
Marjolein Lugtenberg ◽  
Iris Arends ◽  
Hanneke J. A. W. M. van Gestel ◽  
Benedikte Schaapveld ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Qualitative Study ◽  
Return To Work ◽  
Sickness Absence ◽  
Common Mental Disorders ◽  
Coping Behavior ◽  
Work Conditions ◽  
Barriers And Facilitators ◽  
Structured Interviews

AbstractPurpose Although common mental disorders (CMDs) highly impact individuals and society, a knowledge gap exists on how sickness absence can be prevented in workers with CMDs. This study explores: (1) workers’ perceived causes of sickness absence; (2) perceived return to work (RTW) barriers and facilitators; and (3) differences between workers with short, medium and long-term sickness absence. Methods A longitudinal qualitative study was conducted involving 34 workers with CMDs. Semi-structured interviews were held at two time-points during their RTW process. The 68 interviews were audio-taped, transcribed and thematically analyzed to explore workers’ perspective on sickness absence causes, RTW barriers and facilitators, and compare data across the three sub-groups of workers. Results Workers reported various causes for their absence, including: (1) high work pressure; (2) poor work relationships; (3) unhelpful thoughts and feelings, e.g. lacking self-insight; and (4) ineffective coping behaviors. According to workers, RTW was facilitated by work adjustments, fulfilling relationships with supervisors, and adequate occupational health guidance. Workers with short-term leave more often reported favorable work conditions, and proactive coping behavior. In contrast, the long-term group reported reactive coping behavior and dissatisfaction with their work. Conclusion Supporting workers with CMDs in gaining self-awareness and regaining control, discussing the value of their work, and creating work conditions that enable workers to do valuable work, seem central for successful RTW and might prevent sickness absence. Supervisors play a key role in enabling workers to do valuable work and further research should focus on how supervisors can be supported in this task.

scholarly journals Undetected Common Mental Disorders in Long-Term Sickness Absence

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Hans Joergen Soegaard
Keyword(s):  
Mental Disorders ◽  
Sick Leave ◽  
Return To Work ◽  
Sickness Absence ◽  
Common Mental Disorders ◽  
Phase 1 ◽  
Somatoform Disorder ◽  
Phase 2 ◽  
Two Phase

Background. Undetected Common Mental Disorders (CMDs) amongst people on sick leave complicate rehabilitation and return to work because appropriate treatments are not initiated. Aims. The aim of this study is to estimate (1) the frequencies of CMD, (2) the predictors of undetected CMD, and (3) the rate of return to work among sick listed individuals without a psychiatric disorder, who are registered on long-term sickness absence (LSA). Methods. A total of 2,414 incident individuals on LSA with a response rate of 46.4%, were identified for a two-phase study. The subsample of this study involved individuals registered on LSA who were sick-listed without a psychiatric sick leave diagnosis. In this respect, Phase 1 included 831 individuals, who were screened for mental disorders. In Phase 2, following the screening of Phase 1, 227 individuals were thoroughly examined by a psychiatrist applying Present State Examination. The analyses of the study were carried out based on the 227 individuals from Phase 2 and, subsequently, weighted to be representative of the 831 individuals in Phase 1. Results. The frequencies of undetected mental disorders among all sick-listed individuals were for any psychiatric diagnosis 21%, depression 14%, anxiety 4%, and somatoform disorder 6%. Conclusions. Undetected CMD may delay the initiation of appropriate treatment and complicate the rehabilitation and return to work.

scholarly journals Sickness certification for common mental disorders and GP return-to-work advice

2016 ◽  
Vol 17 (05) ◽  
pp. 437-447 ◽  
Author(s):  
Mark Gabbay ◽  
Chris Shiels ◽  
Jim Hillage
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Return To Work ◽  
Sickness Absence ◽  
Mental Health Problems ◽  
Common Mental Disorders ◽  
Health Problems ◽  
Sickness Certification ◽  
Mental Health Diagnoses ◽  
To Receive

AimTo report the types and duration of sickness certification for different common mental disorders (CMDs) and the prevalence of GP advice aimed at returning the patient to work.BackgroundIn the United Kingdom, common mental health problems, such and depression and stress, have become the main reasons for patients requesting a sickness certificate to abstain from usual employment. Increasing attention is being paid to mental health and its impact on employability and work capacity in all parts of the welfare system. However, relatively little is known about the extent to which different mental health diagnoses impact upon sickness certification outcomes, and how the GP has used the new fit note (introduced in 2010) to support a return to work for patients with mental health diagnoses.MethodsSickness certification data was collected from 68 UK-based general practices for a period of 12 months.FindingsThe study found a large part of all sickness absence certified by GPs was due to CMDs (29% of all sickness absence episodes). Females, younger patients and those living in deprived areas were more likely to receive a fit note for a CMD (compared with one for a physical health problem). The highest proportion of CMD fit notes were issued for ‘stress’. However, sickness certification for depression contributed nearly half of all weeks certified for mental health problems. Only 7% of CMD fit notes included any ‘may be fit’ advice from the GP, with type of advice varying by mental health diagnostic category. Patients living in the most socially deprived neighbourhoods were less likely to receive ‘may be fit’ advice on their CMD fit notes.

scholarly journals Determinants of Sickness Absence and Return to Work Among Employees with Common Mental Disorders: A Scoping Review

2017 ◽  
Vol 28 (3) ◽  
pp. 393-417 ◽  
Author(s):  
Haitze de Vries ◽  
Alba Fishta ◽  
Beate Weikert ◽  
Alejandra Rodriguez Sanchez ◽  
Uta Wegewitz
Keyword(s):  
Mental Disorders ◽  
Return To Work ◽  
Sickness Absence ◽  
Scoping Review ◽  
Common Mental Disorders

scholarly journals Systematic review and meta-analysis of interventions aimed at enhancing return to work for sick-listed workers with common mental disorders, stress-related disorders, somatoform disorders and personality disorders

2018 ◽  
Vol 75 (9) ◽  
pp. 675-686 ◽  
Author(s):  
Mai Bjørnskov Mikkelsen ◽  
Michael Rosholm
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Return To Work ◽  
Sickness Absence ◽  
Strong Evidence ◽  
Somatoform Disorders ◽  
Common Mental Disorders ◽  
Meta Analysis ◽  
Work Place ◽  
Multicomponent Interventions

ObjectivesMental disorders are associated with significant functional impairment, sickness absence and disability. The consequences of sickness absence warrant investigation into interventions aimed at enhancing return to work (RTW) for workers with mental disorders. The present systematic review and meta-analysis aim to synthesise evidence on the effectiveness of interventions aimed at enhancing RTW in sick-listed workers with mental disorders.MethodsEconLit, Embase, PsychInfo, PubMed, Svemed+ and Web of Science were searched for peer-reviewed, randomised or controlled studies assessing employment-related outcomes of interventions. A meta-analysis was conducted and meta-regressions were performed to explore prespecified potential sources of heterogeneity between studies.ResultsThe literature search yielded 3777 publications of which 42 (n=38 938) were included in the systematic review and 32 (n=9459) had appropriate data for the meta-analysis. The pooled effect size (95 % CI) was 0.14 (0.07 to 0.22). Meta-regressions revealed that the heterogeneity could not be attributed to study quality, timing of the intervention or length of the intervention. However, it could be partly explained by number of components included in the intervention, if the intervention included contact to the work place and by the disorder targeted by the intervention.ConclusionsThe results reveal strong evidence for interventions including contact to the work place and multicomponent interventions and moderate evidence for interventions including graded RTW. In addition, the results provide strong evidence for interventions targeting stress compared with interventions targeting other mental disorders. The findings point to important implications for policy and design of future interventions.

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